haemangioma in deep purple
Dermoscopy revealed deep blue and purple lacunae of blood in a fibrous stroma. This is a typical haemangioma to the trained eye. It was still removed for histological examination and as the patient very much wanted to get rid of it, but a much more limited procedure (shave and light cautery) leading to lower costs and less scarring was possible due to the dermoscopic diagnosis of haemangioma (confirmed). Even dermoscopy sceptics accept that given adequate training generalists are able to use dermoscopy to screen out many benign pigmented lesions such as seborrhoeic keratoses and haemangiomas. This role will become all the more important with growing public concern about rising melanoma death rates and the advertising hype that will inevitably accomany the release of the new stage 3 and 4 melanoma drugs. The dermoscope, in trained and cautious hands, is great for screening out benign lesions. Always be caution though and refer if in doubt.