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Melanoacanthoma: a potential pitfall of reflectance confocal microscopy How to cite this article: Porto ACS, Blumetti TP, Macedo MP, Braga JCT. Melanoacanthoma: a potential pitfall of reflectance confocal microscopy. An Bras Dermatol. 2019;94:747-50. ,☆☆ ☆☆ Study conducted at the Cutaneous Oncology Department, AC Camargo Cancer Center, São Paulo, SP, Brazil.

Abstract

Melanoacanthoma is a rare variant of seborrheic keratosis, which is notable for dark pigmentation and fast radial growth, making it difficult to distinguish from melanoma. Histologically, it is characterized by proliferation of keratinocytes and dendritic melanocytes. The authors report a scalp lesion, fast growing, suspected by dermoscopy and confocal microscopy examination, with dendritic cells distributed throughout the lesion. Based on these findings, it was not possible to classify this lesion as clearly benign, so it was excised. Histopathologic evaluation and immunostain were consistent with melanoacanthoma.

KEYWORDS
Confocal microscopy; Dermoscopy; Diagnosis; Melanoma; Seborrheic keratosis

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