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Dermoscopic yellow structures in basal cell carcinoma

Dermoscopic yellow structures in basal cell carcinoma

Journal of the European Academy of Dermatology and Venereology, 2014
Abstract
Yellowish structures in dermoscopy comprise milia-like cysts (MLCs) and yellow lobular-like structures. This study aimed at establishing the frequency of these features in BCC and at describing their dermoscopic details. A retrospective analysis of digital dermoscopic images referring to 400 BCCs was performed. Images were evaluated for the presence of starry and cloudy MLCs and yellow lobular-like structures. Among the 400 BCCs constituting our database, 40 presented yellowish structures (10%). "Yellow" BCCs were located more frequently on the head and were mainly of the nodular type. MLCs were observed in 7.75% of the cases (with a mean number of 4.9 MLCs per lesion), whereas yellow globules were noticed in 4.2% /ucodep of the lesions. In the presence of BCC specific dermoscopic criteria, the observation of MLCs and yellow lobular-like structures should not prompt the dermatologist to exclude the diagnosis of BCC.

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