Which Skin Lesions Are For Dermoscopic Evaluation?

Ideally, all skin lesions should be dermoscopically analyzed, however, that's not possible for practical reasons, hence, the following skin lesions are advised to be dermoscopically examined.

The ones that change

Lesions that change are considered to be the ones that have suffered a change of size, shape and/or color over a certain period of time. We call that evolution.

ORS Comment

Skin lesions grow with us until the age of 20, however if a growth occurs after that time, we consider that a sudden growth.

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before

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after

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dermoscopy

Newly acquired skin lesions in adults

New skin lesion on the cheek. The photo on the left is from an ID issued 2 years earlier. Newly acquired lesion has developed a year ago, and has had permanently slowly grown, changed shape and color.

ORS Comment

All new lesions acquired after the age of 20 are for dermoscopic examination, especially ones developed after the age of 40.

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before

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after

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dermoscopy

The ones that look different from other lesions

A change that stands out, that has no “brothers or sisters”, that does not look like any other change on your body, is always for dermoscopic analysis.

ORS comment

We call this sign “ugly duckling”. You can notice this change yourself if you carefully look at the similarities and differences on your skin changes, it is the change that is clearly different from all the others and seems to be not yours.