Dermatoscopy and Skin CancerA handbook for hunters of skin cancer and melanoma
By Cliff Rosendahl and Aksana Marozava
Apr 2019 , 384 pp
May 2019 , 384 pp
"This new textbook provides an invaluable resource for new and improving students of dermoscopy both to read and reference. It offers a methodical and comprehensive guide to understanding dermoscopy and using it to assess skin lesions.
...The breadth of material included and the clarity of writing have created a book that I suspect will be highly influential in its field, with the potential to become a standard reference for students of dermoscopy." Ulster Medical Journal
"Training your eyes to recognize the subtle but important vascular and pigmented dermatoscopic patterns characteristic of melanoma and other skin cancers can be challenging and confusing. The clinical details in the color dermatoscopic photographs in this book are overall excellent and the findings are marked with different colored arrows. Each finding is described as what it represents histologically, making it easier to understand what a pseudopod, clod, etc., represents in a malignant lesion.
Dermatoscopic signs of malignancy are described in a step-by-step fashion. Multiple examples are shown giving readers a feeling for the range of how these features can present. There are very clear explanations of why these findings are indicative of a malignant process.
For novices, learning how to observe the proper patterns and vascular patterns can be daunting. From studying the multitude of dermatoscopic photographs, readers can begin to understand the subtleties that confirm the difference between benign and malignant lesions. There are decision tree diagrams to help in determining if a lesion is benign or malignant by categorizing it initially whether or not pigment is present, and then systematically evaluating it for the presence or absence of ulceration, "white clues", and vessel morphology." Doody's Reviews
Dermatoscopy and Skin Cancer is a handbook to help dermatologists, dermatoscopists and GPs easily differentiate between benign and malignant tumours, leading to fewer unnecessary biopsies and earlier treatment of cancers.
Based around two easy to follow algorithms, Chaos and Clues and Pigment without Prediction, the book shows all dermatoscope users how to confidently diagnose skin lesions earlier and with greater precision.
In addition, this handbook also provides coverage of:
· the microanatomy of the skin
· specimen processing and histopathology
· the language of dermatoscopy to help name and define structures and patterns
· approaches to skin examination and photodocumentation
· revised pattern analysis as an additional diagnostic algorithm
· dermatoscopic features of common and significant lesions.
Using over 450 high quality images the authors provide a detailed algorithmic approach to assessing the skin an approach that has been successfully taught to thousands of doctors around the world.
Chapter 1: Introduction to dermatoscopy
1.1 Why use a dermatoscope?
1.2 What is a dermatoscope?
1.3 Colours in dermatoscopy
1.4 Differences between polarised and non-polarised dermatoscopy
1.5 Uses of dermatoscopy for conditions other than tumours
Chapter 2: Skin the organ
2.1 Skin as an organ
2.2 Embryology of skin
2.3 The microanatomy of skin
Chapter 3: Dermatopathology for dermatoscopists
From the scalpel to the microscope
3.2 The histology of normal skin
3.3 Terminology used in dermatopathology
3.4 Dermatoscopic histological correlation of neoplastic lesions
Chapter 4: The language of dermatoscopy: naming and defining structures and patterns
4.1 The evolution of metaphoric terminology for dermatoscopic
structures and patterns
4.2 Revised pattern analysis of lesions pigmented by melanin
4.3 Patterns in revised pattern analysis
4.4 The process of revised pattern analysis
4.5 Revised pattern analysis applied to lesions with white structures
4.6 Revised pattern analysis applied to lesions with orange, yellow and skin-coloured structures
4.7 Revised pattern analysis applied to vessel structures and patterns
4.8 The cognition of dermatoscopy
Chapter 5: The skin examination
5.1 The skin check consultation
5.3 Patient safety: tracking specimens and self-audit
5.4 The lives of lesions
Chapter 6: Chaos and clues: a decision algorithm for pigmented lesions
6.1 Chaos and clues
6.5 Excluding unequivocal seborrhoeic keratoses from biopsy
Chapter 7: Prediction without pigment: a decision algorithm for non-pigmented skin lesions
7.1 Prediction without pigment
7.2 Prediction without pigment: short version
Chapter 8: Pattern analysis
Revised pattern analysis a diagnostic algorithm
8.2 An aide-memoire for revised pattern analysis of pigmented skin lesions
8.3 Applying the aide-memoire in practice
Chapter 9: Dermatoscopic features of common and significant lesions: pigmented and non-pigmented
Melanoma: pigmented and non-pigmented
9.2 Melanocytic naevi: pigmented and non-pigmented
9.3 Basal cell carcinoma: pigmented and non-pigmented
9.4 Benign keratinocytic lesions
9.5 Actinic keratosis, squamous cell carcinoma in situ and squamous cell carcinoma
9.6 Dermatofibroma and dermatofibrosarcoma protuberans
9.7 Haemangioma and other vascular lesions
9.8 Merkel cell carcinoma
9.9 Atypical fibroxanthoma
9.10 Adnexal tumours
9.12 Molluscum contagiosum
9.13 Cutaneous lymphoma
9.14 Kaposi sarcoma
"Cliff is passionate about skin cancer diagnosis, and teaching it to others. Highly regarded as an original researcher, he teaches skin lesion recognition all over the world, including places like Iran, Turkey and Ukraine as well as Australia, New Zealand and Western Europe. He worked with Viennese dermatoscopy superstar Professor Harald Kittler to develop the 'Chaos and Clues' and 'Prediction without Pigment' algorithms which run through the whole book.
"This modern diagnostic approach builds on previous knowledge and is objectively as diagnostically accurate as older diagnostic methods, but is quicker to learn and easier to teach. Moreover, the method uses an objective, geometric , descriptive terminology for lesion patterns and clues, which translates into non-English languages more easily than the older metaphorical terminology (very necessary since skin cancer and dermoscopy are global) and gives a more reproducible way of sharing data for research.
"Strongly recommended for all skin lesion diagnosticians from nurse to professor, beginners and advanced will all get something from this book. Very inexpensive too!" Amazon reviewer
[The book] is laid out with clear, basic language that students of the skin at any level will benefit from. This handbook starts with a review of basic dermatoscopic techniques and concepts, followed by a basic science review of the anatomy, embryology, histology, and pathophysiology of the skin as an organ system. The entire text is extensively filled with artistic renderings, histologic slides, and photographs, from cover to cover. The book does not waste any time and jumps to reviewing photographs, histologic preparations, and dermatoscopic images of skin cancers by the third chapter. This format (photographic image of the skin lesion, histologic preparation, and dermatoscopic image presented together) is consistent throughout the entire text and allows readers to start to piece together pattern recognition of their own [it] is a great addition for any student, resident, or family physician looking to extend their dermatoscopic library. Students of dermatology at all levels will benefit from the numerous, vivid images and clear language throughout this book. Rosendahl and Marozavas work provides fundamentals for those without dermatoscopic experience and serves as a useful reference for the practiced dermatoscopist alike.Karl T. Clebak, Fam Med 2020, 52(2)