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Dermatol Clin. 2016 Oct;34(4):367-375. doi: 10.1016/j.det.2016.05.001. Epub 2016 Jul 27.

Basics of Confocal Microscopy and the Complexity of Diagnosing Skin Tumors: New Imaging Tools in Clinical Practice, Diagnostic Workflows, Cost-Estimate, and New Trends.

Author information

1
Department of Dermatology, University of Connecticut Health Center, 263 Farmington Avenue, MC 6231, Farmington, CT 06030-6231, USA. Electronic address: keenaq@gmail.com.
2
Department of Dermatology, University of Connecticut Health Center, 263 Farmington Avenue, MC 6231, Farmington, CT 06030-6231, USA.
3
Skin Cancer Unit, Arcispedale S. Maria Nuova-IRCCS, viale risorgimento, 80, 42100 Reggio Emilia, Italy.
4
Department of Dermatology, University of Modena and Reggio Emilia, via del Pozzo 71, Modena 41124, Italy.

Abstract

The use of reflectance confocal microscopy (RCM) and other noninvasive imaging devices can potentially streamline clinical care, leading to more precise and efficient management of skin cancer. This article explores the potential role of RCM in cutaneous oncology, as an adjunct to more established techniques of detecting and monitoring for skin cancer, such as dermoscopy and total body photography. Discussed are current barriers to the adoption of RCM, diagnostic workflows and standards of care in the United States and Europe, and medicolegal issues. The potential role of RCM and other similar technological innovations in the enhancement of dermatologic care is evaluated.

KEYWORDS:

Confocal microscopy; Cost-estimates; Medicolegal issues; Melanoma; Nonmelanoma skin cancer; Standard of care

PMID:
27692444
DOI:
10.1016/j.det.2016.05.001
[Indexed for MEDLINE]

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