A Study on Diagnostic Accuracy of Dermoscopy in Pigmented Basal Cell Carcinoma and Its Dermoscopic Features
Journal Title: International Journal of Medical Research Professionals - Year 2017, Vol 3, Issue 6
Abstract
Background: Dermoscopy is an easy and non-invasive examination technique of evaluation of the colors and microstructures of the epidermis, dermoepidermal junction, and papillary dermis not visible to the naked eye. Many studies which demonstrate that it improves the diagnostic accuracy for pigmented skin lesions and has been mostly used in lesions of melanocytic origin. The aims of the present study were to 1) Study the diagnostic accuracy of dermoscopy in pigmented basal cell carcinoma. 2) Study the dermoscopic features. Methods: A cross sectional study was carried out in OPD of a tertiary care hospital where all consecutive patients who were suspected to have pigmented basal cell carcinoma after clinical evaluation. This was followed by dermoscopic assessment and a presumptive diagnosis based on dermoscopic findings as per Menzies criteria was done followed by histopathologic evaluation after excision, which was considered gold standard for confirming the diagnosis. Results: A total of cases 22 cases, suspected of PBCC were included.(M:F = 3:1) Sensitivity was calculated as 94.74%, Positive Predictive Value (PPV) 94.74% and accuracy of the device 90.9%. The most common features seen dermoscopically were asymmetry of the lesion (94.7%), ulceration/erosion (78.95%) and blue grey globules (68.42%). P value was <0.05%. However, small sample size could be a limitation in the study.
Authors and Affiliations
Monali Pattanaik, Lity Mohanty, Prasanjeet Mohanty, Shushruta Mohanty, Alpana Mishra
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