DERMATOSCOPIC AND VIDEOMICROSCOPIC FEATURES OF MELANOCYTIC PLANTAR NEVI

Nearly 10% of Japanese people have pigmented nevi on the soles. Since malignant melanoma also occurs on the plantar area in the Japanese, it would be very valuable to be able to differentiate benign and maligna nt lesions in the early clinical state. We have investigated the epilu minescence microscopic features of 500 melanocytic nevi on the soles o f Japanese people using a dermatoscope and a videomicroscope that can magnify lesions from x10 to x200, The results showed that the surface profile of benign melanocytic nevi is mainly classified into five type s; that 9% of plantar nevi, however, do not fit into this classificati on and are categorized as a miscellaneous type; and that the other non melanocytic disorders, such as verruca vulgaris and black heel, are ea sily differentiated by their surface profile. More important, the hist ological examination showed that atypical nevi, malignant melanoma in situ, and acral lentiginous melanoma are exclusively compartmentalized in the miscellaneous type of surface profile. Our data suggested that epiluminescence microscopy may be a useful method for discrimination of plantar benign and malignant melanocytic lesions.