| Autor: |
Halip IA; Department of Dermatology, 'Grigore T. Popa' University of Medicine and Pharmacy, 700115 Iasi, Romania., Vâţă D; Department of Dermatology, 'Grigore T. Popa' University of Medicine and Pharmacy, 700115 Iasi, Romania.; Dermatology Clinic, 'St. Spiridon' County Emergency Clinical Hospital, 700115 Iasi, Romania., Statescu L; Department of Dermatology, 'Grigore T. Popa' University of Medicine and Pharmacy, 700115 Iasi, Romania.; Dermatology Clinic, 'St. Spiridon' County Emergency Clinical Hospital, 700115 Iasi, Romania., Salahoru P; Thoracic Surgery Department, 'Grigore T. Popa' University of Medicine and Pharmacy, 700115 Iasi, Romania., Patraşcu AI; Dermatology Clinic, 'St. Spiridon' County Emergency Clinical Hospital, 700115 Iasi, Romania., Temelie Olinici D; Dermatology Clinic, 'St. Spiridon' County Emergency Clinical Hospital, 700115 Iasi, Romania., Tarcau B; Dermatology Clinic, 'St. Spiridon' County Emergency Clinical Hospital, 700115 Iasi, Romania., Popescu IA; Department of Dermatology, 'Grigore T. Popa' University of Medicine and Pharmacy, 700115 Iasi, Romania., Mocanu M; Department of Oral Dermatology, 'Grigore T. Popa' University of Medicine and Pharmacy, 700115 Iasi, Romania., Constantin AM; Histology Department, Faculty of Medicine, 'Iuliu Hațieganu' University of Medicine and Pharmacy, 400000 Cluj-Napoca, Romania., Crisan M; Histology Department, Faculty of Medicine, 'Iuliu Hațieganu' University of Medicine and Pharmacy, 400000 Cluj-Napoca, Romania., Brihan I; Department of Dermatology, Faculty of Medicine and Pharmacy, University of Oradea, 410073 Oradea, Romania., Nicolescu AC; Roma Medical Center for Diagnosis and Treatment, 011773 Bucharest, Romania., Gheuca-Solovastru L; Department of Dermatology, 'Grigore T. Popa' University of Medicine and Pharmacy, 700115 Iasi, Romania.; Dermatology Clinic, 'St. Spiridon' County Emergency Clinical Hospital, 700115 Iasi, Romania. |
| Abstrakt: |
Basal cell carcinoma (BCC) is the most common form of cutaneous neoplasia in humans, and dermoscopy may provide valuable information for histopathological classification of BCC, which allows for the choice of non-invasive topical or surgical therapy. Similarly, dermoscopy may allow for the identification of incipient forms of BCC that cannot be detected in clinical examination. The importance of early diagnosis using the dermoscopy of superficial BCC forms is proven by the fact that despite their indolent clinical appearance, they can be included in high-risk BCC forms due to the rate of postoperative recurrence. Nodular pigmentary forms of BCCs present ovoid gray-blue nests or multiple gray-blue dots/globules associated with arborized vessels, sometimes undetectable on clinical examination. The management of BCC depends on this, as pigmentary forms have been shown to have a poor response to photodynamic therapy. High frequency ultrasound examination (HFUS) aids in the diagnosis of BCC with hypoechoic tumour masses, as well as in estimating tumour size (thickness and diameter), presurgical margin delineation, and surgical planning. The examination is also useful for determining the invasion of adjacent structures and for studying local recurrences. The use of dermoscopy in combination with HFUS allows for optimisation of the management of the oncological patient. |
