Why Perform Dermoscopy?

Menzies, Scott W.; Zalaudek, Iris

doi:10.1001/archderm.142.9.1211

Cited by 48 publications

(13 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The currently accepted best diagnostic method for melanoma diagnosis is dermoscopy [3] that is inserted as evidence ‘A' in Australian guidelines [4] and as evidence ‘B' in European guidelines [5,6,7]. …”

Section: Introductionmentioning

confidence: 99%

False-Negative Cases on Confocal Microscopy Examination: A Retrospective Evaluation and Critical Reappraisal

et al. 2016

View full text Add to dashboard Cite

Background: Confocal microscopy is a second-level examination for dermoscopically equivocal melanocytic lesions. However, the number of false-negative cases on confocal microscopy and the scenarios in which confocal microscopy may fail have not been fully elucidated. Objective: To calculate the percentage of false-negative melanomas upon reflectance confocal microscopy examination in a large series of cases. Methods: A retrospective analysis on 201 melanomas, evaluated for dermoscopic/confocal criteria of melanoma, was carried out. Results: Twenty-three melanomas out of 201 cases (11.4%) revealed a low 7-point checklist score. On confocal examination, 22 out of 23 lesions have been diagnosed correctly as melanomas. Only 1 lesion did not display melanoma features, neither upon dermoscopy nor upon confocal microscopy examination. Seven lesions out of 201 cases (3.5%) were judged as negative on confocal examination, even if 6 of them were diagnosed as melanomas by clinical and/or dermoscopic evaluation. After histopathological revision, these cases were grouped into 5 categories: (1) amelanotic melanoma (n = 1), (2) hyperkeratotic melanomas (n = 2), (3) lentiginous melanomas (n = 2), (4) melanoma with small pagetoid cells (n = 1), (5) spitzoid melanoma (n = 1). Conclusion: Confocal and dermoscopic examination, along with patient-related information and clinical history, can lead to an optimal patient management.

show abstract

Section: Introductionmentioning

confidence: 99%

False-Negative Cases on Confocal Microscopy Examination: A Retrospective Evaluation and Critical Reappraisal

et al. 2016

View full text Add to dashboard Cite

show abstract

“…1 Dermoscopy has been shown to improve diagnostic accuracy of pigmented lesions when used by practitioners with formal training. 2,3 …”

mentioning

confidence: 99%

Analysis of Globule Types in Malignant Melanoma

Xu¹,

Gupta²,

Stoecker³

et al. 2009

Arch Dermatol

View full text Add to dashboard Cite

“…In addition to increased PCM diagnostic accuracy, use of DMCP presents 2 more clear benefits: reduction of unnecessary resections and increased diagnosis of non-melanoma skin cancer (level of evidence A). 15 - 18 A randomized study showed 42% decrease in the number of unnecessary biopsies. 16 This finding is similar to a retrospective study of excisions of pigmented lesions performed before and after training in DMCP.…”

Section: Resultsmentioning

confidence: 99%

Guidelines of the Brazilian Dermatology Society for diagnosis, treatment and follow up of primary cutaneous melanoma - Part I

Castro

Messina

Loureiro

et al. 2015

An. Bras. Dermatol.

View full text Add to dashboard Cite

The last Brazilian guidelines on melanoma were published in 2002. Development in diagnosis and treatment made updating necessary. The coordinators elaborated ten clinical questions, based on PICO system. A Medline search, according to specific MeSH terms for each of the 10 questions was performed and articles selected were classified from A to D according to level of scientific evidence. Based on the results, recommendations were defined and classified according to scientific strength. The present Guidelines were divided in two parts for editorial and publication reasons. In the first part, the following clinical questions were answered: 1) The use of dermoscopy for diagnosis of primary cutaneous melanoma brings benefits for patients when compared with clinical examination? 2) Does dermoscopy favor diagnosis of nail apparatus melanoma? 3) Is there a prognostic difference when incisional or excisional biopsies are used? 4) Does revision by a pathologist trained in melanoma contribute to diagnosis and treatment of primary cutaneous melanoma? What margins should be used to treat lentigo maligna melanoma and melanoma in situ?

show abstract

Why Perform Dermoscopy?

Cited by 48 publications

References 22 publications

False-Negative Cases on Confocal Microscopy Examination: A Retrospective Evaluation and Critical Reappraisal

False-Negative Cases on Confocal Microscopy Examination: A Retrospective Evaluation and Critical Reappraisal

Analysis of Globule Types in Malignant Melanoma

Guidelines of the Brazilian Dermatology Society for diagnosis, treatment and follow up of primary cutaneous melanoma - Part I

Contact Info

Product

Resources

About