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Updated: Dec 23, 2025

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Combining Reflectance Confocal Microscopy with Optical Coherence Tomography for Noninvasive Diagnosis of Skin Cancers via Image Acquisition
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Lichenoid Keratosis: A Clinical Trap without Secrets for Reflectance Confocal Microscopy
Sara Mazzilli1, Terenzio Cosio1, Elena Campione1
1Dermatologic Unit, University of Rome Tor Vergata, Rome, Italy.
Case Reports in Dermatology
|April 21, 2020
Summary
Lichen planus-like keratosis can be challenging to diagnose. Reflectance confocal microscopy is a useful noninvasive tool for diagnosing difficult cases of lichen planus-like keratosis.
Area of Science:
- Dermatology
- Dermatopathology
- Optical Imaging
Background:
- Lichenoid keratosis, reclassified as lichen planus-like keratosis (LPLK), presents diagnostic challenges.
- Clinical and dermoscopic features of LPLK are often insufficient for accurate diagnosis without biopsy.
Observation:
- Two challenging cases of LPLK were encountered.
- Reflectance confocal microscopy (RCM) was utilized in both cases.
Findings:
- RCM provided valuable diagnostic information in unclear LPLK cases.
- The noninvasive nature of RCM aids in diagnosis.
Implications:
- Reflectance confocal microscopy is a promising tool for diagnosing difficult LPLK.
- Noninvasive diagnostic methods can improve patient care and reduce the need for biopsies.
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