The role of dermoscopy in diagnostics of dermatological conditions of the eyelid, eyelashes, and conjunctiva – a literature review

Kozubowska, Karolina; Sławińska, Martyna; Sobjanek, Michał

doi:10.1111/ijd.15315

Cited by 8 publications

(11 citation statements)

References 44 publications

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“…Those benign lesions may sometimes be misdiagnosed as malignant, especially when filled with blood or blood components that give them a pigmented appearance. The most typical dermatoscopic findings include the structureless pattern with cystic intradermal space filled with fluid and the presence of arborizing vessels (Figures 16 and 17) [15].…”

Section: Cystic Lesionsmentioning

confidence: 99%

“…When noticing a melanocytic lesion of the eyelid margin, one should perform a precise assessment of the conjunctiva and conjunctival fornix, both the lower and the upper. Dermoscopic features of conjunctival melanoma were characterized as structureless areas, irregular dots, and a high prevalence of gray coloration [15]. Authors suggest that typical dermatoscopic features of skin melanoma may be also present in conjunctival melanoma such as atypical pigment network, irregular dots, and globules, regression structures, as well as blue-white veil (Figure 22) [24].…”

Section: Conjunctival Lesionsmentioning

confidence: 99%

“…Although it may be confused with conjunctival tissue due to its proximity, it is, in fact, a skin fold covered with sebaceous and sweat glands located in the DOI: http://dx.doi.org/10.5772/intechopen.101376 medial canthus of the eye. Due to its nature, although infrequently, it may be a point of origin for various skin lesions, mainly nevi or papillomas (Figure 23) [15,25].…”

Section: Lacrimal Carunclementioning

confidence: 99%

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Pigmented Lesions of the Eyelid Margin

Adamski¹,

Adamska²

2022

Dermatoscopy

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The eyelid area poses a diagnostic and therapeutic challenge due to its specific anatomy. The eyelid is composed of skin, orbicularis muscle, tarsus, and the eyelid margin is continuous with palpebral conjunctiva. Among pigmented tumors, benign lesions such as epidermal or intradermal nevi, freckles, lentigo, or seborrheic keratosis are the most common. Melanoma is relatively rare in this location. A suspicious lesion may be biopsied or excised. Surgery in the eyelid area requires special considerations to maintain a safe surgical margin, vital function of the eyelid, and acceptable cosmetic effect due to the exposure of the eyelid region of the face.

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Section: Cystic Lesionsmentioning

confidence: 99%

Section: Conjunctival Lesionsmentioning

confidence: 99%

Section: Lacrimal Carunclementioning

confidence: 99%

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Pigmented Lesions of the Eyelid Margin

Adamski¹,

Adamska²

2022

Dermatoscopy

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“…Despite rapid growth in the significance of dermoscopy in dermatological oncology, relatively little is yet known about dermoscopic patterns in this specific anatomical location. 7,8 The aim of the study was to analyze dermoscopic features of eyelid margin tumors as well as the association with selected clinical variables, such as age, skin phototype, anatomical location, lesion size, and duration. Dermoscopic pictures were evaluated by consensus of two experienced investigators using dermoscopy and videodermoscopy in their daily practice, according to the structures described in consensus by Kittler et al 9 In case of discrepancy, the final score for a particular case and structure was obtained based on the decision of a third evaluator.…”

Section: Introductionmentioning

confidence: 99%

“…The current problem remains differential diagnosis between benign and malignant conditions involving the eyelid margin. Despite rapid growth in the significance of dermoscopy in dermatological oncology, relatively little is yet known about dermoscopic patterns in this specific anatomical location 7,8 . The aim of the study was to analyze dermoscopic features of eyelid margin tumors as well as the association with selected clinical variables, such as age, skin phototype, anatomical location, lesion size, and duration.…”

Section: Introductionmentioning

confidence: 99%

Dermoscopic features of eyelid margin tumors: A single‐center retrospective study

Jaworska

Sławińska

Wyszomirski

et al. 2022

The Journal of Dermatology

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Despite rapid growth in the significance of dermoscopy in dermatological oncology, relatively little is yet known about the dermoscopic patterns of eyelid margin tumors. The aim of the study was to analyze the dermoscopic features of eyelid margin tumors. This was a retrospective, single‐center, consecutive study which included clinical and dermoscopic analysis of eyelid margin tumors diagnosed at the Department of Dermatology, Venereology and Allergology at the Medical University of Gdańsk from 1 June 2016 to 31 December 2020. Dermoscopic features significantly more prevalent in malignant non‐melanocytic lesions compared to benign ones were alteration in eyelash growth, structureless pink areas, starry milia‐like cysts, and perpendicular vessels. In contrast, there were no dermoscopic features that occurred significantly more frequently in malignant melanocytic lesions when compared to benign ones. Basal cell carcinoma, in comparison to hidrocystoma, more commonly presented with ulceration and structureless pink areas. The main features differentiating basal cell carcinoma from dermal nevus were the presence of ulceration, alteration in eyelash growth, structureless pink and structureless white areas, and perpendicular vessels within the tumor with each of these features observed more commonly in basal cell carcinoma. Blue nevus, hemangioma, or pigmented hidrocystoma presenting exclusively with blue structureless areas may be difficult to differentiate based on dermoscopy. The study offers additional dermoscopic clues in the assessment of eyelid margin tumors. Some observations reported previously to be typical of basal cell carcinoma (e.g., linear vessels arranged perpendicularly to the eyelid margin) were documented also within the normal eyelid margin accompanying other cases, and according to our study, cannot be useful as a pathognomonic feature. In contrast, it seems that yellow structures (half‐moon sign, starry milia‐like cysts) may be important dermoscopic features, though further studies are needed to confirm our observations.

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