Introduction & Objectives

Dermoscopy   is an inexpensive  diagnostic   tool  that  allow  visualization   of findings  not visible  to the  naked eye.  It  forms  a link  between  clinical dermatology   and microscopic   dermatopathology.     Also its invasiveness,   Skin biopsy   is the only  diagnostic   tool  in suspicious  skin lesions

Aim of the study  is the  assessment  of the value of dermoscopy   in diagnosis  of suspicious  epidermal   skin tumors  & Correlation    of dermoscopic   diagnosis

with  clinical  and pathological   findings.

Material & Methods

Forty-eight   patients  were  included  in this  prospective   study. Clinical,   dermoscopic   and  histopathological    examination    of skin lesions have been performed   for all patients.

Results

There  was an excellent  diagnostic   reliability  of dermoscopy   compared  to skin biopsy  (P<0.001).   Agreement   between  dermoscopic   and histopathological   diagnosis  was recorded   in 39/48  cases (81.3%).  Dermoscopy   identified   15 of the  16 neoplastic   lesions   and 30 of the  32 non• neoplastic   lesions   (P<0.00).  Dermoscopy   identified   35 of the 36 benign  lesions and identified  all malignant  skin lesions  (P<0.00).

Conclusions

There  is a good agreement   between  the dermoscopy,   clinical   and pathological   diagnosis.   Dermoscopy   is a valuable   diagnostic   tool  that  may decrease the use of invasive   skin biopsy  in diagnosis    of skin  lesions.

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