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Which Skin Lesions Are For Dermoscopic Evaluation?

Ideally, all skin lesions should be dermoscopically analyzed, however, that's not possible for practical reasons, hence, the following skin lesions are advised to be dermoscopically examined:

The ones that change

Lesions that change are considered to be the ones that have suffered a change of size, shape and/or color over a certain period of time. We call that evolution.

ORS Comment

Skin lesions grow with us until the age of 20, however if a growth occurs after that time, we consider that a sudden growth.

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after

dermoscopy

Newly acquired skin lesions in adults

New skin lesion on the cheek. The photo on the left is from an ID issued 2 years earlier. Newly acquired lesion has developed a year ago, and has had permanently slowly grown, changed shape and color.

ORS Comment

All new lesions acquired after the age of 20 are for dermoscopic examination, especially ones developed after the age of 40..

before

after

dermoscopy

The ones that look different from other lesions

Promena koja se izdvaja, koja nema "braće, odnosno sestara", koja ne liči ni na jednu drugu promenu na vašem telu, uvek je za dermoskopsku analizu.

ORS komentar

Ovaj znak nazivamo "ružno pače". Ovakvu promenu možete sami uočiti ako pažljivo sagledate sličnosti i razlike na svojim kožnim promenama, to je ona promena koja se jasno razlikuje od svih ostalih i deluje kao da nije vaša.

unique lesion

dermoscopy

Skin lesions that are hyperpigmented on the periphery

All lesions with peripheral hyperpigmentation are due for dermoscopic examination.

ORS Comment

Spotting a peripheral hyperpigmentation is a simple and effective clue that enables You to notice the first signs of an atypical process.

clinical photo

dermoscopy

Exceptionaly dark skin lesions

Black and intensely blue skin lesions are mandated for a dermoscopic analysis, with a disregard to their size.

ORS Comment

Pay extra attention to these lesions if You haven’t noticed them previously.

clinical photo

dermoscopy

clinical photo

dermoscopy

Any skin lesions that make You concerned

And at the end, if You are concerned about any lesion on Your skin, we advise You do a dermoscopic examination.

ORS Comment

Any concerns You may have over one lesion in comparison to others, is a reason good enough to do a dermoscopic analysis.

clinical photo

dermoscopy

clinical photo

dermoscopy

Atypicity in ABCDE rules of clinical examination

All lesions that are atypical in the sense of ABCDE rules of clinical examination are advised to be dermoscopically analyzed.

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