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Table of Contents:

Preface vi
Acknowledgments vii
CHAPTER 1 Introduction 1
CHAPTER 2 The diagnostic features of dermoscopy 9
CHAPTER 3 Benign pigmented macules 69
CHAPTER 4 Melanocytic nevi 79
CHAPTER 5 Melanoma 129
CHAPTER 6 Non-melanocytic pigmented tumors 189
CHAPTER 7 Two-step procedure for diagnosis of pigmented skin lesions 225
CHAPTER 8 Computerized (digital) monitoring of melanocytic lesions 227
CHAPTER 9 Summary 261
Index 269

The aim of this book is to give the reader (expert and non-expert) a comprehensive understanding of the role of dermoscopy for the diagnosis of skin tumors. There has been a considerable rewrite to this edition, reflecting the dramatic increase in the dermoscopy literature in the last six years. In addition, in an attempt to expose the reader to the full spectrum of morphological variety seen with the various lesion types and features, we have included 193 new figures.

Chapter 1 (Introduction), with four new figures, now has a section on the expanded evidence for the use of dermoscopy in improving diagnostic accuracy and differences between glass-plate and cross-polarized devices.

Chapter 2 (Diagnostic features), with 29 new figures, has new sections on the variety of recently described vessel types, target globules, and network, peripheral light-brown structureless areas, fat fingers, white network, and nevus morphology.

Chapter 3 (Benign macules), with 7 new figures, has a further section on non-pigmented actinic keratoses.

Chapter 4 (Melanocytic nevi) has a major rewrite with 57 new figures and new sections on global patterns of nevi, congenital, halo and recurrent nevi, and a significant extension of the section on acralnevi

Chapter 5 (Melanoma), with 44 new figures, also has a major rewrite with a new section on amelanotic/hypomelanotic melanoma and substantial extensions to the sections on in situ melanoma, subungual melanoma, and all its differential diagnoses and cutaneous melanoma metastases.  

Chapter 6 (Non-melanocytic tumors), with 25 new figures, has new sections on Bowen’s disease and clear cell acanthoma, additional observations on seborrheic keratoses and hemangioma, and an extensive rewrite of the section on dermatofibromas.  

Chapter 7 (Two-step procedure for diagnosis) includes more detailed descriptions of exceptions to the rules. In contrast to the CD-ROM found in the second edition, we have developed a website to illustrate cases using the two-step procedure. This has the advantage of allowing additional cases to be included over time.  

Chapter 8 (Computerized monitoring), with 14 new figures, has been rewritten to allow the incorporation of new literature on both short- and long-term digital monitoring. Finally, we have a new  

Chapter 9 (Summary), which uses 13 new schematic figures to summarize the diagnostic features of the main lesions. Like previous editions, two main magnifications of the dermoscopy photographs have been used in this book. The small (85 × 54 mm) photographs are at a magnification of ×6.5. With some lesions, the full ×10 magnification is required to adequately discern certain features, resulting in the large (140 × 90 mm) photographs. For computerized monitoring photographs the magnification is indicated in Figure 8.2a.

The authors wish to thank the staff of the Sydney Melanoma Diagnostic Centre and the Anatomical Pathology Department of Royal Prince Alfred Hospital. In particular we thank Michelle Avramidis and Betty Doan Tran who maintain the dermoscopy photographic database and Dr Malene Vestergaard who helped with the online quiz. We also thank Dr Harold Rabin Ovitz, Dr Graham Mason, Dr Luc Thomas, Dr Giuseppe Argentina, Dr Maria Pizzichetta, Dr Alan Cameron, Dr Riccardo Bono, and Dr Ignazio Stanganelli for supplying some photographs of important figures without which this atlas would be incomplete.

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Medicine is an ever-changing science. As new research and clinical experience broaden our knowledge, changes in treatment and drug therapy are required. The editors and the publisher of this work have checked with sources believed to be reliable in their efforts to provide information that is complete and generally in accord with the standards accepted at the time of publication. However, in view of the possibility of human error or changes in medical sciences, neither the editors, nor the publisher, nor any other party who has been involved in the preparation or publication of this work warrants that the information contained herein is in every respect accurate or complete. Readers are encouraged to confi rm the information contained herein with other sources. For example, and in particular, readers are advised to check the product information sheet included in the package of each drug they plan to administer to be certain that the information contained in this book is accurate and that changes have
not been made in the recommended dose or in the contraindications for administration. This recommendation is of
particular importance in connection with new or infrequently used drugs.
First published 1996
Second edition 2003
Text and images © 2009 Scott Menzies, William H. McCarthy, Kerry Ann Crotty, Christian Ingvar
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National Library of Australia Cataloguing-in-Publication Data
Author: Menzies, Scott W. (Scott Whitton)
Title: Dermoscopy: an atlas / Scott Menzies.
Edition: 3rd ed.
ISBN: 9780070159099 (pbk.)
Notes: Includes index.
Bibliography.
Subjects: Dermatology—Atlases.
Medical microscopy.
Pigmentation disorders—Atlases.
Melanoma—Atlases.
Dewey Number: 616.50758
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