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Dermatology Research and Practice
Volume 2010, Article ID 168248, 6 pages
http://dx.doi.org/10.1155/2010/168248
Case Report

Reflectance Confocal Microscopy as an Aid to Dermoscopy to Improve Diagnosis on Equivocal Lesions: Evaluation of Three Bluish Nodules

1Dermatology Department, University of Modena and Reggio Emilia, Modena, Italy
2Histopathology Department, University of Modena and Reggio Emilia, Modena, Italy

Received 9 June 2010; Accepted 19 July 2010

Academic Editor: Hans Peter Soyer

Copyright © 2010 Sara Bassoli et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Nodular lesions can be difficult to diagnose under dermoscopy alone, since they often lack specific diagnostic features. Confocal microscopy can be used as an aid to dermoscopy, to increase the diagnostic accuracy on equivocal skin lesions. We report three cases of bluish nodular lesions, difficult to diagnose under dermoscopy alone. Confocal features were very useful in these cases to lead us to the correct diagnosis, recognizing benign versus malignant entities. Histopathology is also reported, with high correspondence compared to the confocal imaging.