Dermoscopic patterns of superficial basal cell carcinoma.

The dermoscopy era is developing momentum. Our greater understanding of the morphological features seen with dermoscopy has corresponded with an exponential rise in dermoscopy publications. Publications have included conditions as diverse as inflammatory and infective dermatoses, alongside reports of tumours and pigmented and non-pigmented skin lesions. The terminology used for describing structures seen under dermoscopy have been standardized by consensus and previously published [1] . The 2-step algorithm for differentiating melanocytic from non-melanocytic tumours has become the foundation on which dermoscopic diagnosis depends. Furthermore, several algorithms are currently in use to help differentiate between benign and malignant melanocytic neoplasms [1] . Increasing experience in dermoscopy is reflected by a greater understanding of how best to integrate dermoscopy into clinical practice. A number of common principles or key points have been described by clinicians experienced in dermoscopy, which we feel are important for those new to dermoscopy to understand. A number of these key points have been previously published; however, some are based on clinicians’ personal intuition and lack any good scientific data at present. In the future, through ongoing research in dermoscopy by clinicians both locally and through the International Dermoscopy Society, the list of key points will undoubtedly evolve as more scientific data becomes available. Until then this article aims to reflect a number of principles that are common to dermoscopy as we understand at this point in time. Disclaimer: Adherence to these recommendations will not ensure successful diagnosis and treatment in every situation.