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Reflectance confocal microscopy may enhance the accuracy of histopathologic diagnosis: A case series
Authors:Neda Shahriari  Jane M. Grant‐Kels  Harold Rabinovitz  Margaret Oliviero  Alon Scope
Abstract:Although histopathology is the time‐honored gold standard diagnostic measure in dermatology, several factors may detract from an accurate microscopic diagnosis. Limiting factors include: human error, suboptimal biopsy‐site selection or biopsy technique, and inherent restrictions of vertical tissue sectioning that lead to incomplete microscopic evaluation of the lesion. Reflectance confocal microscopy (RCM) is a non‐invasive imaging tool that allows for the cellular‐level examination of the lesion, at a horizontal plane, which may complement the subsequent vertical histopathological tissue examination. Herein, we report a case series whereby prebiopsy RCM examination enhanced the accuracy of histopathological diagnosis or allowed for a critical appraisal of initial histopathological misdiagnosis.
Keywords:basal cell carcinoma  confocal microscopy  histopathology  melanoma
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