Program

Module 1:
Introduction to Dermoscopy

GENERAL ASPECTS

Morphologic dimension of pigmented skin tumors
Epidemiology of melanoma and nevi
Clinical examination including ABCD
Skin types & skin ageing
Melanoma Screening

DERMOSCOPIC BACKGROUND

History of dermoscopy
Principles of dermoscopic examination
Dermoscopic-pathologic correlation
Teaching experiences
Is dermoscopy useful?

TECHNICAL BACKGROUND

Physics of dermosocpy
Hand-held devices
Digital devices
Principles of teleconsultation

Module 2:
Dermoscopic Criteria

GLOBAL FEATURES

Reticular patterns
Globular patterns
Cobblestone patterns
Homogeneous patterns
Starbust patterns
Multicomponent patterns
Lacunar patterns
Unspecific patterns

LOCAL FEATURES

Pigment network
Streaks
Dots and globules
Blue-whitish veil
Regression structures
Blotches
Hypopigmentation
Vascular structures
Milia-like cysts
Comedo-like openings
Brain-like fissures
Exophytic papillary structures
Red lacunas

Central white patch
Leaf-like areas
Spoke-wheel areas
Large blue-gray ovoid nests
Multiple blue-gray globules

Module 3:
Pattern Analysis

BENIGN MELANOCYTIC LESIONS

Common nevus
Unna nevus
Miescher nevus
Congenital nevus
Spitz/Reed nevus
Atypical nevus
Blue nevus
Combined nevus
Acral nevus
Subungual nevus
Nevi of special sites
Halo nevus
Irritated nevus
Recurrent nevus

MELANOMAS

Melanoma of the trunk and limbs
Melanoma of the face
Acral melanoma
Subungual melanoma
Scalp melanoma
Mucocutaneous melanoma
Amelanotic melanoma
Early evolution of melanoma
Metastatic melanoma

NON-MELANOCYTIC LESIONS

Basal-cell carcinoma
Verruca seborrhoica
Lentigines
Lichen planus-like keratosis
Dermatofibroma
Actinic keratosis and squamous-cell carcinoma
Vascular lesions
Rare skin neoplasms

Module 4:
Diagnostic Algorithms

MAIN ALGORITHM

The two step procedure of dermosocpy

ALTERNATIVE ALGORITHMS

Alternative algorithms

SPECIAL ALGORITHMS

Algorithm for the diagnosis of non-pigmented skin tumors
Algorithm for the preoperative evaluation of melanoma thickness
Algorithm for the diagnosis and management of equivocal melanocytic skin lesions with regression

Module 5:
Dermoscopy in Daily Routine

CLINICAL SCENARIOS

Acral lesions
Black lesions
Blue lesions
Featureless lesions
Face lesions
Genital lesions
Lesion with excoriation
Lesion with regression

FOLLOW-UP EXAMINATION

Short-term examination
Long-term examination
Examples of folllow-up documentation

DERMOSCOPY REPORT

Specific dermoscopic report

Module 6:
Special Issues in Dermoscopy

FALSE NEGATIVES

Statistical basis
Experience from the literature
Atlas of false negative melanomas

GRAY ZONE

Limitations in dermoscopy
Limitations in histopathology
Management of gray zone lesions

DERMOSCOPY IN GENERAL DERMATOLOGY

Non-pigmented skin tumors
Infectious skin diseases
Inflammatory skin disorders
Predicting and monitoring treatment

Module 7:
Future Aspects

AUTOMATED DIAGNOSIS

Basics
Experience from the literature

TELEDERMOSOCPY

Basics
Experience from the literature

LASER SCANNING IN-VIVO MICROSCOPY

Basics
Experience from the literature

OTHER DIAGNOSTIC TECHNIQUES

Overview

Module 8:
Dermoscopic-pathologic Correlation

BENIGN MELANOCYTIC LESIONS

Basics
Examples

MELANOMAS

Basics
Examples

NON-MELANOCYTIC LESIONS

Basics
Examples

Module 9:
Atlas of Pigmented Skin Tumors

BENIGN MELANOCYTIC LESIONS

Examples

MELANOMAS

Examples

NON-MELANOCYTIC LESIONS

Examples

Module 10:
Consultation on the Job

Each participant has to send in 20 cases for teleconsultation (second opinion) following a pre-defined checklist