10.5826/dpc.1201a28
text/xml
2160-9381
1785
en
Gabriel Salerni
https://creativecommons.org/licenses/by-nc/4.0
Dermatology Practical & Conceptual
Basal Cell Carcinoma Disguised Among Intradermal Nevi
Text.Serial.Journal
https://dpcj.org/index.php/dpc
Image Letter
2022-02-02
2021-05-10
2022-02-02
2022-02-09
e2022028
Dermatol Pract Concept
Gabriel Salerni
2022/02/02
10.5826/dpc.1201a28
e2022028
Universidad Nacional de Rosario, Argentina
Hospital Provincial del Centenario de Rosario, Argentina
2160-9381
en
e2022028
Greco V, Cappello M, Megna M, et al. Dermoscopic patterns of intradermal naevi. Australas J Dermatol. 2020;61(4):337-341. DOI: 10.1111/ajd.13366. PMID: 32715462.
Basal Cell Carcinoma Disguised Among Intradermal Nevi
https://dpcj.org/index.php/dpc/article/download/1785/1487
                   Dermatology Practical & Conceptual


                 Basal Cell Carcinoma Disguised Among
                             Intradermal Nevi
                                                       Gabriel Salerni1,2


1 Dermatology Department, Hospital Provincial del Centenario de Rosario - Universidad Nacional de Rosario, Argentina
2 Oroño Medical Diagnosis, Rosario, Argentina



Citation: Salerni G. Basal cell carcinoma disguised among intradermal nevi. Dermatol Pract Concept. 2022;12(1):e2022028.
DOI: https://doi.org/10.5826/dpc.1201a28
Accepted: July 1, 2021; Published: January 2022
Copyright: ©2022 Gabriel Salerni. This is an open-access article distributed under the terms of the Creative Commons
Attribution-NonCommercial License (BY-NC-4.0), https://creativecommons.org/licenses/by-nc/4.0/, which permits unrestricted
noncommercial use, distribution, and reproduction in any medium, provided the original authors and source are credited.
Funding: None.
Competing interests: None.
Corresponding author: Gabriel Salerni, MD, PhD, Dermatology Department, Hospital Provincial del Centenario de Rosario - Universidad
Nacional de Rosario, Argentina; Oroño Medical Diagnosis, Rosario, Argentina. E-mail: gabrielsalerni@hotmail.com




Case Presentation                                                     Teaching Point
A 61-year-old woman presented to consultation for routine             Dermoscopy improves the diagnosis of non-pigmented skin
skin examination. Cutaneous examination revealed multiple             tumors because it allows the visualization of vascular patterns
longstanding firms, achromic, dome-shaped, papules, ranging           and residual pigmentation that are not visible to the naked eye
from 5 mm to 12 mm in diameter (Figure 1A) located on the             [1,2]. In this case, dermoscopy provided crucial information
forehead. The patient was unaware of any change. Dermos-              for recognition of a basal cell carcinoma that might have
copy revealed remnants of light brown pigmentation, termi-            been overlooked among multiple benign melanocytic lesions
nal hairs, comma-like (linear curved) vessels and comedo-like         assessed solely by the naked eye.
openings in lesions a to e (Figure 1B) which were suggestive of           Informed consent: Informed consent for publication of
intradermal nevi. Lesion f displayed dermoscopic criteria for         clinical details and clinical images was obtained from the
basal cell carcinoma consisting of a pink background, arbor-          patient.
izing telangiectasias, gray-brown dots, and structureless areas.




Image Letter | Dermatol Pract Concept. 2022;12(1):e2022028                                                                            1
Figure 1. (A) Multiple firms, achromic, dome-shaped papules, located on the forehead. (B) Dermoscopy revealed criteria for intradermal nevi
in lesions a to e, while lesion f displayed pink background, arborizing telangiectasias (arrows), gray-brown dots (circle), and structureless
areas (asterisks) consistent with basal cell carcinoma.




References                                                                  skin tumors. J Am Acad Dermatol. 2010;63(3):361-74; quiz
                                                                            375-6. DOI: 10.1016/j.jaad.2009.11.698. PMID: 20708469.
1. Zalaudek I, Kreusch J, Giacomel J, Ferrara G, Catricalà C, Argen-     2. Greco V, Cappello M, Megna M, et al. Dermoscopic patterns of
   ziano G. How to diagnose nonpigmented skin tumors: a review              intradermal naevi. Australas J Dermatol. 2020;61(4):337-341.
   of vascular structures seen with dermoscopy: part I. Melanocytic         DOI: 10.1111/ajd.13366. PMID: 32715462.




2                                                                               Image Letter | Dermatol Pract Concept. 2022;12(1):e2022028
