Adherence to Teledermatology Recommendations by Primary Health Care Professionals: Strategies for Improving Follow-up on Teledermatology Recommendations.

ever,melanoma-specific dermoscopic criteriawerepresent in 6 lesions. This finding highlights the challenge in differentiatingCMfrommelanomas andunderscores the importanceof interpretingmelanoma-specific structures in thecontextof criteria formelanocytic lesionswhenusing the2-stepalgorithm.5 Dermoscopy users must also be familiar with the advantages and limitations of polarized andnonpolarizeddermoscopy to maximizediagnostic accuracy because superficial details (eg, comedolikeopenings)maybepoorlyvisualizedor absentwith polarized dermoscopy (Figure 2B andC). Surprisingly, few lesions in our serieswere heavily pigmented, which is contrary to the common textbook description of CM.1 In summary,we found thatCMspresent adiagnostic challenge. The use of dermoscopy, particularly the 2-step algorithmandpattern analysis,mayhelp to identify theseuncommontumorsasbenign.Nonetheless,physicians should remain cognizant thatmelanomasandothercutaneousmalignantneoplasms can present with SK-like features or directly in association with SKs. To maintain a high sensitivity for melanoma detection, all skin lesions that cannot be classified as clearly benign should undergo biopsy.