Reflectance confocal microscopy of pigmented basal cell carcinoma. Academic Article uri icon

Overview

abstract

  • BACKGROUND: Reflectance confocal microscopy (RCM) is a high-resolution imaging tool for in vivo noninvasive evaluation of skin lesions. OBJECTIVE: We sought to describe the relevant RCM features for pigmented basal cell carcinoma (BCC). METHODS: Pigmented skin lesions with a differential diagnosis of pigmented BCC were imaged using dermoscopy and RCM, followed by excision for histologic analysis. RESULTS: RCM demonstrated aggregations of tightly packed cells with palisading, forming cordlike structures and nodules with irregular borders and variable brightness; these represented nests of pigmented basaloid tumor cells on histopathology, and blue-gray ovoid areas on dermoscopy. These tumor nests were associated with bright dendritic structures, identified histologically as either melanocytes or Langerhans cells, together with numerous bright oval to stellate-shaped structures with indistinct borders representing melanophages, and with highly refractile granules of melanin. LIMITATIONS: The pigmented BCCs imaged in this study were predominantly nodular; a different set or additional criteria may be necessary for detection of infiltrative and metatypical BCCs. CONCLUSION: RCM may permit in vivo diagnosis of pigmented BCC.

publication date

  • April 1, 2006

Research

keywords

  • Carcinoma, Basal Cell
  • Skin Neoplasms

Identity

Scopus Document Identifier

  • 33645005250

Digital Object Identifier (DOI)

  • 10.1016/j.jaad.2005.11.1096

PubMed ID

  • 16546585

Additional Document Info

volume

  • 54

issue

  • 4