Paradigmatic cases of pigmented lesions: How to not miss melanoma

被引:17
作者
Farnetani, Francesca [1 ]
Scope, Alon [2 ]
Coco, Valeria [3 ]
Guida, Stefania [1 ]
Cesinaro, Anna Maria [4 ]
Piana, Simonetta [5 ]
Peris, Ketty [3 ]
Pellacani, Giovanni [1 ]
Longo, Caterina [6 ]
机构
[1] Univ Modena & Reggio Emilia, Dept Dermatol, 71 Via Pozzo, I-41124 Modena, Italy
[2] Tel Aviv Univ, Dept Dermatol, Sheba Med Ctr, Ramat Gan, Israel
[3] Catholic Univ, Dept Dermatol, Rome, Italy
[4] Univ Modena & Reggio Emilia, Pathol Unit, Modena, Italy
[5] Arcispedale Santa Maria Nuova IRCCS, Pathol Unit, Reggio Emilia, Italy
[6] Arcispedale Santa Maria Nuova IRCCS, Skin Canc Unit, Reggio Emilia, Italy
关键词
confocal microscopy; dermoscopy; diagnostic tools; melanoma; practical rules; REFLECTANCE CONFOCAL MICROSCOPY; SKIN-LESIONS; CLINICAL-PRACTICE; DERMOSCOPY; MANAGEMENT; ACCURACY; NUMBER; IMPACT;
D O I
10.1111/1346-8138.13522
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
A large number of cases of melanoma exhibit clinical and dermoscopic clues leading to the correct diagnosis; however, sometimes melanoma can mimic benign melanocytic and non-melanocytic lesions. We present a small series of melanomas in which additional clues provided by confocal microscopy increased the index of suspicion and prompted us to perform an excisional biopsy. Practical rules that are useful in difficult-to-diagnose melanomas are discussed.
引用
收藏
页码:1433 / 1437
页数:5
相关论文
共 15 条
[1]   Impact of in vivo reflectance confocal microscopy on the number needed to treat melanoma in doubtful lesions [J].
Alarcon, I. ;
Carrera, C. ;
Palou, J. ;
Alos, L. ;
Malvehy, J. ;
Puig, S. .
BRITISH JOURNAL OF DERMATOLOGY, 2014, 170 (04) :802-808
[2]   Dermoscopic monitoring of melanocytic skin lesions: clinical outcome and patient compliance vary according to follow-up protocols [J].
Argenziano, G. ;
Mordente, I. ;
Ferrara, G. ;
Sgambato, A. ;
Annese, P. ;
Zalaudek, I. .
BRITISH JOURNAL OF DERMATOLOGY, 2008, 159 (02) :331-336
[3]   Dermoscopy of pigmented skin lesions:: Results of a consensus meeting via the Internet [J].
Argenziano, G ;
Soyer, HP ;
Chimenti, S ;
Talamini, R ;
Corona, R ;
Sera, F ;
Binder, M ;
Cerroni, L ;
De Rosa, G ;
Ferrara, G ;
Hofmann-Wellenhof, R ;
Landthater, M ;
Menzies, SW ;
Pehamberger, H ;
Piccolo, D ;
Rabinovitz, HS ;
Schiffner, R ;
Staibano, S ;
Stolz, W ;
Bartenjev, I ;
Blum, A ;
Braun, R ;
Cabo, H ;
Carli, P ;
De Giorgi, V ;
Fleming, MG ;
Grichnik, JM ;
Grin, CM ;
Halpern, AC ;
Johr, R ;
Katz, B ;
Kenet, RO ;
Kittler, H ;
Kreusch, J ;
Malvehy, J ;
Mazzocchetti, G ;
Oliviero, M ;
Özdemir, F ;
Peris, K ;
Perotti, R ;
Perusquia, A ;
Pizzichetta, MA ;
Puig, S ;
Rao, B ;
Rubegni, P ;
Saida, T ;
Scalvenzi, M ;
Seidenari, S ;
Stanganelli, I ;
Tanaka, M .
JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY, 2003, 48 (05) :679-693
[4]   Accuracy in melanoma detection: A 10-year multicenter survey [J].
