High-Resolution Ultrasound as a Key Tool for Dermatologic Surgery.

Area of Science:

• Dermatology
• Medical Imaging
• Surgical Oncology

Background:

• Dermatologic imaging has advanced significantly with technologies like dermoscopy and confocal microscopy.
• High-resolution ultrasound (HRUS) is an accessible, non-invasive tool for real-time visualization of skin structures and pathology.

Purpose of the Study:

• To review the applications of HRUS in dermatologic surgery.
• To highlight HRUS's role in enhancing surgical precision and outcomes through improved lesion characterization and procedural guidance.

Main Methods:

• This is a narrative and illustrative review.
• Includes selectively chosen references emphasizing clinically relevant studies, consensus guidelines, and key publications.
• Provides an introduction to ultrasonography, anatomical correlation, and clinical cases.

Main Results:

• HRUS enables precise tumor margin delineation, biopsy guidance, and assessment of tumor extension.
• Optimizes surgical outcomes and reduces the risk of recurrence.
• Despite technical limitations and need for expertise, technological advancements are expanding its role.

Conclusions:

• HRUS is a valuable modality in dermatologic surgery for improved lesion characterization and procedural guidance.
• Continued advancements in ultrasound technology promise greater diagnostic and therapeutic precision.
• Dermatologists require specialized training in ultrasound-guided surgery and adherence to protocols.