Dermoscopy of Non-Melanocytic Skin Tumors: A Descriptive Study in a Tertiary Care Hospital

Authors

  • Deeptara Pathak Thapa Department of Dermatology, Nepal Medical College, and Teaching Hospital, Gokarneshwar, Kathmandu, Nepal https://orcid.org/0000-0002-1602-415X
  • Sajana Bhandari Department of Dermatology, Nepal Medical College, and Teaching Hospital, Gokarneshwar, Kathmandu, Nepal
  • Harihar Adhikari Department of Dermatology, Nepal Medical College, and Teaching Hospital, Gokarneshwar, Kathmandu, Nepal
  • Sammi Joshi Nepal Medical College, and Teaching Hospital, Gokarneshwar, Kathmandu, Nepal

DOI:

https://doi.org/10.3126/njdvl.v20i2.47617

Keywords:

Dermoscopy, Tumor, Vascular

Abstract

Introduction: Dermoscopy is a non-invasive technique that enhances visualization of morphological lesions invisible to naked eye examination and aids in clinical diagnosis. We study its role in non-melanocytic skin tumors.

Objectives: The purpose of this study was to evaluate and compare the dermoscopic features of non-melanocyte skin tumors of skin

Materials and Methods: A cross-sectional hospital-based study including patients clinically diagnosed as non-melanocytic epidermal tumors was conducted. All dermoscopic findings were studied using a handheld pocket dermoscope (Dermlite DL1) and recorded in a preset proforma.

Results: A total of 100 patients were enrolled in the study with mean age of 37 (+/-18.34). There were 56 % females. The face was the commonest site of involvement (56%). Seborrheic keratosis was the commonest clinical diagnosis (55%), followed by pyogenic granuloma 8%, cherry angioma 7%, haemangioma 6%, basal cell carcinoma 5%, achrochordons 4%, xanthelasma, and sebaceous hyperplasia in 3% each. Squamous cell carcinoma and actinic keratosis were seen in 2% each; Angiokeratoma, Bowens disease, stetocytoma multiplex, syringoma, and neurofibroma were all found in 1% of the patients. In dermoscopy, vascular changes were seen in 41% patients, which appeared as regular in 56.1% and rest 43.9% as irregular. Non-vascular changes were seen in 68%. Dermoscopic findings of vascular and non-vascular changes were statistically significantly associated with various types of non-melanocytic epidermal tumors (P <0.05).

Conclusion: Our study shows histopathological correlation with the existing dermoscopic characteristics increases the diagnostic accuracy of various non-melanocytic tumors. However, more studies are warranted to statistically prove its utility.

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Author Biographies

Deeptara Pathak Thapa, Department of Dermatology, Nepal Medical College, and Teaching Hospital, Gokarneshwar, Kathmandu, Nepal

Associate Professor, Department of Dermatology, Nepal Medical College and Teaching Hospital, Gokarneshwar, Kathmandu, Nepal

Sajana Bhandari, Department of Dermatology, Nepal Medical College, and Teaching Hospital, Gokarneshwar, Kathmandu, Nepal

Junior resident, Department of Dermatology, Nepal Medical College, and Teaching Hospital, Gokarneshwar, Kathmandu, Nepal

Harihar Adhikari, Department of Dermatology, Nepal Medical College, and Teaching Hospital, Gokarneshwar, Kathmandu, Nepal

Junior Resident , Department of Dermatology, Nepal Medical College, and Teaching Hospital, Gokarneshwar, Kathmandu, Nepal

Sammi Joshi, Nepal Medical College, and Teaching Hospital, Gokarneshwar, Kathmandu, Nepal

Intern, Department of Dermatology, Nepal Medical College and Teaching Hospital, Gokarneshwar, Kathmandu, Nepal

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Published

2022-09-30

How to Cite

Thapa, D. P., Bhandari, S., Adhikari, H., & Joshi, S. (2022). Dermoscopy of Non-Melanocytic Skin Tumors: A Descriptive Study in a Tertiary Care Hospital. Nepal Journal of Dermatology, Venereology &Amp; Leprology, 20(2), 60–64. https://doi.org/10.3126/njdvl.v20i2.47617

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Original Articles