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Reflectance Confocal Microscopy Can Help the Dermatopathologist in the Diagnosis of Challenging Skin Lesions

Kelsey, Andrew, MD*; Grant-Kels, Jane M., MD*; Rabinovitz, Harold, MD; Oliviero, Margaret, APRN; Scope, Alon, MD

The American Journal of Dermatopathology: February 2019 - Volume 41 - Issue 2 - p 128–134
doi: 10.1097/DAD.0000000000001174
Review Article
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Abstract: Despite the successful assignment of Current Procedural Terminology codes, there are barriers to incorporating in vivo reflectance confocal microscopy (RCM) into daily practice. Importantly, the dermatopathologist can play a key role in interpreting RCM images and can use these images to correlate with histopathology. Herein, we describe, using a case series, how RCM can be incorporated into the dermatopothalogist's practice. We also summarize the criteria for RCM diagnosis of common neoplasms.

*Department of Dermatology, University of Connecticut Health Center, Farmington, CT;

Department of Dermatology, University of Miami Miller School of Medicine, Miami, FL; and

Medical Screening Institute, Sheba Medical Center and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Correspondence: Jane M. Grant-Kels, MD, UCONN Dermatology Department, 21 South Road, Farmington, CT 06032 (e-mail: grant@uchc.edu).

H. Rabinovitz and M. Oliviero have received honoraria in the past from Caliber, the company that produces RCM. J.M. Grant-Kels and H. Rabinovitz have also received equipment in the past from Caliber. There were no payments for conducting or publicizing this study. The remaining authors declare no conflicts of interest.

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