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Rapid Diagnosis of Pigmented Basal Cell Carcinoma

Alon Scope, MD; Patricia S. Mecca, MD; Ashfaq A. Marghoob, MD
Dermatology Service (Drs Scope and Marghoob) and Department of Pathology (Dr Mecca), Memorial Sloan-Kettering Cancer Center, New York, New York

Arch Dermatol. 2009;145(1):106-107.

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

Reflectance confocal microscopy (RCM) can be used as a bedside aid to clinical assessment of pigmented lesions. At times, it may be clinically difficult to determine whether a pigmented lesion is melanocytic or nonmelanocytic. The following 2 cases demonstrate a reproducible RCM pattern that may allow for rapid diagnosis of pigmented basal cell carcinoma (BCC) at the bedside. In both cases, the RCM imaging session provided the operator with a diagnosis in less than 5 minutes. Therefore, it is conceivable that, in the not too distant future, it may become feasible to implement RCM in routine clinical practice

The first case involved a 40-year-old woman with a history of in situ melanoma and a 3-month history of a 3-mm, tan papule on the left side of her nose (Figure 1A, arrow and inset). She had manipulated the . . . [Full Text of this Article]

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