2001
DOI: 10.1001/archderm.137.12.1590
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Risks and Benefits of Sequential Imaging of Melanocytic Skin Lesions in Patients With Multiple Atypical Nevi

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Cited by 92 publications
(72 citation statements)
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“…Lesions meeting melanoma-specific criteria were not entered into the study to be followed for change over time because they were surgically removed before entry into the study. Atypical nevi had 1 or 2 of the following ELM features described by Kittler et al 25,26 : an irregular or nonuniform pigment network, irregular overall pigmentation, asymmetry of color or contour along 1 axis, central black dots, radial streaming, and scarlike depigmentation. [26][27][28] All clinically atypical nevi 3 mm or more in diameter and selected common nevi greater than 5 mm in diameter were electronically archived.…”
Section: Delm Techniquementioning
confidence: 94%
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“…Lesions meeting melanoma-specific criteria were not entered into the study to be followed for change over time because they were surgically removed before entry into the study. Atypical nevi had 1 or 2 of the following ELM features described by Kittler et al 25,26 : an irregular or nonuniform pigment network, irregular overall pigmentation, asymmetry of color or contour along 1 axis, central black dots, radial streaming, and scarlike depigmentation. [26][27][28] All clinically atypical nevi 3 mm or more in diameter and selected common nevi greater than 5 mm in diameter were electronically archived.…”
Section: Delm Techniquementioning
confidence: 94%
“…19,20 Digital ELM assists in short-term digital monitoring of suspicious nevi (which are followed for 3 months, and those with changes are excised 21 ) and long-term surveillance of nevi. [22][23][24][25][26] We report our experience with a population with multiple atypical nevi followed annually with DELM using defined criteria of change for biopsy of nevi. tologist (J.K.R.)…”
Section: Lthough Experiencedmentioning
confidence: 99%
“…11 The ability to track disease progression and search image databases by patient age, sex, location of image, disease process, procedure, and date would be particularly helpful. [19][20][21][22] While this is currently the rare exception, an EMR system is maximally effective when the entire health care system shares information. Optimally, new laboratory values, radiology reports, dermatopathology reports, and consultations from other physicians are flagged for daily review and then automatically inserted into the EHR.…”
Section: Effect On Quality Of Carementioning
confidence: 99%
“…The possibility that a patient may not turn up for the subsequent follow-up should also be taken into account [10,16,17,18,19,20,21,22,23]. However, it is clear that melanocytic lesions with features of nevus-like melanoma can benefit from short-term digital monitoring [21].…”
Section: Discussionmentioning
confidence: 99%