Vol 8, No 1 (2022)
Review paper
Published online: 2022-04-01
Mikroskopia konfokalna jako uzupełnienie badania dermoskopowego w codziennej praktyce dermatologicznej
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DOI: 10.5603/FD.2022.0010
Forum Dermatologicum 2022;8(1):11-16.
Abstract
Refleksyjna mikroskopia konfokalna (reflectance confocal microscopy, RCM) jest nieinwazyjną metodą diagnostyczną in vivo stosowaną komplementarnie do badania dermoskopowego i klinicznego. Znalazła zastosowanie w diagnostyce różnicowej zmian nowotworowych, wybranych chorób zapalnych oraz infekcyjnych i nienowotworowych zaburzeń barwnikowych skóry. Istotnym wsparciem dla klinicysty są liczne algorytmy RCM, charakteryzujące się wysokimi wskaźnikami czułości i swoistości w rozpoznawaniu czerniaka. Liczne badania wykazały, że RCM zwiększa dokładność diagnostyczną, oszczędza wielu niepotrzebnych wycięć chirurgicznych i może być stosowana w celu monitorowania leczenia lub progresji choroby. W oparciu o przegląd piśmiennictwa artykuł podsumowuje aktualne możliwości zastosowania RCM w praktyce klinicznej z uwzględnieniem ograniczeń metody.
Keywords: refleksyjna mikroskopia konfokalnaczerniakrak skórychoroby zapalne skóryograniczenia metody diagnostycznej
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