Abstract:Our study showed that very-high-frequency ultrasound and real-time elastography can be useful examinations for comprehensive preoperative evaluation of cutaneous melanoma.
“…Reduced elasticity correlates with tumour congestion and hypervascularization [6][7][8]. This case report emphasizes the importance of US in evaluating cutaneous tumours and its impact on therapeutic approach optimisation.…”
Section: Introductionmentioning
confidence: 65%
“…In the case of benign tumours, colour Doppler usually shows a peripheral blood supply with a slow "wash out" time while performing contrast agent investigation [6]. Qualitative elastography based on a standard colour code, revealed an increased rigidity of both tumours, suggesting malignant lesions.…”
Section: Discussionmentioning
confidence: 99%
“…Qualitative elastography based on a standard colour code, revealed an increased rigidity of both tumours, suggesting malignant lesions. Inflammatory and hypervascularized lesions have increased rigidity [6,8]. The clinical and US data indicated the necessity of performing surgery and also gave the surgeon valuable information regarding the surgical approach.…”
We report the case of a senior patient, presenting with two cutaneous tumours in which the clinical and dermoscopic examination pointed towards a basal cell carcinoma. Ultrasound revealed highly vascularised tumours and elastography showed increased rigidity. Histological examination of both lesions following complete resection was consistent with squamous cell carcinomas. The distinctive feature of this case consists of the complex non-invasive diagnostic imaging of the tumour morphology, performed in real time, revealing aspects compatible with highly proliferative malignant tumours. This case emphasises the importance of ultrasound diagnosis in a multi-disciplinary approach for better and more predictable results.
“…Reduced elasticity correlates with tumour congestion and hypervascularization [6][7][8]. This case report emphasizes the importance of US in evaluating cutaneous tumours and its impact on therapeutic approach optimisation.…”
Section: Introductionmentioning
confidence: 65%
“…In the case of benign tumours, colour Doppler usually shows a peripheral blood supply with a slow "wash out" time while performing contrast agent investigation [6]. Qualitative elastography based on a standard colour code, revealed an increased rigidity of both tumours, suggesting malignant lesions.…”
Section: Discussionmentioning
confidence: 99%
“…Qualitative elastography based on a standard colour code, revealed an increased rigidity of both tumours, suggesting malignant lesions. Inflammatory and hypervascularized lesions have increased rigidity [6,8]. The clinical and US data indicated the necessity of performing surgery and also gave the surgeon valuable information regarding the surgical approach.…”
We report the case of a senior patient, presenting with two cutaneous tumours in which the clinical and dermoscopic examination pointed towards a basal cell carcinoma. Ultrasound revealed highly vascularised tumours and elastography showed increased rigidity. Histological examination of both lesions following complete resection was consistent with squamous cell carcinomas. The distinctive feature of this case consists of the complex non-invasive diagnostic imaging of the tumour morphology, performed in real time, revealing aspects compatible with highly proliferative malignant tumours. This case emphasises the importance of ultrasound diagnosis in a multi-disciplinary approach for better and more predictable results.
“…Previous studies verifying elastography as a method to examine skin pathologies involved primarily cancer patients [23][24][25][26][27] and individuals with chronic systemic inflammation [28][29][30][31][32][33][34][35][36]. Most of these studies confirmed that elastography is an accurate method to identify and quantify proliferative and fibrotic processes taking place in the skin.…”
Section: Application Of Elastography In Dermatologymentioning
A b s t r a c tThe aim of this review article is to discuss the role of ultrasonographic elastography, a technique used to quantify tissue stiffness, in the evaluation of normal and pathological skin. A growing body of evidence suggests that elastography may be used for the diagnosis and monitoring of skin pathologies, in particular tumors, and fibrotic and sclerotic processes. Our knowledge about the elastographic parameters of normal skin is sparse, which together with the lack of reference values for cutaneous stiffness constitutes a serious limitation to the use of elastography in some medical disciplines, including aesthetic medicine.
“…Diagnostic imaging plays little role in the initial diagnosis of melanoma, although high-resolution sonography is being studied to replace excision biopsies of cutaneous tumours (Botar-Jid et al, 2016). Imaging plays a major role in staging and follow-up of melanoma and in posttreatment assessment of metastatic melanoma.…”
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