Dermoscopic features of basal cell carcinoma and its subtypes: A systematic review

JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY

卷:85

Review

Reiter, Ofer^1,2,3  Mimouni, Ilit³  Dusza, Stephen¹  Halpern, Allan C.¹  Leshem, Yael Anne^2,3  Marghoob, Ashfaq A.¹ 

[1] Mem Sloan Kettering Canc Ctr, Dermatol Serv, Dept Med, 1275 York Ave, New York, NY 10022 USA

[2] Rabin Med Ctr, Dept Dermatol, Petah Tiqwa, Israel

[3] Tel Aviv Univ, Sackler Fac Med, Tel Aviv, Israel

关键词: arborizing vessels;    basal cell carcinoma;    BCC;    blue-white veil;    concentric structures;    corkscrew vessels;    dermatoscopy;    dermoscopy;    dotted vessels;    glomerular vessels;    hairpin vessels;    infiltrative basal cell carcinoma;    large blue-grey ovoid nests;    leaf-like areas;    morpheaform basal cell carcinoma;    multiple blue-grey dots and globules;    multiple in-focus dots;    multiple small erosions;    nodular basal cell carcinoma;    nonpigmented basal cell carcinoma;    pigmented basal cell carcinoma;    polymorphous vessels;    rosettes;    shiny white structures;    shiny white-red structureless background;    short-fine telangiectasia;    spoke wheel areas;    superficial basal cell carcinoma;    ulceration;   

DOI  :  10.1016/j.jaad.2019.11.008

来源: Elsevier

【 摘 要 】

Background: Multiple studies have reported on dermoscopic structures in basal cell carcinoma (BCC) and its subtypes, with varying results. Objective: To systematically review the prevalence of dermoscopic structures in BCC and its subtypes. Methods: Databases and reference lists were searched for relevant trials according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Studies were assessed for the relative proportion of BCC dermoscopic features. Random-effects models were used to estimate summary effect sizes. Results: Included were 31 studies consisting of 5950 BCCs. The most common dermoscopic features seen in BCC were arborizing vessels (59%), shiny white structures (49%), and large blue-grey ovoid nests (34%). Arborizing vessels, ulceration, and blue-grey ovoid nests and globules were most common in nodular BCC; short-fine telangiectasia, multiple small erosions, and leaf-like, spoke wheel and concentric structures in superficial BCC; porcelain white areas and arborizing vessels in morpheaform BCC; and arborizing vessels and ulceration in infiltrative BCC. Limitations: Studies had significant heterogeneity. Studies reporting BCC histopathologic subtypes did not provide clinical data on pigmentation of lesions. Conclusion: In addition to arborizing vessels, shiny white structures are a common feature of BCC. A constellation of dermoscopic features may aid in differentiating between BCC histopathologic subtypes.

【 授权许可】

Free