Dermoscopy Clinical Pearls

Ashfaq Marghoob, MD

1. Shiny white structures seen with polarized dermoscopy are important clues for malignancy
2. The key features seen in malignancy: dermoscopic asymmetry, blue-black-gray color, shiny white structures (includes negative network), and blood vessels
3. Never monitor palpable lesions unless you know for sure they are benign
4. Shiny white blotches and strands is a new criterion for BCC
5. The 2-step algorithm, pattern analysis, 3-step algorithm, chaos and clues and the AC rule can be condensed into the TADA algorithm.