People May Ask

Is Plastic Surgery Invariably Necessary Following A Mohs Procedure?

A patient undergoing Mohs micrographic surgery for a skin abnormality might necessitate the restoration of the affected area. The approach to reconstruction can differ significantly, contingent upon factors such as the extent of the surgical site, its anatomical position, and the individual patient's preferences. Notably, when Mohs surgery targets delicate regions like the nose, eyelids, or ears, the recommendation for reconstruction frequently arises.

Is BCC Identifiable through Dermoscopic Examination?

An additional crucial clue in diagnosing superficial BCC could be identified through the existence of minute ulcerations, manifesting as red to brown homogeneous areas devoid of distinct structures on dermoscopy, observed in approximately 79% of our examined lesions. Furthermore, in 15 of our 42 cases of superficial BCCs, elongated arborizing vessels were detected.

What Are The Consequences of Not Eliminating Basal Cell Carcinoma?

In the absence of timely treatment for basal cell carcinoma, the skin cancer is prone to a gradual expansion, infiltrating deeper layers of tissue, including muscles, bones, and cartilages. As a result, the BCC may manifest painful symptoms and ulceration, leading to bleeding and infection.

Is It Necessary for Me to Be Concerned about A BCC Diagnosis?

The likelihood of basal cell carcinoma disseminating via the bloodstream or lymph nodes is exceedingly uncommon, often occurring solely in cases where the cancer has been neglected for an extended period. Nevertheless, this underscores the importance of early treatment, as untreated cases can potentially infiltrate deeper, harming nerves, blood vessels, and potentially even affecting the bone.

Is BCC A Condition That Inevitably Leads to A Fatal Outcome?

Despite its infrequent association with mortality, basal cell carcinoma possesses the potential to inflict significant damage and distort local tissues, particularly when therapeutic intervention is inadequate or postponed. March 13th, 2024

Is It Advisable to Forgo Treatment for A BCC?

However, if left untreated, basal cell carcinoma has the potential to progressively invade deeper layers of the skin, resulting in severe damage to adjacent tissues. In extreme cases, it can even pose a life-threatening risk. For instance, an untreated basal cell carcinoma located on the face may eventually infiltrate the bones and, with time, even reach the brain, as emphasized by Dr. [Name].

What Characterizes The Unexpected Manifestation of Basal Cell Carcinoma?

The initial indicator of basal cell carcinoma manifests as an abnormal development on the skin's surface. You might observe a nodule with a waxy texture, or a minute, smooth, glossy, or pale protrusion. Alternatively, a lump might not be present, and instead, you may discern a flat area that appears subtly dissimilar to the surrounding skin tone.

Could You Elaborate on The Dermoscopic Characteristics Exhibited by A BCC?

The morphological characteristics observed under dermoscopy in morphoeic basal cell carcinoma typically encompass: A dominant white, scar-resembling region devoid of distinct structures, accompanied by sparse delicate branching vessels resembling serpents, and numerous brownish speckles. On occasion, the vessels alone serve as the pivotal indicator.

What Is The Method of Identifying BCC?

What are the indicative markers of basal cell carcinoma? BCCs frequently commence as minor alterations in the skin's texture, resembling a tiny protrusion or a flattened reddish area. These changes tend to manifest on areas of the body that are regularly exposed to sunlight. Gradually, over time, they enlarge and become more conspicuous.

What Steps Should I Follow to Verify BCC?

The utilization of liver ultrasonography (US) alongside serum alpha-fetoprotein (AFP) evaluations serves as a crucial tool for the preliminary detection of HCC, and it is advised to conduct such screenings at a frequency of no less than six-monthly intervals in high-risk demographic groups [3].

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How Can Dermoscopy Images Be Captured?

Dermoscopy images can be captured and stored in different ways, such as: • Using a smartphone or tablet with dermoscopic adapter, which consisted in the package.• Using a digital camera

Dermoscopy images can be captured and stored in different ways, such as:

• Using a smartphone or tablet with dermoscopic adapter, which consisted in the package.
• Using a digital camera with dermoscopic adapter, there’s 49mm screw size camera adapter available to order now.

Compatible phone/tablet models:
All iPhone models, 95% Android phones, 90% tablet. For phone/tablet size in 5.25-14mm

Compatible camera models:
All camera with built 49mm filter screw, such as Canon EOS 70D, 80D, 90D; Canon EOS R7, R10, R50, R100; Canon M100, M200, M50, Mark II; Canon G7X Mark III, Sony ZV-1

How Can I Connect My Phone to My Dermatoscope?

There’s universal phone adapter for all our dermoscopes. Please check the installation procedure bellow or watch operation guide. Smartphone Connector (1) Place phone adapter screw in the center of smartphone’s

There’s universal phone adapter for all our dermoscopes. Please check the installation procedure bellow or watch operation guide.

Smartphone Connector

(1) Place phone adapter screw in the center of smartphone’s main camera.
(2) Screw magnet attachment on phone adapter.
(3) Put dermoscope’s back ring and magnet attachment together

Take The Best Images

You need to adjust the focus ring after the dermoscpe connected on smartphone to get the best images.

How Can I Clean My Dermoscopy after Usage?

Cleaning your dermoscopy after usage is important to prevent cross-contamination and infection. The cleaning method may vary depending on the type and model of your dermoscopy, so you should always

Cleaning your dermoscopy after usage is important to prevent cross-contamination and infection. The cleaning method may vary depending on the type and model of your dermoscopy, so you should always follow the manufacturer’s instructions. However, some general steps are:

• Turn off and disconnect your dermoscopy from any power source or device.

