Published online Oct 16, 2016. doi: 10.12998/wjcc.v4.i10.333
Peer-review started: February 27, 2016
First decision: March 24, 2016
Revised: August 2, 2016
Accepted: August 17, 2016
Article in press: August 18, 2016
Published online: October 16, 2016
Atypical fibroxanthoma (AFX) is a spindle cell neoplasm with low metastatic potential but high tendency to recur after surgery. Because of the rarity of this lesion and its aspecific clinical features, AFX could be easily misdiagnosed and undertreated by many clinicians who encounter them. Dermoscopy represents a valuable tool for easily assessing skin lesions, even though histological examination is required for final diagnosis. We report a case of a cheek lesion with dermoscopic “blue amber pattern”, easily recognisable and not observed in others skin tumours, which could represent an additional feature useful in differentiating this tumour from other skin neoplasms.
Core tip: Until recent years there has been little published literature about the dermatoscopy of atypical fibroxanthoma (AFX). A case of AFX is presented. Dermatoscopy could be helpful in avoiding a misdiagnosis and undertreatment of this tumour.