One of the greatest benefits of dermoscopy is to decrease the rates of unnecessary surgical excisions and biopsies, which leads to a reduction in both costs and invasive procedures. In this specific case (attached photos) would you remove the "ugly duckling" mole or just follow-up?
Dear Ana Cristina Diniz Silva,
Look the link, may be useful.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3395510/
http://onlinelibrary.wiley.com/doi/10.1111/jdv.14129/abstract
Regards, Shafagat
Dear Ana, dermoscopic pictture is that seen in reticular pattern of common (Clark) naevus. FLAT lesions less than 5 mm can be followed up over a 3 mons period.
Sincerely, Carlo
e voudrais savoir s'il y'a lieu à faire les épi-tests aux produits cytostatiques chez le personnel de soins le manipulant et qui se plaint d'allergies suite à l'exposition à ces produits ?
Bonjour - ResearchGate. Available from: https://www.researchgate.net/post/Bonjour [accessed Jun 21, 2017].
I suggest immediate excision followed by histology based on the variation of color and irregular border.
Dear Ana, dermatoscopic picture is consistent with common (Clark) naevus. Depending on the size (what can not be established from your picture) follow the patient every 3 months. In case it changes dramatically it has to be excised.
Sincerely, Vladimir
Dear Ana,
I do agree with Vladimir and Carlo, I would follow-up the lesion over a 3 month period (short-term monitoring); if it doesn't change, I would do a new follow-up in 6-12 months in order to rule-out slow growing melanoma. If it changes, I would excise it. A changing lesion in a STM has a 1/6 - 1/8 rate of being a melanoma.
With that said, clinical context is important, if the patient is older than 40-50 years old and it is a new lesion I would excise it instead of performing a STM. (it looks like a male in his 30s in the picture).
Hope this information is useful,
Best regards,
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