Dermatoscopy of flat pigmented facial lesions—evolution of lentigo maligna diagnostic criteria

Recognition of facial lentigo maligna (LM) is often difficult, particularly at early stages. Algorithms and multivariate diagnostic models have recently been elaborated on the attempt to improve the diagnostic accuracy. We conducted a cross-sectional and retrospective study to evaluate dermatoscopi...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Miguel Costa-Silva, Ana Calistru, Ana Margarida Barros, Sofia Lopes, Mariana Esteves, Filomena Azevedo
Formato:	article
Lenguaje:	EN
Publicado:	Mattioli1885 2018
Materias:	dermatoscopy lentigo maligna flat pigmented lesion face Dermatology RL1-803
Acceso en línea:	https://doaj.org/article/a69e554613674b1aaf1a1f0a47ec2e1f
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:a69e554613674b1aaf1a1f0a47ec2e1f
record_format	dspace
spelling	oai:doaj.org-article:a69e554613674b1aaf1a1f0a47ec2e1f2021-11-17T08:30:02ZDermatoscopy of flat pigmented facial lesions—evolution of lentigo maligna diagnostic criteria2160-9381https://doaj.org/article/a69e554613674b1aaf1a1f0a47ec2e1f2018-07-01T00:00:00Zhttp://dpcj.org/index.php/dpc/article/view/469https://doaj.org/toc/2160-9381 Recognition of facial lentigo maligna (LM) is often difficult, particularly at early stages. Algorithms and multivariate diagnostic models have recently been elaborated on the attempt to improve the diagnostic accuracy. We conducted a cross-sectional and retrospective study to evaluate dermatoscopic criteria aiding in diagnosis of flat pigmented facial lesions (FPFL). We examined 46 FPFL in 42 Caucasian patients and found that 4 of 20 dermatoscopic criteria reached the significance level required for features indicating malignancy namely, hyperpigmented follicular openings, obliterated follicular opening, annular-granular structures, and pigment rhomboids. Concomitant presence of at least 2 or 3 of the 4 mentioned criteria was significantly more frequent in LM than in pigmented actinic keratosis (PAK). However, despite more frequently seen in LM, these features were also displayed in some of the PAK and other FPFL, so we found them not specific for LM. Although dermatoscopy enhances the diagnostic accuracy in evaluating FPFL, histopathology remains the gold standard for correct diagnosis, making evident the need for improvements in early noninvasive diagnosis of LM. Miguel Costa-SilvaAna CalistruAna Margarida BarrosSofia LopesMariana EstevesFilomena AzevedoMattioli1885articledermatoscopylentigo malignaflat pigmented lesionfaceDermatologyRL1-803ENDermatology Practical & Conceptual, Vol 8, Iss 3 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	dermatoscopy lentigo maligna flat pigmented lesion face Dermatology RL1-803
spellingShingle	dermatoscopy lentigo maligna flat pigmented lesion face Dermatology RL1-803 Miguel Costa-Silva Ana Calistru Ana Margarida Barros Sofia Lopes Mariana Esteves Filomena Azevedo Dermatoscopy of flat pigmented facial lesions—evolution of lentigo maligna diagnostic criteria
description	Recognition of facial lentigo maligna (LM) is often difficult, particularly at early stages. Algorithms and multivariate diagnostic models have recently been elaborated on the attempt to improve the diagnostic accuracy. We conducted a cross-sectional and retrospective study to evaluate dermatoscopic criteria aiding in diagnosis of flat pigmented facial lesions (FPFL). We examined 46 FPFL in 42 Caucasian patients and found that 4 of 20 dermatoscopic criteria reached the significance level required for features indicating malignancy namely, hyperpigmented follicular openings, obliterated follicular opening, annular-granular structures, and pigment rhomboids. Concomitant presence of at least 2 or 3 of the 4 mentioned criteria was significantly more frequent in LM than in pigmented actinic keratosis (PAK). However, despite more frequently seen in LM, these features were also displayed in some of the PAK and other FPFL, so we found them not specific for LM. Although dermatoscopy enhances the diagnostic accuracy in evaluating FPFL, histopathology remains the gold standard for correct diagnosis, making evident the need for improvements in early noninvasive diagnosis of LM.
format	article
author	Miguel Costa-Silva Ana Calistru Ana Margarida Barros Sofia Lopes Mariana Esteves Filomena Azevedo
author_facet	Miguel Costa-Silva Ana Calistru Ana Margarida Barros Sofia Lopes Mariana Esteves Filomena Azevedo
author_sort	Miguel Costa-Silva
title	Dermatoscopy of flat pigmented facial lesions—evolution of lentigo maligna diagnostic criteria
title_short	Dermatoscopy of flat pigmented facial lesions—evolution of lentigo maligna diagnostic criteria
title_full	Dermatoscopy of flat pigmented facial lesions—evolution of lentigo maligna diagnostic criteria
title_fullStr	Dermatoscopy of flat pigmented facial lesions—evolution of lentigo maligna diagnostic criteria
title_full_unstemmed	Dermatoscopy of flat pigmented facial lesions—evolution of lentigo maligna diagnostic criteria
title_sort	dermatoscopy of flat pigmented facial lesions—evolution of lentigo maligna diagnostic criteria
publisher	Mattioli1885
publishDate	2018
url	https://doaj.org/article/a69e554613674b1aaf1a1f0a47ec2e1f
work_keys_str_mv	AT miguelcostasilva dermatoscopyofflatpigmentedfaciallesionsevolutionoflentigomalignadiagnosticcriteria AT anacalistru dermatoscopyofflatpigmentedfaciallesionsevolutionoflentigomalignadiagnosticcriteria AT anamargaridabarros dermatoscopyofflatpigmentedfaciallesionsevolutionoflentigomalignadiagnosticcriteria AT sofialopes dermatoscopyofflatpigmentedfaciallesionsevolutionoflentigomalignadiagnosticcriteria AT marianaesteves dermatoscopyofflatpigmentedfaciallesionsevolutionoflentigomalignadiagnosticcriteria AT filomenaazevedo dermatoscopyofflatpigmentedfaciallesionsevolutionoflentigomalignadiagnosticcriteria
_version_	1718425756158132224

Dermatoscopy of flat pigmented facial lesions—evolution of lentigo maligna diagnostic criteria

Ejemplares similares