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A Plea for a Combined Diagnostic Approach of Histopathologic and Dermoscopic Evaluation

Arch Dermatol. 2005;141:209-211.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

The article published by Skvara et al¹ in this issue of the ARCHIVES focuses on the limitations of dermoscopy in the diagnosis of very early and mainly featureless melanomas. The authors report that baseline dermoscopic patterns of 262 melanocytic nevi did not differ from those of 63 melanomas observed by digital dermoscopy and finally excised because of changes overtime. The authors wisely foresee that this basically featureless or "feature-poor" group of melanomas will be used by both sides in the digital dermoscopy controversy: proponents will cite them as evidence that follow-up with digital dermoscopy is necessary; opponents point to them as evidence that dermoscopy is unnecessary and that every clinically suspicious lesion must be excised. The authors acknowledge the strengths and limitations of both views, but the question remains whether dermoscopically featureless or feature-poor lesions warrant excision.

Interestingly, the authors do not discuss at all the validity of the . . . [Full Text of this Article]

THE BENIGN/MALIGNANT THRESHOLD IN PATHOLOGIC EVALUATION


CORRELATION OF CLINICAL AND DERMOSCOPIC FINDINGS WITH HISTOPATHOLOGIC ANALYSIS

AN ANECDOTAL OBSERVATION

ILLUSION OF CERTAINTY AND LIFE GOES ON

AUTHOR INFORMATION
H. Peter Soyer, MD; Cesare Massone, MD; Gerardo Ferrara, MD; Giuseppe Argenziano, MD

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