Total body mapping in the follow-up of melanocytic lesions: recommendations of the Brazilian Society of Dermatology

Barcauí, Carlos Baptista; Bakos, Renato Marchiori; Paschoal, Francisco Macedo; Bittencourt, Flávia Vasques; Sá, Bianca Costa Soares de; Miot, Hélio Amante

doi:10.1016/j.abd.2020.10.005

Cited by 6 publications

(3 citation statements)

References 14 publications

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“…Including all lesions in TBM requires more time for the acquisition and dermoscopic analysis of the images, but it can increase accuracy, mainly in lesions without clinical suspicion and the ones that do not show characteristics requiring complementary histopathology. 8 , 9 At the same time, by analyzing the dermoscopic patterns of all lesions, it is possible to select, with more stringency, the ones that should be included in the subsequent follow-up assessment, in addition to defining the best period for the next examination (three months, six months or 12 months). 9 In the reported clinical case, although the patient had no family history of melanoma, he had more than 600 melanocytic lesions, several of which with clinical and dermoscopic characteristics of dysplastic nevi (in addition to a previous personal history of melanoma).…”

Section: Discussionmentioning

confidence: 99%

Synchronous and metachronous melanomas diagnosed at early stages in a patient with dysplastic nevus syndrome

Moreno

Franciosi

Abrahão-Machado

2023

Anais Brasileiros de Dermatologia

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Section: Discussionmentioning

confidence: 99%

Synchronous and metachronous melanomas diagnosed at early stages in a patient with dysplastic nevus syndrome

Moreno

Franciosi

Abrahão-Machado

2023

Anais Brasileiros de Dermatologia

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“…Em seguida, as imagens são analisadas e comparadas -após o acompanhamento do paciente -de forma a resultar uma espécie de "banco de dados" para posterior análise do dermatologista que, por sua vez, poderá solicitar a repetição dos exames se achar conveniente (BARCAUI et al, 2021).…”

Section: Os Principais Avanços No Diagnóstico De Melanomaunclassified

Sistema Sanguíneo Abo: Um Potencial Fator De Risco De Gravidade Para Pacientes Covid-19

Barros¹,

Lira²

2021

Abordagens Em Medicina: Estado Cumulativo De Bem Estar Físico, Mental E Psicológico

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“…Total body mapping (TBM) includes photographic documentation of the entire body surface followed by digital dermoscopy (DD) of selected melanocytic lesions, aiming to compare their evolution over time and identify new lesions [18,19]. A combination of clinical total body skin exam (TBSE), total body skin photography (TBSP), and sequential digital dermoscopy imaging (SDDI), may ameliorate early-stage melanoma diagnosis (in-situ and thinner Breslow depth) [13,15,[20][21][22].…”

Section: Introductionmentioning

confidence: 99%

Multiple Primary Melanoma: A Five-Year Prospective Single-Center Follow-Up Study of Two MC1R R/R Genotype Carriers

Sortino,

Soares de Sá,

Martins

et al. 2023

Life

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Background: Multiple primary melanoma (MPM) is a diagnostic challenge even with ancillary imaging technologies available to dermatologists. In selected patients’ phenotypes, the use of imaging approaches can help better understand lesion characteristics, and aid in early diagnosis and management. Methods: Under a 5-year prospective single-center follow-up, 58 s primary melanomas (SPMs) were diagnosed in two first-degree relatives, with fair skin color, red hair, green eyes, and personal history of one previous melanoma each. Patients’ behavior and descriptive demographic data were collected from medical records. The information on the first two primary melanomas (PMs) were retrieved from pathology reports. The characteristics of 60 melanomas were collected from medical records, video dermoscopy software, and pathology reports. Reflectance confocal microscopy (RCM) was performed prior to excision of 22 randomly selected melanomas. Results: From February 2018 to May 2023, two patients underwent a pooled total of 214 excisional biopsies of suspect lesions, resulting in a combined benign versus malignant treatment ratio (NNT) of 2.0:1.0. The number of moles excised for each melanoma diagnosed (NNE) was 1.7:1.0 and 6.9:1.0 for the female and male patient respectively. The in-situ melanoma/invasive melanoma ratio (IIR) demonstrated a higher proportion of in-situ melanomas for both patients. From June 2018 to May 2023, a total of 58 SPMs were detected by the combination of total body skin exam (TBSE), total body skin photography (TBSP), digital dermoscopy (DD), and sequential digital dermoscopy imaging (SDDI) via comparative approach. The younger patient had her PM one month prior to the second and third cutaneous melanomas (CMs), characterizing a case of synchronous primary CM. The male older relative had a total of 7 nonsynchronous melanomas. Conclusions: This CM cohort is composed of 83.3% in-situ melanoma and 16.7% invasive melanoma. Both patients had a higher percentage of SPM with clinical nevus-like morphology (84.5%), global dermoscopic pattern of asymmetric multiple component (60.3%) and located on the lower limbs (46.6%). When RCM was performed prior to excision, 81% of SPM had features suggestive of malignancy. As well, invasive melanomas were more frequent in the lower limbs (40%). In the multivariate model, for the two high-risk patients studied, the chance of a not associated with nevus (“de novo”) invasive SPM diagnosis is 25 times greater than the chance of a diagnosis of a nevus-associated invasive SPM.

show abstract

Total body mapping in the follow-up of melanocytic lesions: recommendations of the Brazilian Society of Dermatology

Cited by 6 publications

References 14 publications

Synchronous and metachronous melanomas diagnosed at early stages in a patient with dysplastic nevus syndrome

Synchronous and metachronous melanomas diagnosed at early stages in a patient with dysplastic nevus syndrome

Sistema Sanguíneo Abo: Um Potencial Fator De Risco De Gravidade Para Pacientes Covid-19

Multiple Primary Melanoma: A Five-Year Prospective Single-Center Follow-Up Study of Two MC1R R/R Genotype Carriers

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