The role of dermoscopy and digital dermoscopy follow-up in the clinical diagnosis of melanoma: clinical and dermoscopic features of 99 consecutive primary melanomas

Background: Early recognition is the most important intervention to improve melanoma prognosis. Objective: To report the value of dermoscopy and digital dermoscopy in the clinical diagnosis of malignant melanoma (MM). Methods: Retrospective analysis of 99 consecutive primary MMs diagnosed bet...

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Autores principales:	Gabriel Salerni, Teresita Terán, Carlos Alonso, Ramón Fernández-Bussy
Formato:	article
Lenguaje:	EN
Publicado:	Mattioli1885 2014
Materias:	melanoma dermoscopy atypical mole syndrome follow-up imaging techniques Dermatology RL1-803
Acceso en línea:	https://doaj.org/article/9f598e090b1040acba61d671764ae2dd
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spelling	oai:doaj.org-article:9f598e090b1040acba61d671764ae2dd2021-11-17T08:31:56ZThe role of dermoscopy and digital dermoscopy follow-up in the clinical diagnosis of melanoma: clinical and dermoscopic features of 99 consecutive primary melanomas10.5826/dpc.0404a072160-9381https://doaj.org/article/9f598e090b1040acba61d671764ae2dd2014-10-01T00:00:00Zhttp://dpcj.org/index.php/dpc/article/view/781https://doaj.org/toc/2160-9381 Background: Early recognition is the most important intervention to improve melanoma prognosis. Objective: To report the value of dermoscopy and digital dermoscopy in the clinical diagnosis of malignant melanoma (MM). Methods: Retrospective analysis of 99 consecutive primary MMs diagnosed between 2010 and 2013. The MMs were divided into 3 groups: 1) the MM was the reason for consultation (MMC), 2) the MM was detected during routine control of nevi (MMRC), and 3) the MM was detected due to changes observed during digital dermoscopy follow-up (MMDFU). Clinical, dermoscopic and histologic features were assessed. Results: A total of 99 MMs were diagnosed in 89 patients (55% male) with a mean age of 50.8 (18-93) years. Of all the MMs, 35 were the reason for patient consultation (MMC), 52 were detected during routine control of nevi (MMRC) and 12 were diagnosed due to changes observed with digital dermoscopy (MMDFU). On clinical examination, 74.2 % of MMC met the 4 ABCD criteria, while only 30.7 % of MMRC and 8.3 % of MMDFU. Most MMC were correctly classified as malignant according to dermoscopy, but 44.2% of MMRC and only 16.7% of MMDFU. 22.9% of MMC, 50% of MMRC and 58.3% of MMDFU were in situ. Mean Breslow thickness was significantly lower in the MMDFU group (0.52 mm) than in the MMRC and MMDFU groups (0.77 and 1.43 mm respectively). Conclusions: The use of dermoscopy and digital dermoscopy allows the detection of MMs in early stages, even in the absence of specific criteria for malignancy. Gabriel SalerniTeresita TeránCarlos AlonsoRamón Fernández-BussyMattioli1885articlemelanomadermoscopyatypical mole syndromefollow-upimaging techniquesDermatologyRL1-803ENDermatology Practical & Conceptual (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	melanoma dermoscopy atypical mole syndrome follow-up imaging techniques Dermatology RL1-803
spellingShingle	melanoma dermoscopy atypical mole syndrome follow-up imaging techniques Dermatology RL1-803 Gabriel Salerni Teresita Terán Carlos Alonso Ramón Fernández-Bussy The role of dermoscopy and digital dermoscopy follow-up in the clinical diagnosis of melanoma: clinical and dermoscopic features of 99 consecutive primary melanomas
description	Background: Early recognition is the most important intervention to improve melanoma prognosis. Objective: To report the value of dermoscopy and digital dermoscopy in the clinical diagnosis of malignant melanoma (MM). Methods: Retrospective analysis of 99 consecutive primary MMs diagnosed between 2010 and 2013. The MMs were divided into 3 groups: 1) the MM was the reason for consultation (MMC), 2) the MM was detected during routine control of nevi (MMRC), and 3) the MM was detected due to changes observed during digital dermoscopy follow-up (MMDFU). Clinical, dermoscopic and histologic features were assessed. Results: A total of 99 MMs were diagnosed in 89 patients (55% male) with a mean age of 50.8 (18-93) years. Of all the MMs, 35 were the reason for patient consultation (MMC), 52 were detected during routine control of nevi (MMRC) and 12 were diagnosed due to changes observed with digital dermoscopy (MMDFU). On clinical examination, 74.2 % of MMC met the 4 ABCD criteria, while only 30.7 % of MMRC and 8.3 % of MMDFU. Most MMC were correctly classified as malignant according to dermoscopy, but 44.2% of MMRC and only 16.7% of MMDFU. 22.9% of MMC, 50% of MMRC and 58.3% of MMDFU were in situ. Mean Breslow thickness was significantly lower in the MMDFU group (0.52 mm) than in the MMRC and MMDFU groups (0.77 and 1.43 mm respectively). Conclusions: The use of dermoscopy and digital dermoscopy allows the detection of MMs in early stages, even in the absence of specific criteria for malignancy.
format	article
author	Gabriel Salerni Teresita Terán Carlos Alonso Ramón Fernández-Bussy
author_facet	Gabriel Salerni Teresita Terán Carlos Alonso Ramón Fernández-Bussy
author_sort	Gabriel Salerni
title	The role of dermoscopy and digital dermoscopy follow-up in the clinical diagnosis of melanoma: clinical and dermoscopic features of 99 consecutive primary melanomas
title_short	The role of dermoscopy and digital dermoscopy follow-up in the clinical diagnosis of melanoma: clinical and dermoscopic features of 99 consecutive primary melanomas
title_full	The role of dermoscopy and digital dermoscopy follow-up in the clinical diagnosis of melanoma: clinical and dermoscopic features of 99 consecutive primary melanomas
title_fullStr	The role of dermoscopy and digital dermoscopy follow-up in the clinical diagnosis of melanoma: clinical and dermoscopic features of 99 consecutive primary melanomas
title_full_unstemmed	The role of dermoscopy and digital dermoscopy follow-up in the clinical diagnosis of melanoma: clinical and dermoscopic features of 99 consecutive primary melanomas
title_sort	role of dermoscopy and digital dermoscopy follow-up in the clinical diagnosis of melanoma: clinical and dermoscopic features of 99 consecutive primary melanomas
publisher	Mattioli1885
publishDate	2014
url	https://doaj.org/article/9f598e090b1040acba61d671764ae2dd
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The role of dermoscopy and digital dermoscopy follow-up in the clinical diagnosis of melanoma: clinical and dermoscopic features of 99 consecutive primary melanomas

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