Clinical, histopathological, dermatoscopic and digital microscopic features of dermatofibroma: A retrospective analysis of 200 lesions

Abstract

Background Dermatology literature lacks a study investigating both histopathological and dermatoscopic features of dermatofibroma. Objective To analyse histopathological, dermatoscopic and digital microscopic features of dermatofibromas. Methods Two hundred dermatofibromas and 190 patients were included and retrospectively evaluated. Nine histopathological and ten dermatoscopic patterns were used to classify the lesions. We identified four different types of dermatofibroma in digital microscopy. Results The mean age of the patients was 42.18 ± 13.72 years. Dermatofibroma was more common in females (67%) and the male to female ratio was 1: 1.97. The most common location was leg (41%). The most frequent histopathological variant was fibrocollagenous type (49%). Grenz zone was the most common histopathological finding (89%). The most frequent digital microscopic type was type 1 (63%). Conclusions We found that palisading variant displayed only pattern 6 in dermatoscopy and cellular variant showed type 3 significantly in digital microscopy. © 2015 European Academy of Dermatology and Venereology.