Squamous cell carcinoma: variation on dermatoscopy vascular features between well and non-well differentiated tumors

Objective: Compare the dermatoscopy vascular features of well differentiated with non-well differentiated squamous cell carcinoma (SCC). Design: A prospective study of 294 consecutive cases of histopathologically confirmed invasive SCC compared the dermatoscopic vascular features of well to comb...

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Autores principales: John Pyne, Devendra Sapkota, Jian Cheng Wong
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Lenguaje:EN
Publicado: Mattioli1885 2012
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Acceso en línea:https://doaj.org/article/5e9ccbf74f83446ca7a0d26b958e9bc4
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spelling oai:doaj.org-article:5e9ccbf74f83446ca7a0d26b958e9bc42021-11-17T08:33:00ZSquamous cell carcinoma: variation on dermatoscopy vascular features between well and non-well differentiated tumors2160-9381https://doaj.org/article/5e9ccbf74f83446ca7a0d26b958e9bc42012-10-01T00:00:00Zhttp://dpcj.org/index.php/dpc/article/view/982https://doaj.org/toc/2160-9381 Objective: Compare the dermatoscopy vascular features of well differentiated with non-well differentiated squamous cell carcinoma (SCC). Design: A prospective study of 294 consecutive cases of histopathologically confirmed invasive SCC compared the dermatoscopic vascular features of well to combined moderate and poorly differentiated tumors. These features were recorded live directly from the patients and included: the percentage of pink in the tumor, the presence of branching, serpentine, dot, hairpin, glomerular and linear vessels, and the number of these vessel types present within each tumor. Vessel types were also reviewed by tumor depth in 1 mm increments. Setting: Two medical practices in Sydney, Australia. Patients: Eighty-six female and 208 male patients (29-95 years old). Main outcome measure: Dermatoscopic vascular feature variation between grades of tumor differentiation and tumor depth. Results: Of 294 invasive SCCs, 255 (87%) were well differentiated, 32 (11%) were moderately differentiated and 7 (2%) were poorly differentiated. The percentage of pink areas within tumors varied between differentiation grades. The combined group of moderate and poorly differentiated tumors displayed more branching (28%, P<0.001) and serpentine (62%, P<0.005) blood vessels compared to well differentiated tumors (8% and 38%, respectively). Moderate and poorly differentiated tumors displayed larger numbers of vessel types (3.3) compared to well differentiated tumors (2.6, P < 0.01). Branching and serpentine vessels both increased in incidence with increasing tumor depth (p<0.05). Conclusion: Grades of tumor differentiation in SCC display varying dermatoscopic vascular features. The incidence of branching and serpentine vessels increases with increasing tumor depth and the shift towards poor differentiation. John PyneDevendra SapkotaJian Cheng WongMattioli1885articlesquamous cell carcinomawellmoderatepoordifferentiationvascularDermatologyRL1-803ENDermatology Practical & Conceptual (2012)
institution DOAJ
collection DOAJ
language EN
topic squamous cell carcinoma
well
moderate
poor
differentiation
vascular
Dermatology
RL1-803
spellingShingle squamous cell carcinoma
well
moderate
poor
differentiation
vascular
Dermatology
RL1-803
John Pyne
Devendra Sapkota
Jian Cheng Wong
Squamous cell carcinoma: variation on dermatoscopy vascular features between well and non-well differentiated tumors
description Objective: Compare the dermatoscopy vascular features of well differentiated with non-well differentiated squamous cell carcinoma (SCC). Design: A prospective study of 294 consecutive cases of histopathologically confirmed invasive SCC compared the dermatoscopic vascular features of well to combined moderate and poorly differentiated tumors. These features were recorded live directly from the patients and included: the percentage of pink in the tumor, the presence of branching, serpentine, dot, hairpin, glomerular and linear vessels, and the number of these vessel types present within each tumor. Vessel types were also reviewed by tumor depth in 1 mm increments. Setting: Two medical practices in Sydney, Australia. Patients: Eighty-six female and 208 male patients (29-95 years old). Main outcome measure: Dermatoscopic vascular feature variation between grades of tumor differentiation and tumor depth. Results: Of 294 invasive SCCs, 255 (87%) were well differentiated, 32 (11%) were moderately differentiated and 7 (2%) were poorly differentiated. The percentage of pink areas within tumors varied between differentiation grades. The combined group of moderate and poorly differentiated tumors displayed more branching (28%, P<0.001) and serpentine (62%, P<0.005) blood vessels compared to well differentiated tumors (8% and 38%, respectively). Moderate and poorly differentiated tumors displayed larger numbers of vessel types (3.3) compared to well differentiated tumors (2.6, P < 0.01). Branching and serpentine vessels both increased in incidence with increasing tumor depth (p<0.05). Conclusion: Grades of tumor differentiation in SCC display varying dermatoscopic vascular features. The incidence of branching and serpentine vessels increases with increasing tumor depth and the shift towards poor differentiation.
format article
author John Pyne
Devendra Sapkota
Jian Cheng Wong
author_facet John Pyne
Devendra Sapkota
Jian Cheng Wong
author_sort John Pyne
title Squamous cell carcinoma: variation on dermatoscopy vascular features between well and non-well differentiated tumors
title_short Squamous cell carcinoma: variation on dermatoscopy vascular features between well and non-well differentiated tumors
title_full Squamous cell carcinoma: variation on dermatoscopy vascular features between well and non-well differentiated tumors
title_fullStr Squamous cell carcinoma: variation on dermatoscopy vascular features between well and non-well differentiated tumors
title_full_unstemmed Squamous cell carcinoma: variation on dermatoscopy vascular features between well and non-well differentiated tumors
title_sort squamous cell carcinoma: variation on dermatoscopy vascular features between well and non-well differentiated tumors
publisher Mattioli1885
publishDate 2012
url https://doaj.org/article/5e9ccbf74f83446ca7a0d26b958e9bc4
work_keys_str_mv AT johnpyne squamouscellcarcinomavariationondermatoscopyvascularfeaturesbetweenwellandnonwelldifferentiatedtumors
AT devendrasapkota squamouscellcarcinomavariationondermatoscopyvascularfeaturesbetweenwellandnonwelldifferentiatedtumors
AT jianchengwong squamouscellcarcinomavariationondermatoscopyvascularfeaturesbetweenwellandnonwelldifferentiatedtumors
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