Abstract：
A 14-year-old girl presented with a facial-pigmented lesion suspicious of melanoma clinically and dermoscopically. In vivo, reflectance confocal microscopy (RCM) findings excluded melanoma by revealing typical epidermal honeycomb and cobblestone patterns. Well-defined follicular contours were seen at the dermal-epidermal junction; there were no elongated, \"medusa head-like\" follicular protrusions or folliculotropism, which are classical findings seen in lentigo maligna. With this report, we aim to demonstrate the significance of utilizing RCM technology in difficult to diagnose lentiginous pigmented lesions.
摘要：
一名14岁的女孩在临床和皮肤镜下表现出怀疑黑色素瘤的面部色素性病变。在体内,反射共聚焦显微镜（RCM）发现通过揭示典型的表皮蜂窝和鹅卵石图案来排除黑色素瘤。在真皮-表皮交界处可见明确的卵泡轮廓；没有细长的，\“美杜莎头状\”毛囊突起或向毛色，这是在恶性扁豆中看到的经典发现。有了这份报告,我们旨在证明利用RCM技术在难以诊断的色素性色素性病变中的重要性。
