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. 2018 Oct 30;19(Suppl 1):3–14. doi: 10.1007/s40257-018-0367-4

Table 2.

Clinical and dermoscopic features of BCC and keratinocytic lesions and potential therapies

Lesion Clinical features Dermoscopic features Potential therapy
BCC subtypes
Nodular Nodular Arborizing telangiectasias, ulceration
Ovoid nests, other pigmented structures
Nonsurgical therapy could be considered for thin and small lesions, but PDT should be avoided for pigmented lesions
Superficial Flat/scaly Superficial fine telangiectasias, multiple erosions
Pigmented structures (but not ovoid nests)
Nonsurgical therapy could be considered, but PDT should be avoided for pigmented lesions
Infiltrative Plaque (ill-defined borders) Arborizing vessels (finer and scattered), ulceration
Ovoid nests, blue-gray dots
Surgery
Keratinocytic lesion subtypes
AK Erythematosquamous plaques Facial AK: ‘strawberry’, granular pattern
Nonfacial AK: white scales and erythema
Nonsurgical methods are recommended for facial and nonfacial AKs and can be combined with surgical ablationa for nonfacial AKs
Intraepidermal carcinoma or Bowen’s disease Erythematosquamous plaques Unpigmented variant: glomerular vessels + yellowish scales
Pigmented variant (up to 6% of cases in the study by Cameron et al. [31]): linear pigmented structures
Nonsurgical methods could be considered, but PDT should be avoided for pigmented lesions
Invasive SCC/keratoacanthoma Nodular White circles, white color polymorphic/thrombosed vessels Surgery

AK actinic keratosis, BCC basal cell carcinoma, PDT photodynamic therapy, SCC squamous cell carcinoma

aSurgical ablation such as curettage or cryotherapy