Clinical selection of melanocytic lesions for dermoscopy decreases the identification of suspicious lesions in comparison with dermoscopy without clinical preselection

The British Journal of Dermatology
S SeidenariGiovanni Pellacani

Abstract

In most cases dermoscopy is performed only on lesions selected by clinical inspection which present worrying clinical features or appear to deviate from the patient's average type of naevus. Thus, possible early malignant melanomas (MMs) or MM precursors, lacking typical clinical characteristics, may elude the dermoscopic examination. To perform a comparison between two different approaches to the patient's examination, one based on a clinical preselection of lesions to be examined by dermoscopy, and the other consisting of the dermoscopic scrutiny of all melanocytic lesions with a diameter>or=2 mm (total dermoscopy). Sixty-three consecutive patients with MM, undergoing periodic dermoscopic examinations of their naevi, were enrolled in the study. The patients first underwent an assessment of the entire skin with the unaided eye for the identification of lesions for dermoscopy. Subsequently, the patients underwent dermoscopic examination of all melanocytic lesions. Images of naevi identified by clinical examination or by total dermoscopy as having dermoscopic aspects characteristic of a suspicious lesion, i.e. necessitating either surgical excision or follow-up examinations, were separately recorded, classified and described emp...Continue Reading

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Citations

Dec 17, 2014·Journal of the American Academy of Dermatology·Gabriel SalerniRamón Fernández-Bussy
Apr 18, 2012·Journal of the American Academy of Dermatology·Hyuk C ChaChristopher D Lao
May 27, 2008·Actas dermo-sifiliográficas·A M Morales-CallaghanA Miranda-Romero
Sep 3, 2008·Journal of the American Academy of Dermatology·Kien T TranClay J Cockerell
May 9, 2007·Journal of the American Academy of Dermatology·Giovanni PellacaniStefania Seidenari
Aug 28, 2010·The British Journal of Dermatology·E TanM Rademaker
Jan 3, 2013·Skin Research and Technology : Official Journal of International Society for Bioengineering and the Skin (ISBS) [and] International Society for Digital Imaging of Skin (ISDIS) [and] International Society for Skin Imaging (ISSI)·Federica ArginelliStefania Seidenari
Jan 10, 2012·Journal of the European Academy of Dermatology and Venereology : JEADV·T FikrleS Pavel
Jan 11, 2013·The British Journal of Dermatology·G PupelliG Pellacani
Aug 6, 2013·The British Journal of Dermatology·S SeidenariC Magnoni
Oct 31, 2018·American Journal of Clinical Dermatology·Renato Marchiori BakosGabriel Salerni
Dec 7, 2018·The Cochrane Database of Systematic Reviews·Jacqueline DinnesUNKNOWN Cochrane Skin Cancer Diagnostic Test Accuracy Group
Dec 7, 2018·The Cochrane Database of Systematic Reviews·Jacqueline DinnesUNKNOWN Cochrane Skin Cancer Diagnostic Test Accuracy Group
May 23, 2018·Dermatology Practical & Conceptual·Wolfgang Weyers
Nov 1, 2015·Melanoma Management·Shadi Damanpour, James M Grichnik
Dec 7, 2018·The Cochrane Database of Systematic Reviews·Jacqueline DinnesUNKNOWN Cochrane Skin Cancer Diagnostic Test Accuracy Group

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