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The role of line‐field confocal optical coherence tomography in the differential diagnosis of infiltrative basal cell carcinoma with scar‐like lesions: A case series

The role of line‐field confocal optical coherence tomography in the differential diagnosis of... Dear Editor,Line‐field confocal optical coherence tomography (LC‐OCT) is an innovative, non‐invasive technique that provides skin images in vertical, horizontal and 3D modes with high resolution (1.3 × 1.1 μm) and depth detection up to 500 μm.1Dermal scars are soft tissue lesions that are very common in daily practice.2 However, their clinical/dermoscopic presentation can sometimes be equivocal, leading to potential misdiagnoses such as infiltrative basal cell carcinoma (iBCC).LC‐OCT might be a useful tool to differentiate iBCC from scar‐like lesions. Indeed, LC‐OCT criteria for BCC have been recently described and correlated with the main BCC subtypes.3,4 In particular, the presence of dermal lobules with branched morphology and exhibiting the so‐called millefeuille pattern was significantly associated with a fourfold increase in the likelihood of iBCC.3 However, the LC‐OCT features of scar‐like lesions still need to be formally described: this represented the goal of this study.Lesions clinically and dermoscopically equivocal for iBCC but histopathologically confirmed as scars after excision were retrospectively retrieved from the database of the Department of Dermatology of Hôpital Erasme/HUB, Université Libre de Bruxelles (Brussels, Belgium). All lesions had been imaged with LC‐OCT (DeepLive, DAMAE Medical) before surgery. The presence/absence of LC‐OCT criteria for scar‐like lesions (based on the expert opinion of the authors) http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of the European Academy of Dermatology and Venereology Wiley

The role of line‐field confocal optical coherence tomography in the differential diagnosis of infiltrative basal cell carcinoma with scar‐like lesions: A case series

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References (6)

Publisher
Wiley
Copyright
Copyright © 2023 European Academy of Dermatology and Venereology
ISSN
0926-9959
eISSN
1468-3083
DOI
10.1111/jdv.19337
Publisher site
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Abstract

Dear Editor,Line‐field confocal optical coherence tomography (LC‐OCT) is an innovative, non‐invasive technique that provides skin images in vertical, horizontal and 3D modes with high resolution (1.3 × 1.1 μm) and depth detection up to 500 μm.1Dermal scars are soft tissue lesions that are very common in daily practice.2 However, their clinical/dermoscopic presentation can sometimes be equivocal, leading to potential misdiagnoses such as infiltrative basal cell carcinoma (iBCC).LC‐OCT might be a useful tool to differentiate iBCC from scar‐like lesions. Indeed, LC‐OCT criteria for BCC have been recently described and correlated with the main BCC subtypes.3,4 In particular, the presence of dermal lobules with branched morphology and exhibiting the so‐called millefeuille pattern was significantly associated with a fourfold increase in the likelihood of iBCC.3 However, the LC‐OCT features of scar‐like lesions still need to be formally described: this represented the goal of this study.Lesions clinically and dermoscopically equivocal for iBCC but histopathologically confirmed as scars after excision were retrospectively retrieved from the database of the Department of Dermatology of Hôpital Erasme/HUB, Université Libre de Bruxelles (Brussels, Belgium). All lesions had been imaged with LC‐OCT (DeepLive, DAMAE Medical) before surgery. The presence/absence of LC‐OCT criteria for scar‐like lesions (based on the expert opinion of the authors)

Journal

Journal of the European Academy of Dermatology and Venereology – Wiley

Published: Dec 1, 2023

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