Dermoscopy of squamous cell carcinoma: from actinic keratosis to invasive forms

Actas Dermosifiliogr. 2024 Mar 29:S0001-7310(24)00270-9. doi: 10.1016/j.ad.2024.03.023. Online ahead of print.ABSTRACTWhen performing the dermoscopy of squamous cell carcinoma and its precursors we differentiate among keratin-related, vascular, and pigment-related criteria. Non-pigmented actinic keratoses are characterized by the "strawberry pattern". Pigmented actinic keratosis shows a significant dermatoscopic overlap with lentigo maligna, but the presence of pigmented scales, erythema, and prominent follicles favors its diagnosis. Bowen's disease is characterized by clustered glomerular vessels, white-yellowish scales, and brown or grey dots arranged in lines in its pigmented variant. Finally, dermoscopy allows us to detect invasive squamous cell carcinoma in its early stages and differentiate it from its precursors. Furthermore, its presentation may vary depending on the degree of differentiation, with keratin-associated criteria predominating in well-demarcated tumors, while the atypical vascular pattern will predominate in poorly differentiated tumors.PMID:38556203 | DOI:10.1016/j.ad.2024.03.023
Source: Actas Dermo-Sifiliograficas - Category: Dermatology Authors: Source Type: research