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January 2009

skINsight Lessons in Reflectance Confocal Microscopy: Rapid Diagnosis of Pigmented Basal Cell Carcinoma

Author Affiliations




Arch Dermatol. 2009;145(1):106-107. doi:10.1001/archdermatol.2008.577

Reflectance confocal microscopy (RCM) can be used as a bedside aid to clinical assessment of pigmented lesions. At times, it may be clinically difficult to determine whether a pigmented lesion is melanocytic or nonmelanocytic. The following 2 cases demonstrate a reproducible RCM pattern that may allow for rapid diagnosis of pigmented basal cell carcinoma (BCC) at the bedside. In both cases, the RCM imaging session provided the operator with a diagnosis in less than 5 minutes. Therefore, it is conceivable that, in the not too distant future, it may become feasible to implement RCM in routine clinical practice