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EDITORIAL The Light and the Dark ERMOSCOPY (dermatoscopy, epilumines- melanocytic lesions, represents a unique opportunity to cence microscopy, and surface micros- examine the positive side as well as the “dark side” of copy) became popular in recent years dermoscopy. because of its possible role in noninva- D sive diagnosis of pigmented skin le- INCREASED SENSITIVITY OF MELANOMA sions. The number of publications about dermoscopy in DETECTION BY DERMOSCOPY DURING indexed journals increased from 16 in the period from CLINICAL PRACTICE REMAINS TO BE PROVED: 1987 to 1993 to 76 in 1998 to 2000. Now, there is a pro- LIMITATION OF DATA BASED ON gressive increase in the use of this technique in daily prac- LESIONS EXCISED ANYWAY tice by dermatologists in many countries, particularly in Europe. To date, all of the published articles aimed at analyzing Previous studies have shown that the use of der- the diagnostic performance of dermoscopy have com- moscopy by inexperienced dermatologists lessens their pared this technique with clinical examination. Dermo- diagnostic precision compared with clinical examina- scopic examination was performed by more or less ex- 1-4 tion alone, particularly in cases of melanoma. There- perienced observers who were asked to diagnose fore, practicing dermatologists
JAMA Dermatology – American Medical Association
Published: Dec 1, 2001
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