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Aim: Dermoscopy is a simple-to-use,in vivo method for the diagnosis of cutaneous melanomas and the differential diagnosis of pigmented lesions.Over the past decades,the number of studies on the other sites of the skin has grown exponentially.The dermoscopic patterns for benign and malignant lesions on the face are not well established,The aim of the present study was to analyze the dermoscopic patterns observed in pigmented lesions of the face.Methods:We analyzed retrospectively 592 histopathologically proven dermoscopic images of facial lesions.Sensitivity,specificity,diagnostic accuracy value were calculated for defined dermoscopic criteria in relation to the diagnosis of facial pigmented lesions.Results: In our study,81.65% of benign melanocytic nevi (sensitivity [85.6%],specificity [77.9%],and diagnostic accuracy [72.9%];94.65% of seborrhoeic keratoses (sensitivity [96.3 %],specificity [90.6%] and diagnostic accuracy [83.5%]),92.42% of basal cell carcinomas(sensitivity [94.8%],specificity [91.6%],and diagnostic accuracy [82.6%]),82.14% cutaneous melanomas(sensitivity [85.9%],specificity [82.5%],and diagnostic accuracy [73.8%]) were correctly diagnosed by using pattern analysis.Conclusion: Dermoscopy can play a role in the noninvasive classification of facial pigmented lesions.It may be a useful diagnostic technique for evaluating early cutaneous melanoma before biopsy and it is well accepted by patients because of a better cosmetic outcome than surgical excision on the face.