Roles of Epiluminescence Dermoscopy beyond the Diagnoses of Cutaneous Malignancies and Other Skin Diseases

Chuh, Antonio

doi:10.9734/ijtdh/2017/34851

Cited by 3 publications

(9 citation statements)

References 22 publications

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“…Qualitatively, the setup for DGSP is relatively easy, as reported by us [3][4][5][6]26]. Magnification and epiluminescence enhanced precisions of each surgical manoeuvre.…”

Section: Discussionmentioning

confidence: 88%

“…DGSP is highly versatile. The current types are covered in the Introduction [1][2][3][4][5]. DG laser excision as reported here is the sixth novel type of DGSP.…”

Section: Discussionmentioning

confidence: 99%

“…We have previously reported dermoscope-guided (DG) punch biopsy [1], DG excisional biopsy [2], DG suturing [3], DG laser ablation [4], and DG cautery [5]. We also reported the first casecontrol study on the outcomes of DG surgical procedures (DGSP) [6].…”

Section: Introductionmentioning

confidence: 99%

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Dermoscope-guided Laser Excision of a Pilomatricoma – a Novel Surgical Procedure Performed in Primary Care Settings

Chuh¹,

Zawar²,

Fölster‐Holst

et al. 2019

IJTDH

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Hypothesis: Dermoscope-guided laser excision is applicable for some cutaneous lesions seen in primary care, particularly those in body flexures or in regions with high blood perfusion. Summary: A male patient presented with an asymptomatic mass behind his left pinna. Polarised dermoscopy revealed signs compatible with malignancy. Excision was difficult owing to the location being concave and the region being one with hyper-perfusion. Dermoscope-guided laser excision was performed. The edge of the lesion and clear margins were marked via dermoscope-guidance. Laser incisions were made following the margins. Dermoscopy confirmed precision of the incision. Upon three laser-dermoscope cycles, the mass separated itself. Laser in coagulation mode achieved haemostasis. Dermoscope-guided laser excision was performed. The edge of the lesion and clear margins were marked via dermoscope-guidance. Laser incisions were made following such margins. Dermoscopy confirmed precision of the incision. Lesion incisions and dermoscopy were then reapplied. Upon three laser-dermoscope cycles, the mass separated itself. Laser in coagulation mode achieved haemostasis. Outcome: The histopathological diagnosis was a pilomatricoma. Healing was uneventful, with minimal scarring. There was no relapse one year post-operatively. Recommendation: Investigations on dermoscope-guided laser incision and other dermoscope-guided surgical procedures in primary care settings can be conducted to evaluate the outcomes of these procedures.

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“…Qualitatively, the setup for DGSP is relatively easy, as reported by us [3][4][5][6]26]. Magnification and epiluminescence enhanced precisions of each surgical manoeuvre.…”

Section: Discussionmentioning

confidence: 88%

“…DGSP is highly versatile. The current types are covered in the Introduction [1][2][3][4][5]. DG laser excision as reported here is the sixth novel type of DGSP.…”

Section: Discussionmentioning

confidence: 99%

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Dermoscope-guided Laser Excision of a Pilomatricoma – a Novel Surgical Procedure Performed in Primary Care Settings

Chuh¹,

Zawar²,

Fölster‐Holst

et al. 2019

IJTDH

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“…It is not to monitor naevi to see whether they might become melanomas. 18 Other aims of dermoscopy include: detecting keratinocyte carcinomas, 4 diagnosing other skin diseases, [5][6][7][8][9][10][11][12] facilitating biopsies [13][14][15] and complementing dermoscope-guided surgical procedures. 16…”

Section: Understand the Aims Of Dermoscopymentioning

confidence: 99%

“…16 The use of dermoscopy in primary care varies widely in different parts of the world. 17,18 We formulate here 25 recommendations from our experiences in various clinical settings. We aim to arouse the interests of primary care physicians in dermoscopy as an aid in making diagnoses and formulating plans of management.…”

