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Dermatol Res Pract. 2010;2010. doi: 10.1155/2010/168248. Epub 2010 Sep 16.

Reflectance confocal microscopy as an aid to dermoscopy to improve diagnosis on equivocal lesions: evaluation of three bluish nodules.

Dermatology research and practice

Sara Bassoli, Stefania Seidenari, Giovanni Pellacani, Caterina Longo, Anna Maria Cesinaro

Affiliations

  1. Dermatology Department, University of Modena and Reggio Emilia, Modena, Italy.

PMID: 20886008 PMCID: PMC2945651 DOI: 10.1155/2010/168248

Abstract

Nodular lesions can be difficult to diagnose under dermoscopy alone, since they often lack specific diagnostic features. Confocal microscopy can be used as an aid to dermoscopy, to increase the diagnostic accuracy on equivocal skin lesions. We report three cases of bluish nodular lesions, difficult to diagnose under dermoscopy alone. Confocal features were very useful in these cases to lead us to the correct diagnosis, recognizing benign versus malignant entities. Histopathology is also reported, with high correspondence compared to the confocal imaging.

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