Abstract: |
The diagnosis of melanoma, especially lentigo maligna (LM) occurring on sun-damaged skin, can be quite challenging. Diagnosing and treating melanoma at its earliest stage is key to preventing invasion and spread. While dermoscopy aids in clinical detection, skin biopsy still remains the gold standard for diagnosis. Broad lesions, sampling bias, cosmetically sensitive areas, and trailing edges of melanocytes may all contribute to difficulty in the histopathological diagnosis of LM with traditional biopsy techniques. Non-invasive imaging tools are an exciting prospect to augment the diagnosis of lentigo maligna and provide a real time, in-vivo look at the skin. The current state of non-invasive cutaneous imaging along with the advantages and limitations of such will be discussed herein. With increasing depth of penetration and image resolution we may be approaching a renaissance of cutaneous melanoma imaging. © Springer International Publishing Switzerland 2017. |