Section: Introductionmentioning

confidence: 99%

Twenty-five practical recommendations in primary care dermoscopy

et al. 2020

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Dermoscopy in primary care enhances clinical diagnoses and allows for risk stratifications. We have compiled 25 recommendations from our experience of dermoscopy in a wide range of clinical settings. The aim of this study is to enhance the application of dermoscopy by primary care clinicians. For primary care physicians commencing dermoscopy, we recommend understanding the aims of dermoscopy, having adequate training, purchasing dermoscopes with polarised and unpolarised views, performing regular maintenance on the equipment, seeking consent, applying contact and close non-contact dermoscopy, maintaining sterility, knowing one algorithm well and learning the rules for special regions such as the face, acral regions and nails. For clinicians already applying dermoscopy, we recommend establishing a platform for storing and retrieving clinical and dermoscopic images; shooting as uncompressed files; applying high magnifications and in-camera improvisations; explaining dermoscopic images to patients and their families; applying toggling; applying scopes with small probes for obscured lesions and lesions in body creases; applying far, non-contact dermoscopy; performing skin manipulations before and during dermoscopy; practising selective dermoscopy if experienced enough; and being aware of compound lesions. For clinicians in academic practice for whom dermatology and dermoscopy are special interests, we recommend acquiring the best hardware available with separate setups for clinical photography and dermoscopy; obtaining oral or written consent from patients for taking and publishing recognisable images; applying extremely high magnifications in search of novel dermoscopic features that are clinically important; applying dermoscopy immediately after local anaesthesia; and further augmenting images to incorporate messages beyond words to readers.

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Outcomes of dermoscope-guided surgical procedures in primary care: case-control study

et al. 2019

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INTRODUCTION No research has been found regarding outcomes of dermoscope-guided surgical procedures in primary care. AIM To establish whether outcomes of dermoscope-guided procedures performed in primary care settings differ from outcomes for similar procedures, performed without the use of a dermoscope. METHODS A retrospective case-control study design was used. All records of dermoscope-guided procedures performed over a 6-month period were retrieved. For each study procedure, the record of the most recent control procedure without dermoscopy guidance performed on a sex-and-age matched patient was retrieved from before we began performing dermoscope-guided procedures. Primary outcomes were: local inflammation and infections within 2 weeks’ post procedure; relapse in 6 months; and obvious scars in 6 months. Pain affecting activities of daily living in the first week after the procedure was the secondary outcome. RESULTS Records of 39 dermoscope-guided procedures and 39 control procedures were retrieved. No significant difference in local inflammation and infections in 2 weeks was found; relapse in 6 months after the study procedures was significantly lower for dermoscope-guided than control procedures (risk ratio (RR): 0.22; 95% confidence interval (CI): 0.05–0.95), and there were fewer obvious scars for dermoscope-guided procedures than control procedures (RR: 0.52; 95% CI: 0.32–0.83), with the number of small lesions (<4 mm) leaving scars in study procedures particularly less than that for control procedures (RR: 0.30; 95% CI: 0.13–0.67). There was no difference in the secondary outcome of pain affecting activities of daily living in the first week following the procedure. CONCLUSION In primary care, dermoscope-guided procedures achieved better outcomes than similar procedures without dermoscope guidance. Performing dermoscope-guided procedures in primary care might lower medical costs.

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Roles of Epiluminescence Dermoscopy beyond the Diagnoses of Cutaneous Malignancies and Other Skin Diseases

Cited by 3 publications

References 22 publications

Dermoscope-guided Laser Excision of a Pilomatricoma – a Novel Surgical Procedure Performed in Primary Care Settings

Dermoscope-guided Laser Excision of a Pilomatricoma – a Novel Surgical Procedure Performed in Primary Care Settings

Twenty-five practical recommendations in primary care dermoscopy

Outcomes of dermoscope-guided surgical procedures in primary care: case-control study

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