Argenziano, Giuseppe ;
Cerroni, Lorenzo ;
Zalaudek, Iris ;
Staibano, Stefania ;
Hofmann-Wellenhof, Rainer ;
Arpaia, Nicola ;
Bakos, Renato Marchiori ;
Balme, Brigitte ;
Bandic, Jadran ;
Bandelloni, Roberto ;
Brunasso, Alexandra M. G. ;
Cabo, Horacio ;
Calcara, David A. ;
Carlos-Ortega, Blanca ;
Carvalho, Ana Carolina ;
Casas, Gabriel ;
Dong, Huiting ;
Ferrara, Gerardo ;
Filotico, Raffaele ;
Gomez, Guillermo ;
Halpern, Allan ;
Ilardi, Gennaro ;
Ishiko, Akira ;
Kandiloglu, Gulsen ;
Kawasaki, Hiroshi ;
Kobayashi, Ken ;
Koga, Hiroshi ;
Kovalyshyn, Ivanka ;
Langford, David ;
Liu, Xin ;
Marghoob, Ashfaq A. ;
Mascolo, Massimo ;
Massone, Cesare ;
Mazzoni, Laura ;
Menzies, Scott ;
Minagawa, Akane ;
Nugnes, Loredana ;
Ozdemir, Fezal ;
Pellacani, Giovanni ;
Seidenari, Stefania ;
Siamas, Katherine ;
Stanganelli, Ignazio ;
Stoecker, William V. ;
Tanaka, Masaru ;
Thomas, Luc ;
Tschandl, Philipp ;
Kittler, Harald .
JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY, 2012, 67 (01) :54-U274
[5]  
Argenziano G, 2012, EXPERT REV ANTICANC, V12, P609, DOI [10.1586/ERA.12.38, 10.1586/era.12.38]
[6]   Is confocal microscopy a valuable tool in diagnosing nodular lesions? A study of 140 cases [J].
Longo, C. ;
Farnetani, F. ;
Ciardo, S. ;
Cesinaro, A. M. ;
Moscarella, E. ;
Ponti, G. ;
Zalaudek, I. ;
Argenziano, G. ;
Pellacani, G. .
BRITISH JOURNAL OF DERMATOLOGY, 2013, 169 (01) :58-67
[7]   New Directions in Dermatopathology In Vivo Confocal Microscopy in Clinical Practice [J].
Longo, Caterina ;
Zalaudek, Iris ;
Argenziano, Giuseppe ;
Pellacani, Giovanni .
DERMATOLOGIC CLINICS, 2012, 30 (04) :799-+
[8]   Reflectance confocal microscopy as a second-level examination in skin oncology improves diagnostic accuracy and saves unnecessary excisions: a longitudinal prospective study [J].
Pellacani, G. ;
Pepe, P. ;
Casari, A. ;
Longo, C. .
BRITISH JOURNAL OF DERMATOLOGY, 2014, 171 (05) :1044-1051
[9]   Distinct melanoma types based on reflectance confocal microscopy [J].
Pellacani, Giovanni ;
De Pace, Barbara ;
Reggiani, Camilla ;
Cesinaro, Anna Maria ;
Argenziano, Giuseppe ;
Zalaudek, Iris ;
Soyer, H. Peter ;
Longo, Caterina .
EXPERIMENTAL DERMATOLOGY, 2014, 23 (06) :414-418
[10]   New insights into nevogenesis: In vivo characterization and follow-up of melanocytic nevi by reflectance confocal microscopy [J].
Pellacani, Giovanni ;
Scope, Alon ;
Ferrari, Barbara ;
Pupelli, Gaia ;
Bassoli, Sara ;
Longo, Caterina ;
Cesinaro, Anna Maria ;
Argenziano, Giuseppe ;
Hofmann-Wellenhof, Rainer ;
Malvehy, Josep ;
Marghoob, Ashfaq A. ;
Puig, Susana ;
Seidenari, Stefania ;
Soyer, H. Peter ;
Zalaudek, Iris .
JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY, 2009, 61 (06) :1001-1013