Aspect en dermatoscopie et en microscopie confocale par réflectance d'un mélanome en thèques du sujet âgé

Translated title of the contribution: Dermatoscopy and reflectance confocal microscopy aspects of a nested melanoma of the elderly

A. Casari, E. Cinotti, A. M. Cesinaro, G. Pellacani, C. Longo

Research output: Contribution to journalArticle

Abstract

Background.-We report a case of a nested melanoma of the elderly, a recently describedentity, and we describe its aspect under confocal reflectance microscopy.Patients and methods.-A 70-year-old woman presented a pigmented lesion of the left legmeasuring 2 × 2.5 cm in diameter which was increasing in size. Dermatoscopic examinationshowed a predominantly globular pattern, with globules of irregular color and distribution.Reflectance confocal microscopy revealed the presence of dense nests at the dermo-epidermaljunction with cytologic atypia and pagetoid cells. The histological appearance was overlappingand a diagnosis of nested melanoma of the elderly was made.Comments.-The presence in an older subject of a large pigmented lesion with an irregularglobular pattern should be suspected of nested melanoma of the elderly. Reflectance confocalmicroscopy may be useful in the case of such difficult lesions to proceed with more confidenceto surgical excision.

Translated title of the contributionDermatoscopy and reflectance confocal microscopy aspects of a nested melanoma of the elderly
Original languageFrench
Pages (from-to)458-461
Number of pages4
JournalAnnales de Dermatologie et de Venereologie
Volume141
Issue number6-7
DOIs
Publication statusPublished - 2014

Keywords

  • Elderly
  • In vivo reflectanceconfocal microscopy
  • Melanoma
  • Nest
  • Nested melanoma ofthe elderly
  • Non-invasive imaging

ASJC Scopus subject areas

  • Dermatology
  • Medicine(all)

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