Dermatoscopy of a Pigmented Lesion

A focused dermatoscopic assessment of a single pigmented skin lesion — typically one mole a patient is concerned about. Using a DermLite DL III handheld dermatoscope, the oncologist examines the lesion under magnified, controlled illumination to reveal pigment and structural patterns invisible to the naked eye, helping to distinguish a harmless mole from an atypical one or early melanoma. It is non-invasive and painless, and the image can be captured and archived so the same lesion can be compared at a later visit. Each additional lesion examined in the same visit is charged at +70 Kč.

Dermatoscopy of a Pigmented Lesion is a focused version of skin examination for when a patient is concerned about one specific mole or pigmented spot rather than wanting the whole skin surveyed. Dermatoscopy is a non-invasive technique that magnifies the lesion and illuminates it with controlled, often polarised, light so the oncologist can see structures in the upper skin layers — pigment networks, dots, streaks and vascular patterns — that cannot be seen with the naked eye. These patterns are what allow a trained examiner to distinguish a benign mole from a dysplastic (atypical) naevus or an early malignant melanoma far more reliably than by simple visual inspection. At Onkologie Bona Dea the assessment is carried out with a DermLite DL III, a professional handheld dermatoscope from 3GEN (USA). Because the device can be connected through an adapter to a digital camera, the lesion can be photographed, archived and compared at a future visit — the key advantage when a mole needs to be monitored for change over time, since a documented baseline makes subtle evolution easier to detect. The examination of a single lesion takes only a few minutes, is completely painless and needs no preparation beyond uncovering the area; the oncologist explains what the dermatoscopic pattern suggests and advises whether the lesion can simply be watched, re-checked at an interval, or referred for removal and histology. This single-lesion option suits someone who has noticed one mole that is new, changing, itching or otherwise worrying and wants it professionally assessed, or who wants a documented baseline image of a particular lesion. If several lesions or the whole skin should be checked, the clinic's fuller 800 Kč Skin Examination with Dermatoscopy is the more appropriate choice; otherwise each additional lesion looked at in the same visit is added at 70 Kč. As a preventive screening service it does not itself remove or biopsy lesions — the oncologist arranges referral if that is needed. The service is self-pay and conducted in Czech.