Reflectance confocal microscopy slashes needless excisions

Source: Dermatology Times, June 2022

Study shows nearly 50% reduction in benign lesions excised.

Adding reflectance confocal microscopy (RCM) to dermatoscopy significantly reduces excision of benign lesions without missing aggressive melanomas, according to a prospective real-world study published in JAMA Dermatology.

“The main finding is that the systematic use of confocal microscopy on suspicious lesions can reduce the excision of benign lesions almost 50%—without significant loss of melanoma and zero loss of thick melanoma,” said lead author Giovanni Pellacani, MD. He is a professor of dermatology at Sapienza University of Rome in Italy.

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