Biopsy guided by dermoscopy in cutaneous pigmented lesion -- case report

An Bras Dermatol. 2013 Jan-Feb;88(1):125-7. doi: 10.1590/s0365-05962013000100020.

Abstract

It may be clinically difficult to differentiate early-stage melanoma from benign tumors, specially pigmented seborrheic keratosis. Dermoscopy can help; however, the findings are not always conclusive. Therefore, histopathology may be necessary for a correct diagnosis. We describe a melanocytic lesion with dubious clinic and dermoscopic findings. An incisional biopsy of a suspicious area, guided by dermoscopy, was performed to clarify the findings.

A diferença clínica entre melanoma inicial e tumores benignos pode ser difícil em algumas ocasiões, especialmente na ceratose seborreica pigmentada. A dermatoscopia pode ajudar; porém, os achados nem sempre são conclusivos, de modo que a histopatologia pode ser necessária para o diagnóstico correto. Descrevemos uma lesão melanocítica com aspectos clínicos e dermatoscópicos duvidosos. Nesse caso, a biópsia incisional de área suspeita, guiada pela dermatoscopia, estabeleceu o diagnóstico.

Publication types

  • Case Reports

MeSH terms

  • Biopsy / methods
  • Dermoscopy / methods*
  • Diagnosis, Differential
  • Humans
  • Keratosis, Seborrheic / pathology*
  • Male
  • Melanoma / pathology*
  • Middle Aged
  • Skin Neoplasms / pathology*