Dermatoscopy for Melanoma and Pigmented Lesions

Rao, Babar; Ahn, Christine S.

doi:10.1016/j.det.2012.04.005

Cited by 20 publications

(16 citation statements)

References 62 publications

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“…All the dermoscopic images were examined to assess the presence or the absence of global patterns and specific dermoscopic criteria in NM, non‐NM, nonmelanocytic and benign melanocytic lesions. We assessed the lesions using the features reportedly associated with melanoma, BCC, seborrhoeic keratosis, common naevi and blue naevi; all features assessed were also considered in the analysis. All cases were evaluated by a panel of three blinded observers; the dermoscopic features were scored based on the agreement of two observers (M.A.P.…”

Section: Methodsmentioning

confidence: 99%

Pigmented nodular melanoma: the predictive value of dermoscopic features using multivariate analysis

et al. 2015

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Section: Methodsmentioning

confidence: 99%

Pigmented nodular melanoma: the predictive value of dermoscopic features using multivariate analysis

et al. 2015

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“…As available literature did not provide a systematic approach to describe warts clinically, we first aimed to define accurately specific morphological characteristics, using the Dutch ‘PROVOKE’ systematic approach to describe skin lesions (File S1, Appendix S1; see Supporting Information). Based on descriptive studies, systematic approaches to other dermatologic diseases and semistructured interviews with experienced clinicians, a list of wart characteristics was defined (Table S1; see Supporting Information). The semistructured interviews resulted in a list of possible criteria for the diagnoses of warts (Table S2; see Supporting Information).…”

Section: Methodsmentioning

confidence: 99%

Developing and validating the Cutaneous WARTS (CWARTS) diagnostic tool: a novel clinical assessment and classification system for cutaneous warts

et al. 2017

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SummaryBackground The clinical appearance of cutaneous warts is highly variable and not standardized. Objectives To develop and validate a reproducible clinical tool for the standardized assessment of cutaneous warts to distinguish these lesions accurately. Methods Nine morphological characteristics were defined and validated regarding intra-and interobserver agreement. Based on literature and semistructured interviews, a systematic dichotomous assessment tool, the Cutaneous WARTS (CWARTS) diagnostic tool was developed. The validation consisted of two independent parts performed with photographs from the recent WARTS-2 trial. In part A, the CWARTS diagnostic tool was tested by 28 experienced physicians who assessed photographs of 10 different warts to investigate interobserver concordance. In part B, morphological characteristics were validated by masked and independent scoring of 299 photographs by six different observers. Part B also entailed reassessment of the photographs after at least 1 week. The primary outcome measurement was the intraclass correlation coefficient (ICC). Results Presence of black dots (capillary thrombosis) had the greatest ICC (0Á85) for interobserver agreement in part A, followed by arrangement (0Á65), presence of border erythema (0Á64) and sharpness of the border (0Á60). In part B, results were similar for interobserver agreement with presence of black dots having the highest ICC (0Á68), followed by border erythema (0Á64), arrangement (0Á58) and colour (0Á55). For intraobserver agreement, presence of black dots had the highest agreement (0Á70), followed by presence of border erythema (0Á694) and colour (0Á59). Conclusions Wart phenotype can be reliably assessed using the CWARTS diagnostic tool.

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“…This generalization allows the dermatologist to determine whether a biopsy should be performed, even if they do not perform the full scoring BRAAFF checklist. This approach is similar to our previously established ASAP algorithm (ASAP: A Simple And Practical approach) that can be used to determine whether nonacral melanocytic lesions require biopsy . We believe that, if used correctly, the BRAAFF algorithm will allow dermatologists to confidently and correctly diagnose truly benign acral naevi.…”

mentioning

confidence: 91%