Clinical and dermatoscopic diagnosis of small pigmented skin lesions

Aldo Bono, Cesare Bartoli, Marzia Baldi, Stefano Tomatis, Carlo Bifulco, Mario Santinami

Research output: Contribution to journalArticlepeer-review


Small pigmented skin lesions represent a new challenge for all physicians devoted to the early diagnosis of melanoma. The purpose of this prospective study was to establish the diagnostic value of the clinical and the dermatoscopic examinations in a population of 157 consecutive patients with 161 small (≤ 6 mm) pigmented lesions, recruited in a short time. Of these 161 lesions, 13 were thin melanomas (median thickness 0.49 mm). In this population, clinical evaluation produced a diagnostic sensitivity of 77% and a specificity of 74%. Dermatoscopy resulted in a sensitivity of 77% and in a specificity of 72%. Combining clinical and dermatoscopic evaluations all the melanomas were preoperatively recognised. The results of the present study stress the complementary role of clinical and dermatoscopic examinations. In particular, clinical evaluation remains of utmost importance in diagnosing melanoma. This concept must be stressed in the education and training of young dermatologists.

Original languageEnglish
Pages (from-to)573-576
Number of pages4
JournalEuropean Journal of Dermatology
Issue number6
Publication statusPublished - Nov 2002


  • Dermatoscopy
  • Dermoscopy
  • Melanoma
  • Small pigmented lesions

ASJC Scopus subject areas

  • Dermatology


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