Dermoscopy of pigmented basal cell carcinoma: a descriptive study in Indian population

Background: Pigmented basal cell carcinoma (BCC) is more common in brown-skinned than white-skinned individuals. Histopathology is the gold standard for the diagnosis. There is a paucity of published literature on dermoscopy of BCC in brown skin, particularly in the Indian population. Aims: To study...

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Main Authors: Mayuri Kalantri, Uday Khopkar
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-05-01
Series:Pigment International
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Online Access:https://journals.lww.com/10.4103/pigmentinternational_48_23
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author Mayuri Kalantri
Uday Khopkar
author_facet Mayuri Kalantri
Uday Khopkar
author_sort Mayuri Kalantri
collection DOAJ
description Background: Pigmented basal cell carcinoma (BCC) is more common in brown-skinned than white-skinned individuals. Histopathology is the gold standard for the diagnosis. There is a paucity of published literature on dermoscopy of BCC in brown skin, particularly in the Indian population. Aims: To study the dermoscopic features of pigmented BCC in brown skin. Methods: This was a cross-sectional, hospital-based study in which dermoscopy was performed on 20 patients with pigmented BCC. Results: Out of 20 patients studied, 12 patients had noduloulcerative BCC, 3 patients had nodular BCC, 4 patients had superficial spreading BCC, and 1 patient had morpheaform BCC. Blue-grey globules, ulceration, and arborizing vessels were noted predominantly in nodular BCC. In contrast, whereas maple-leaf-like areas, spoke wheel structures, erosions, and short-fine telangiectasia were seen in superficially spreading BCC. Morpheaform BCC showed the characteristic stellate pattern of vessels, homogenous white areas, and signature pattern observed in a patient with multiple BCCs. Conclusion: Dermoscopy, a non-invasive investigation, cannot replace the gold standard histopathology but can provide valuable information for its diagnosis, identifying the subtype and presence of pigment, differentiating from its clinical mimickers, and helping in its management.
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spelling doaj-art-45aab2227f4743daaac9d35bb0d2b47b2024-12-27T15:34:23ZengWolters Kluwer Medknow PublicationsPigment International2349-58472024-05-011129410110.4103/pigmentinternational_48_23Dermoscopy of pigmented basal cell carcinoma: a descriptive study in Indian populationMayuri KalantriUday KhopkarBackground: Pigmented basal cell carcinoma (BCC) is more common in brown-skinned than white-skinned individuals. Histopathology is the gold standard for the diagnosis. There is a paucity of published literature on dermoscopy of BCC in brown skin, particularly in the Indian population. Aims: To study the dermoscopic features of pigmented BCC in brown skin. Methods: This was a cross-sectional, hospital-based study in which dermoscopy was performed on 20 patients with pigmented BCC. Results: Out of 20 patients studied, 12 patients had noduloulcerative BCC, 3 patients had nodular BCC, 4 patients had superficial spreading BCC, and 1 patient had morpheaform BCC. Blue-grey globules, ulceration, and arborizing vessels were noted predominantly in nodular BCC. In contrast, whereas maple-leaf-like areas, spoke wheel structures, erosions, and short-fine telangiectasia were seen in superficially spreading BCC. Morpheaform BCC showed the characteristic stellate pattern of vessels, homogenous white areas, and signature pattern observed in a patient with multiple BCCs. Conclusion: Dermoscopy, a non-invasive investigation, cannot replace the gold standard histopathology but can provide valuable information for its diagnosis, identifying the subtype and presence of pigment, differentiating from its clinical mimickers, and helping in its management.https://journals.lww.com/10.4103/pigmentinternational_48_23dermoscopypigmented bccstellate patternsignature pattern
spellingShingle Mayuri Kalantri
Uday Khopkar
Dermoscopy of pigmented basal cell carcinoma: a descriptive study in Indian population
Pigment International
dermoscopy
pigmented bcc
stellate pattern
signature pattern
title Dermoscopy of pigmented basal cell carcinoma: a descriptive study in Indian population
title_full Dermoscopy of pigmented basal cell carcinoma: a descriptive study in Indian population
title_fullStr Dermoscopy of pigmented basal cell carcinoma: a descriptive study in Indian population
title_full_unstemmed Dermoscopy of pigmented basal cell carcinoma: a descriptive study in Indian population
title_short Dermoscopy of pigmented basal cell carcinoma: a descriptive study in Indian population
title_sort dermoscopy of pigmented basal cell carcinoma a descriptive study in indian population
topic dermoscopy
pigmented bcc
stellate pattern
signature pattern
url https://journals.lww.com/10.4103/pigmentinternational_48_23
work_keys_str_mv AT mayurikalantri dermoscopyofpigmentedbasalcellcarcinomaadescriptivestudyinindianpopulation
AT udaykhopkar dermoscopyofpigmentedbasalcellcarcinomaadescriptivestudyinindianpopulation