Abstract
Epiluminescence microscopy, with a stereomicroscope and immersion oi/, renders the epidermis translucent and permits the examination and localization of pigmented skin lesions from the level of the epidermis to the dermis. 1 The technique provides a variety of clues that aid in the differential diagnosis of pigmented skin lesions. In a recent study of more than 3000 pigmented skin lesions, morphologic criteria were defined 2 for various pigmented lesions, and the authors reported a significant improvement in their diagnostic accuracy. 3 More recently, an inexpensive hand-held instrument based on the same principle of skin surface microscopy has been developed and is being widely used for the study of cutaneous lesions. 4 This article illustrates that skin surface microscopy is helpful in the diagnosis of cutaneous metastatic melanoma.
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