Fahrettin GÖZE, Melih AKYOL, Sedat ÖZÇELİK, Sibel HAYTA BERKSOY, Rukiye YASAK

Seboreik keratozun dermatoskopik görüntüleri ile histopatolojik alt tipleri arasında korelasyon

Amaç. Seboreik keratoz daha çok yaşlılarda görülen benign karakterli epidermal bir tümördür.Akantotik, hiperkeratotik, irrite, retiküler, klonal tip ve melanoakantoma olmak üzere 6 farklıhistopatolojik alt tipi vardır. Dermatoskopi (epiluminans mikroskopi) pigmente deri lezyonlarınınçıplak göz ile görülemeyen klinik morfolojik özelliklerini gösteren in vivo, non-invaziv birtekniktir. Bu çalışmadaki amacımız seboreik keratozun dermatoskopik özelliklerinin,histopatolojik alt grupları ile korelasyonu olup olmadığını saptamaktı. Yöntem. Çalışmaya alınan53 hastanın toplam 80 adet SK lezyonu alındı. Dermatoskopik bulgular tanımlandı. 77 lezyondaninsizyonel biyopsi alınırken üç lezyona total rezeksiyon yapıldı ve histopatolojik alt tiplervelirlendi. Bulgular. SK alt tipleri; komedon benzeri açıklıklar, mila benzeri kistler, fissür,polimorf damar, ekzofitik papiller, dot/globül ve mavi beyaz yapı açısından değerlendirildiklerindeistatiksel olarak aralarındaki fark önemsiz bulunmuştur (p>0,05). Alt tiplerde sosis parmakhiperkeratotik tip ve irrite tip SKda, milia-bulut irrite tip SK en fazla gözlenirken (p

Correlation between dermatoscopic f indings and histopathological subtypes ofseborrheic keratosis

Aim. Seborrheic keratosis is a benign epidermal tumor, mostly seen in elderly. It has sixhistopatohological subtypes, including acantotic, hyperkeratotik, irritated, reticular, clonal typeand melanoacantoma. Dermatoscopy (epiluminisence microscopy) is an in vivo, noninvasivetechnique showing invisible morhological properties of pigmented skin lesions and tumors. Theaim of this study was to determine whether there is a correlation between dermatoscopic findingsand histopathological subtypes of seborrheic keratosis. Method. 80 lesions from 53 patients wereincluded the study. Dermatoscopic findings of the lesions were defined. Incisional biopsy of 77lesions and excisional bopsy of three lesions were taken and histopathological subtypes weredetermined. Results. There was not a significant correlation between histopathological subtypesand some dermatoscopic findins, including comedo-like openings, milia-like cysts, fissures,polimorpheus vessels, dots/globules and blue-white structures (p>0.05). Sausage fingers weremore frequent in hyperkeratotic irritated type of seborrheic keratosis (p

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