Use of digital epiluminescence microscopy to help define the edge of lentigo maligna

Archives of Dermatology
June K Robinson

Abstract

To compare identification of the border of lentigo maligna (LM) with digital epiluminescence microscopy (DELM) with clinical and Wood light assessment. The borders of lesions identified clinically with the Wood light, with DELM, and after excision by Mohs micrographic surgery were traced onto plastic sheets. The borders defined on the tracings were compared for congruence and mean surface area. Cardinal Bernardin Cancer Center for Skin Cancer, Loyola University Health System, Maywood, Ill. Twenty-six consecutive patients with LM of the head and neck. Results of the comparison of the outlines of the borders and the mean surface area identified by the 4 methods. The border determined by clinical examination was smaller than that determined with the Wood lamp or by DELM. Most lesions underwent an additional excision 5 mm beyond the DELM-defined border. The DELM pattern of LM with asymmetric follicular openings and dark brown rhomboidal structures changed at the periphery and became a pigmented thin mesh that was associated with the histopathological features of melanoma in situ. More homogeneous pigmented areas extending from the LM were associated with the pathologic features of melanocytic hyperplasia. Visualization of LM by DEL...Continue Reading

Citations

Sep 11, 2013·American Journal of Clinical Dermatology·Joseph R KalliniAmor Khachemoune
Sep 28, 2007·Plastic and Reconstructive Surgery·Sameer S JejurikarDavid L Brown
Sep 18, 2009·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Vitaly Terushkin, Steven Q Wang
Nov 21, 2008·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Maya K ThosaniChih-Shan Jason Chen
Sep 19, 2008·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Magdalena de Troya-MartínNuria Blázquez Sánchez
Jan 10, 2012·Journal of the American Academy of Dermatology·Sherea M StricklinLindall A Perry
Dec 17, 2008·Dermatologic Therapy·Gert J SmalbergerAmor Khachemoune
Jan 19, 2017·Anais Brasileiros De Dermatologia·Husein Husein-ElAhmed, Maria Antonia Fernandez-Pugnaire
Apr 9, 2010·Melanoma Research·Konstantinos G LasithiotakisClaus Garbe
Oct 24, 2017·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Courtney J EnsslinAnthony M Rossi
May 1, 2015·Melanoma Management·Karen L ConnollyKlaus J Busam

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