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Korrelation von Dermatoskopie und Histopathologie bei melanozytären und nichtmelanozytären Hauttumoren

  • Weiterbildung- und Fortbildung: Korrelation Dermatoskopie—Histopathologie
  • Published:
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Zusammenfassung

Die Dermatoskopie (Auflichtmikroskopie, Epilumineszenzmikroskopie, Dermoskopie) ist eine nichtinvasive Untersuchungsmethode in der Dermatologie. Mit dieser können pigmentierte und nichtpigmentierte Hauttumoren im Vergleich zur Klinik mit deutlich höherer Sensitivität und Spezifität diagnostiziert werden. Maligne Hauttumoren werden früher erkannt, und unnötige Exzisionen benigner Hauttumoren können vermieden werden. Hierbei ist das Wissen über die Korrelation zwischen der Dermatoskopie und Histologie eine wesentliche Voraussetzung. In diesem Weiterbildungsartikel werden die Zusammenhänge beider Untersuchungstechniken anhand dermatoskopischer Diagnosen aufgezeigt.

Abstract

Dermoscopy (dermatosocopy, epiluminescence microscopy, surface microscopy) is a non-invasive method in dermatology. With this method pigmented and non-pigmented skin tumours can be diagnosed with a clear higher sensitivity and specificity compared to clinical examination. Malignant skin tumours are earlier detected and unnecessary excisions of benign skin tumours can be avoided. The knowledge about the correlation between dermoscopy and histopathology is hereby an essential condition. In this continuing medical education article the correlation of both examination techniques is presented for the dermoscopic differential diagnoses.

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Literatur

  1. Argenziano G, Fabbrocini G, Carli P et al. (1998) Epiluminescence microscopy for the diagnosis of doubtful melanocytic skin lesions. Comparison of the ABCD rule of dermatoscopy and a new 7-point checklist based on pattern analysis. Arch Dermatol 134:1563–1570

  2. Argenziano G, Soyer HP (2001) Dermoscopy of pigmented skin lesions--a valuable tool for early diagnosis of melanoma. Lancet Oncol 2:443–449

  3. Bauer J, Metzler G, Rassner G et al. (2001) Dermatoscopy turns histopathologist's attention to the suspicious area in melanocytic lesions. Arch Dermatol 137:1338–1340

  4. Blum A, Kreusch JF, Bauer J, Garbe C (2003) Dermatoskopie von pigmentierten und nicht-pigmentierten Hauttumoren. Steinkopff, Darmstadt

  5. Blum A, Rassner G, Garbe C (2000) Auflichtmikroskopie und digitale Bildanalyse pigmentierter Hautveränderungen. Tagung am 3. und 4. Dezember 1999 in Tübingen. Hautarzt 10:786–788

  6. Hofmann-Wellenhof R, Blum A, Wolff ICH et al. (2001) Dermoscopic classification of atypical melanocytic nevi. Arch Dermatol 137:1575–1580

  7. Kittler H, Binder M (2002) Follow-up of melanocytic skin lesions with digital dermoscopy: risks and benefits. Arch Dermatol 138:1379

  8. Kittler H, Pehamberger H, Wolff K, Binder M (2002) Diagnostic accuracy of dermoscopy. Lancet Oncol 3:159–165

  9. Kreusch J, Koch F (1996) Auflichtmikroskopische Charakterisierung von Gefäßmustern in Hauttumoren. Hautarzt 47:264–272

  10. Kreusch J, Rassner G, Trahn C et al. (1992) Epiluminescence microscopy: a score of morphological features to identify malignant melanoma. Pigm Cell Res S2:295–298

  11. Massi D, De Giorgi V, Soyer HP (2001) Histopathologic correlates of dermoscopic criteria. Dermatologic Clinics 19:259–268

  12. Mayer J (1997) Systematic review of the diagnostic accuracy of dermatoscopy in detecting malignant melanoma. Med J Aust 167:206–210

  13. Menzies SW, Ingvar C, Crotty KA, McCarthy WH (1996) Frequency and morphologic characteristics of invasive melanomas lacking specific surface microscopic features. Arch Dermatol 132:1178–1182

  14. Pehamberger H, Steiner A, Wolff K (1987) In vivo epiluminescence microscopy of pigmented skin lesions. I. Pattern analysis of pigmented skin lesions. J Am Acad Dermatol 17:571–583

  15. Saida T, Oguchi S, Miyazaki A (2002) Dermoscopy for acral pigmented skin lesions. Clin Dermatol 20:279–285

  16. Soyer HP, Argenziano G, Chimenti S et al. (2001) Dermoscopy of pigmented skin lesions. An atlas based on the Consensus Net Meeting on Dermoscopy 2000. EDRA, Milano

  17. Soyer HP, Argenziano G, Talamini R, Chimenti S (2001) Is dermoscopy useful for the diagnosis of melanoma? Arch Dermatol 137:1361–1363

  18. Soyer HP, Kenet RO, Wolf IH et al. (2000) Clinicopathologic correlation of pigmented skin lesions using dermoscopy. Eur J Dermatol 10:22–28

  19. Soyer HP, Smolle J, Hödl S et al. (1989) Surface microscopy—a new approach to the diagnosis of cutaneous pigmented tumors. Am J Dermatopathol 11:1–10

  20. Soyer HP, Smolle J, Kresbach H et al. (1988) Zur Auflichtmikroskopie von Pigmenttumoren der Haut. Hautarzt 39:223–227

  21. Steiner A, Pehamberger H, Wolff K (1987) In vivo epiluminescence of pigmented skin lesions. II. Diagnosis of small pigmented skin lesions and early detection of malignant melanoma. J Am Acad Dermatol 17:584–591

  22. Stolz W, Riemann A, Cognetta AB et al. (1994) ABCD-rule of dermatoscopy: a new practical method for early recognition of malignant melanoma. Eur J Dermatol 7:521–528

  23. Wolf IH, Kerl H, Soyer HP et al. (1997) Epilumineszenzmikrosopie zur Diagnose pigmentierter Hauttumoren. Hautarzt 48:353–362

  24. Yadav S, Vossaert KA, Kopf AW et al. (1993) Histopathologic correlates of structures seen on dermoscopy (epiluminescence microscopy). Am J Dermatopathol 15:297–305

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Authors and Affiliations

  1. Universitäts-Hautklinik Tübingen

    A. Blum, G. Metzler, C. Garbe & J. Bauer

  2. Universitäts-Hautklinik Graz, Österreich

    R. Hofmann-Wellenhof & H. P. Soyer

  3. Universitäts-Hautklinik Tübingen, Liebermeisterstraße 25, 72076 , Tübingen

    A. Blum

Authors
  1. A. Blum
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  2. G. Metzler
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  3. R. Hofmann-Wellenhof
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  4. H. P. Soyer
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  5. C. Garbe
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  6. J. Bauer
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Correspondence to A. Blum.

Additional information

Herrn Professor Dr. med. Gernot Rassner zu Emeritierung gewidmet.

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Blum, A., Metzler, G., Hofmann-Wellenhof, R. et al. Korrelation von Dermatoskopie und Histopathologie bei melanozytären und nichtmelanozytären Hauttumoren. Hautarzt 54, 279–293 (2003). https://doi.org/10.1007/s00105-003-0496-3

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  • DOI: https://doi.org/10.1007/s00105-003-0496-3

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