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Dermoscopy of Benign and Malignant Neoplasms in the Pediatric Population

Although rare, the incidence of pediatric melanoma is increasing, and it has become imperative that clinicians include melanoma in the differential diagnosis of atypical pigmented and even amelanotic lesions in children.


 

Helen C. Haliasos, MD, Iris Zalaudek, MD, Josep Malvehy, MD, Christoph Lanschuetzer, MD, Helmut Hinter, MD, Rainer Hofmann-Wellenhof, MD, Ralph Braun, MD, and Ashfaq A. Marghoob, MD

Dermoscopy is a noninvasive technique that enables visualization of subsurface colors and structures within the skin that are imperceptible to the naked eye. The dermatoscope allows the physician to examine both the macroscopic and microscopic primary morphology of skin lesions, identify subtle clinical clues, confirm naked-eye clinical diagnoses, and monitor treatment progress while posing little threat to the young patient. Dermoscopic findings have been formulated into diagnostic criteria that assist experienced clinicians in differentiating benign and malignant neoplasms. In this review, clinical morphology of melanocytic nevi and melanoma in the pediatric population is examined and the relevant dermoscopic findings and histopathologic correlates that aid in the diagnosis and management of these lesions are described.

*For a PDF of the full article, click on the link to the left of this introduction.

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