The Beauty and the Beast Sign in Dermoscopy

Marghoob, Ashfaq A.; Korzenko, Adam; Changchien, Lily; Scope, Alon; Braun, Ralph P.; Rabinovitz, Harold

doi:10.1111/j.1524-4725.2007.33298.x

Cited by 21 publications

(6 citation statements)

References 16 publications

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“…A lesion was considered to have an 'organized-benign' pattern if it could be assigned to one of the nine benign patterns that were previously described by Marghoob et al 4 and were also based on the work of Hofmann-Wellenhof et al 5 In a similar vein, a lesion was considered to have an 'organizedunknown' pattern if the overall distribution of colours and structures appeared relatively organized and symmetric, while it could not be assigned to one of the aforementioned nine benign patterns. A lesion was considered 'disorganized' if it could not be assigned to one of the aforementioned nine benign patterns and the distribution of dermoscopic structures was asymmetric.…”

Section: Methodsmentioning

confidence: 99%

Changes observed in slow-growing melanomas during long-term dermoscopic monitoring

Terushkin

Dusza

Scope

et al. 2012

British Journal of Dermatology

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Section: Methodsmentioning

confidence: 99%

Changes observed in slow-growing melanomas during long-term dermoscopic monitoring

Terushkin

Dusza

Scope

et al. 2012

British Journal of Dermatology

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“…The classification of atypical nevi proposed in 2009 by Marghoob et al [10] includes patterns of melanocytic nevi of the “Beauty and the Beast” type, emphasizing the assessment of overall symmetry of colour and form as a means of distinguishing benign (also dysplastic) nevi from melanoma [10]. Melanomas can display one of the “Beast” structures such as anatypical network, globules and dots, streaks (radial streaming or pseudopods), eccentric blotches, a blue-white veil, a negative pigmented-network, regression structures and abnormal vascular formations.…”

Section: Resultsmentioning

confidence: 99%

“…Melanomas can display one of the “Beast” structures such as anatypical network, globules and dots, streaks (radial streaming or pseudopods), eccentric blotches, a blue-white veil, a negative pigmented-network, regression structures and abnormal vascular formations. Among atypical nevi of the “Beauty” type, cases of the so-called “wolf in sheep’s clothing” have been observed, where a seemingly benign nevus in fact proves to be a melanoma [10]. …”

Section: Resultsmentioning

confidence: 99%

Tips and tricks in the dermoscopy of pigmented lesions

Kamińska‐Winciorek

Śpiewak

2012

BMC Dermatol

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Dermoscopy is a useful, widely used tool for examining pigmented lesions, especially helpful in cases of an uncertain nature. Nevertheless, doctors may experience diagnostic difficulties while using this method. An example of this may be found in the examination of subcorneal hematoma, dark nevi with black lamella or lesions of acral volar skin. In such cases, a few diagnostic tricks have proven to be helpful in achieving diagnostic accuracy.This paper reviews various methods of performing dermoscopy, suggesting a number of simple, yet helpful tests. These include the adhesive tape test, the skin scraping test and the ink furrow test. The adhesive tape test is helpful in differentiating between dark melanocytic nevi and melanoma. Hematoma may be more easily differentiated with the use of the so-called skin scraping test. The confirmation of benign and melanocytic lesions of acral volar skin, on the other hand, is more accurate when using the ink furrow test. These methods have been discussed here based upon a series of literature reviews, the authors’ own experience and, also, iconography.The present article describes novel methods used in dermoscopy, helping to bring about a faster, more accurate diagnostics of those lesions which have proven to be more difficult to recognize. Helpful tricks, such as have been known to professional literature, as well as the authors’ own experience (for instance, applying urea cream to hyperkeratotic lesions or using photographs of skin lesions taken with the aid of a mobile phone camera – all prior to surgery) will surely be considered beneficial to the practitioner, be it dermatologist or any other physician.

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“…Spectral images, ranging from 400 to 1000 nm, provide information on the distribution of collagen, melanin content, and blood vessel distribution within skin lesions. 50-52 A fully automated system using 15 spectral bands between 483 nm (blue) through 951 nm (near-infrared) has been reported to achieve a 97% contour accuracy in a sample of 1856 pigmented lesions. 53 A follow-up study using multispectral analysis and an artificial neural network showed that it could recapitulate clinicians' assessments with 88% sensitivity and 80% specificity.…”

Section: Multispectral Imagingmentioning

confidence: 99%

Current and emerging technologies in melanoma diagnosis: the state of the art

Psaty

Halpern

2009

Clinics in Dermatology

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Relative to other specialties, dermatologists have been slow to adopt advanced technologic diagnostic aids. After all, most skin disease can be diagnosed by simple visual inspection, and the skin is readily accessible for a diagnostic biopsy. Diagnostic aids such as total body photography and dermoscopy improve the clinician's ability to diagnose melanoma beyond unaided visual inspection, however, and are now considered mainstream methods for early detection. Emerging technologies such as in vivo reflectance confocal microscopy are currently being investigated to determine their utility for noninvasive diagnosis of melanoma. This review summarizes the currently available cutaneous imaging devices and new frontiers in noninvasive diagnosis of skin disease. We anticipate that multimodal systems that combine different imaging technologies will further improve our ability to detect, at the bedside, melanoma at an earlier stage.

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The Beauty and the Beast Sign in Dermoscopy

Cited by 21 publications

References 16 publications

Changes observed in slow-growing melanomas during long-term dermoscopic monitoring

Changes observed in slow-growing melanomas during long-term dermoscopic monitoring

Tips and tricks in the dermoscopy of pigmented lesions

Current and emerging technologies in melanoma diagnosis: the state of the art

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