What is the impact of tumour size on dermoscopic diagnosis of BCC?

Popadić, Mirjana; Vukičević, Jelica

doi:10.1111/jdv.12808

Cited by 8 publications

(11 citation statements)

References 11 publications

(47 reference statements)

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“…Naked‐eye inspection and dermoscopy are safe, simple, noninvasive and inexpensive tests . Dermoscopy is a well‐established tool for diagnosis of BCC, regardless of its size . Dermoscopy increases the diagnostic accuracy for BCC diagnosis from 58% to 84% over naked‐eye examination .…”

Section: Resultsmentioning

confidence: 99%

Is early detection of basal cell carcinoma worthwhile? Systematic review based on the WHO criteria for screening

et al. 2016

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The incidence of basal cell carcinoma (BCC) has risen three- to fourfold over the last 30 years and is expected to continue to increase with ageing of the population. Although BCC has a good prognosis, it causes significant morbidity and has an important impact on the public health budget due to direct treatment costs. Based on the existing evidence, a systematic evaluation of the World Health Organization criteria was performed to determine whether earlier detection of BCC could reduce morbidity and cost. BCC slowly increases in size, with a median increase in diameter of 0·5 mm over 10 weeks. There is an important delay in diagnosis ranging from 19 to 25 months. In several studies BCC size was the main determinant of treatment cost, surgical complexity, reconstruction technique and the specific surgical procedure performed, such as Mohs micrographic surgery or surgical excision. One study showed that size also seems to affect the cost per treatment for other nonsurgical options. The use of vismodegib, an inhibitor of the hedgehog pathway, is confined to locally advanced or metastatic BCC. Delays in diagnosis and appropriate treatment are the most important underlying causes in the occurrence of giant BCC and/or BCC with metastasis. Although the latter represent only a very small fraction of all BCCs, the majority of them are located in the facial region. The available data point to a slow increase in the size of BCCs over time. Size is one of the major determinants in choice of treatment and the associated cost, especially for facial BCC. Therefore we conclude that current data support early detection and adequate management of BCCs on the face.

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Section: Resultsmentioning

confidence: 99%

Is early detection of basal cell carcinoma worthwhile? Systematic review based on the WHO criteria for screening

et al. 2016

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“…Reflectance confocal microscopy allowed to recognize the malignant nature of lesions through the identification of relatively easy detectable features as basaloid island for BCC, 18 presence of not only dendritic cells but moreover pagetoid roundish cells with periadnexal behaviour for LM, the last helpful in the differential diagnosis with PAK 19,20 . The routine use of dermoscopy allows the detection of melanomas of which patients are unaware.…”

Section: Discussionmentioning

confidence: 99%

Clinical management of very small pigmented lesions: Improved clinical outcome through dermoscopy and reflectance confocal microscopy combination

Persechino

Franceschini

Iorio

et al. 2020

Skin Research and Technology

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“…Diagnosis of BCC has been greatly improved by dermoscopy, which is associated with high sensitivity and specificity (1,2). However, when tumours are small in size, classic dermoscopic features, such as large blue-grey ovoid nests, multiple blue-grey globules, and arborizing vessels, are frequently unclear or are only partially present, which makes an accurate diagnosis difficult (4)(5)(6)(7)(8). Capillaroscopy (e.g.…”

mentioning

confidence: 99%

Capillaroscopy in Pigmented Basal Cell Carcinoma Smaller than 3-mm Diameter: A Report of Four Lesions

et al. 2022

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What is the impact of tumour size on dermoscopic diagnosis of BCC?

Abstract: Despite determined differences in vascular features and multiple erosions between the small and large BCCs, the results of further investigation within the specific groups indicate that dermoscopy is reliable for the diagnosis of BCC regardless of its size.

Cited by 8 publications

References 11 publications

Is early detection of basal cell carcinoma worthwhile? Systematic review based on the WHO criteria for screening

Is early detection of basal cell carcinoma worthwhile? Systematic review based on the WHO criteria for screening

Clinical management of very small pigmented lesions: Improved clinical outcome through dermoscopy and reflectance confocal microscopy combination

Capillaroscopy in Pigmented Basal Cell Carcinoma Smaller than 3-mm Diameter: A Report of Four Lesions

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