Franceschini Chiara, Persechino Flavia, Ardigò Marco
Clinical Dermatology Department, San Gallicano Dermatological Institute (IRCCS), Rome, Italy.
Department of Clinical and Molecular Medicine, Sapienza University of Rome, Italy.
Dermatol Pract Concept. 2020 Apr 3;10(2):e2020032. doi: 10.5826/dpc.1002a32. eCollection 2020.
Reflectance confocal microscopy (RCM) is a high-resolution, noninvasive imaging technique being increasingly used as an aid to diagnosis in the dermatology setting. RCM is applied in the diagnosis of both melanoma and nonmelanoma skin tumors, but also in the interpretation and management of inflammatory skin diseases. Two different devices with different designs for specific indications are available in the market: a static and a handheld probe. Several clinical presentations of the lesion could affect the examination, such as the presence of ulceration or hyperkeratosis; moreover, the anatomical site can drive the probe selection as well as the effective indication to RCM examination. In this review article, indications for the use of RCM are described in detail with a schematic approach for practical purposes.
反射式共聚焦显微镜（RCM）是一种高分辨率的非侵入性成像技术，在皮肤科诊断中越来越多地用作辅助诊断手段。RCM可应用于黑色素瘤和非黑色素瘤皮肤肿瘤的诊断，也可用于炎症性皮肤病的解读和管理。市场上有两种针对特定适应症设计不同的设备：静态探头和手持式探头。病变的几种临床表现可能会影响检查，如溃疡或角化过度的存在；此外，解剖部位也会影响探头的选择以及RCM检查的有效适应症。在这篇综述文章中，出于实际目的，以示意图的方式详细描述了RCM的使用适应症。