• Wipe off any visible dirt or debris from the dermoscopy with a soft cloth or tissue.

• Disinfect the dermoscopy with an alcohol-based wipe or spray, or a disinfectant solution recommended by the manufacturer. Make sure to cover all surfaces, especially the lens and contact plate.

• Let the dermoscopy air dry completely before storing it in a clean and dry place.

• Do not use abrasive or corrosive cleaners, solvents, or detergents that may damage the dermoscopy.

• Do not immerse the dermoscopy in water or any liquid, unless it is waterproof and designed for immersion.

You should clean your dermoscopy after each use, or at least once a day if you use it frequently. You should also check your dermoscopy regularly for any signs of damage or malfunction, and contact the manufacturer or service provider if needed.

Polarized VS Non-Polarized Dermoscopy

A dermoscopy is a device that allows the examination of skin lesions with magnificationand illumination. By revealing subsurface structures and patterns that are not visible tothe naked eye. It can

A dermoscopy is a device that allows the examination of skin lesions with magnificationand illumination. By revealing subsurface structures and patterns that are not visible tothe naked eye. It can improve the diagnose accuracy of skin lesions, such as melanoma,basal cell carcinoma, seborrheic keratosis, etc.

There are two main types of dermoscopy: Non polarized and polarized dermoscopy.We’ve fitted most of our dermoscopys with polarized and non-polarized light. They canbe used in multiple skin structures.

Non-polarized contact Mode

In non-polarized mode, the instrument can provide information about the superficialskin structures, such as milia-like cysts, comedo-like openings, and pigment in theepidemis.

The dermoscopy requires applying a liquid such as mineral oil or alcohol to the skin andplacing the lens in contact with the skin. This reduces surface reflection and enhancesthe view of subsurface structures.

Image with non-polarized light (DE-3100)

Polarized contact Mode

In polarized mode, the instrument allows for visualization for deeper skin structures,such as blood vessels, collagen, and pigment in the dermis.

The dermoscopy does not need to be in contact with the skin or use any liquid. Theirpolarized light can help to eliminate surface reflection and allow visualization ofvascular structures.

Image with polarized light (DE-3100)

Polarized non-contact Mode

The dermoscopy can also use polarized light to examine the skin without direct contact.

In polarized non-contact mode, the instrument allows for examination infected areasand lesions that are painful for the patient, or the difficult to contact pigmented lesions,such as nails and narrow areas.

The contact plate should be removed in this mode, and it does not require applying aliquid to the skin. As it doesn’t require pressure or fluid application on the skin, it canalso avoid cross-contamination and infection risk.

Image in polarized non-contact mode (DE-3100)

How Effectiveness Is Dermoscopy

Compared with visual inspection, the dermoscopy can be used to capture and store skin lesion photos, which play an important role in early skin cancer examination. The dermoscopy allows the

Compared with visual inspection, the dermoscopy can be used to capture and store skin lesion photos, which play an important role in early skin cancer examination.

The dermoscopy allows the examination of skin lesions with magnification and illumination. This can be greatly avoiding the factors that cause interference to visual detection. Such as lighting, skin color, hair and cosmetics.

Several studies have demonstrated that dermoscopy is useful in the identification of melanoma, when used by a trained professional.

It may improve the accuracy of clinical diagnosis by up to 35%
It may reduce the number of harmless lesions that are removed
In primary care, it may increase the referral of more worrisome lesions and reduce the referral of more trivial ones

A 2018 Cochrane meta-analysis published the accuracy of dermoscopy in the detection.

Table 1. Accuracy of dermoscopy in the detection of melanoma in adults
Detection Method Sensitivity, % Specificity, % Positive Likelihood Ratio NegativeLikelihood Ratio
Visual inspection alone (in person) 76 75 3.04 0.32
Dermoscopy with visual inspection (in person) 92 95 18 0.08
Image-based visual inspection alone (not in person) 47 42 0.81 1.3
Dermoscopy with image-based visual inspection (not in person) 81 82 4.5 0.23
ROC—receiver operating characteristic. *Estimated sensitivity calculated on the summary ROC curve at a fixed specificity of 80%.

As we can see, the dermoscope can improve the accuracy of diagnosis of skin lesions, especially melanoma.

Table 1. Accuracy of dermoscopy in the detection of melanoma in adults
Detection Method Sensitivity, % Specificity, % Positive Likelihood Ratio NegativeLikelihood Ratio
Visual inspection alone (in person) 79 77 3.4 0.27
Dermoscopy with visual inspection (in person) 93 99 93 0.07
Image-based visual inspection alone (not in person) 85 87 6.5 0.17
Dermoscopy with image-based visual inspection (not in person) 93 96 23 0.07
ROC—receiver operating characteristic. *Estimated sensitivity calculated on the summary ROC curve at a fixed specificity of 80%.

Characteristics of the dermatoscopic structure of the skin lesions include:

• Symmetry or asymmetry
• Homogeny/uniformity (sameness) or heterogeny (structural differences across the lesion)
• Distribution of pigment: brown lines, dots, clods and structureless areas
• Skin surface keratin: small white cysts, crypts, fissures
• Vascular morphology and pattern: regular or irregular
• Border of the lesion: fading, sharply cut off or radial streaks
• Presence of ulceration

There are specific dermoscopic patterns that aid in the diagnosis of the following pigmented skin lesions:

• Melanoma
• Moles (benign melanocytic naevus)
• Freckles (lentigos)
• Atypical naevi
• Blue naevi
• Seborrhoeic keratosis
• Pigmented basal cell carcinoma
• Haemangioma

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