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WHAT IS THE RELIABILITY OF DERMOSCOPIC INDICATION FOR EXCISIONAL BIOPSY?
HRVOJE TUCAKOVIĆ
; Dubrava University Hospital, Department of Plastic, Reconstructive and Aesthetic Surgery, Zagreb and Josip Juraj Strossmayer University of Osijek, Faculty of Medicine, Osijek, Croatia
IRIJANA RAJKOVIĆ
; Dubrava University Hospital, Department of Plastic, Reconstructive and Aesthetic Surgery, Zagreb and Josip Juraj Strossmayer University of Osijek, Faculty of Medicine, Osijek, Croatia
RADO ŽIC
; Dubrava University Hospital, Department of Plastic, Reconstructive and Aesthetic Surgery, Zagreb and Josip Juraj Strossmayer University of Osijek, Faculty of Medicine, Osijek, Croatia
ZLATKO VLAJČIĆ
; Dubrava University Hospital, Department of Plastic, Reconstructive and Aesthetic Surgery, Zagreb and Josip Juraj Strossmayer University of Osijek, Faculty of Medicine, Osijek, Croatia
Abstract
Excisional biopsy of skin lesions suspected of malignancy has been the gold standard as a diagnostic method. Dermatologic clinical examination has been updated by dermoscopic examination with the idea to reduce the number of clinically equivocal skin lesions needed to treat surgically with further histopathologic verifi cation. In clinical practice, there is a considerable rate of false-positive indications made only by clinical examination or with dermoscopic examination in comparison with later histopathologic examination, putting the reliability of dermatologic examination in question. Consecutive patients (n=66) presenting with doubtful lesions (n=125) were considered for enrolment. The lesions were assessed by histopathology, which is considered as the reference standard. Dermatologic indication for skin lesions suspected of malignancy yielded a positive predictive value of 5.6%. There was a discrepancy between our results and the values reported from other studies.
Keywords
Hrčak ID:
193697
URI
Publication date:
13.2.2018.
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