Abstract
Up until now, only lesions selected on the basis of their clinical atypia or which appear equivocal on naked eye examination have been shown to benefit from the use of dermoscopy. In our experience, dermoscopic evaluation of lesions located on the face may require a different approach, as a histopathological diagnosis of malignancy is not uncommon in clinically trivial lesions (i.e. lesions lacking the ABCD criteria for clinical suspicion). Moreover, at this site dermoscopy reveals specific criteria according to the particular histological architecture shown by sun-damaged skin. We report four cases of lentigo maligna (LM) of the face whose identification depended on dermoscopic examination which was performed routinely on all facial lesions, as the lesions did not show ABCD clinical criteria for malignancy. In our experience, the identification of early signs of malignancy by dermoscopy may indicate the excision of LM at an early phase, before the lesion is associated with the ABCD signs of melanoma. Dermatologists should avoid the mistake of immediately excluding a diagnosis of malignancy when examining an ABCD-negative pigmented skin lesion of the face.
| Original language | English |
|---|---|
| Pages (from-to) | 361-364 |
| Number of pages | 4 |
| Journal | British Journal of Dermatology |
| Volume | 152 |
| Issue number | 2 |
| DOIs | |
| Publication status | Published - Feb 2005 |
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Keywords
- Dermoscopy
- Hutchinson's lentigo
- Lentigo maligna
- Melanoma
- Skin cancer
ASJC Scopus subject areas
- Dermatology
Cite this
Dermoscopy for early detection of facial lentigo maligna. / Stante, M.; Giorgi, V.; Stanganelli, I.; Alfaioli, B.; Carli, P.
In: British Journal of Dermatology, Vol. 152, No. 2, 02.2005, p. 361-364.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Dermoscopy for early detection of facial lentigo maligna
AU - Stante, M.
AU - Giorgi, V.
AU - Stanganelli, I.
AU - Alfaioli, B.
AU - Carli, P.
PY - 2005/2
Y1 - 2005/2
N2 - Up until now, only lesions selected on the basis of their clinical atypia or which appear equivocal on naked eye examination have been shown to benefit from the use of dermoscopy. In our experience, dermoscopic evaluation of lesions located on the face may require a different approach, as a histopathological diagnosis of malignancy is not uncommon in clinically trivial lesions (i.e. lesions lacking the ABCD criteria for clinical suspicion). Moreover, at this site dermoscopy reveals specific criteria according to the particular histological architecture shown by sun-damaged skin. We report four cases of lentigo maligna (LM) of the face whose identification depended on dermoscopic examination which was performed routinely on all facial lesions, as the lesions did not show ABCD clinical criteria for malignancy. In our experience, the identification of early signs of malignancy by dermoscopy may indicate the excision of LM at an early phase, before the lesion is associated with the ABCD signs of melanoma. Dermatologists should avoid the mistake of immediately excluding a diagnosis of malignancy when examining an ABCD-negative pigmented skin lesion of the face.
AB - Up until now, only lesions selected on the basis of their clinical atypia or which appear equivocal on naked eye examination have been shown to benefit from the use of dermoscopy. In our experience, dermoscopic evaluation of lesions located on the face may require a different approach, as a histopathological diagnosis of malignancy is not uncommon in clinically trivial lesions (i.e. lesions lacking the ABCD criteria for clinical suspicion). Moreover, at this site dermoscopy reveals specific criteria according to the particular histological architecture shown by sun-damaged skin. We report four cases of lentigo maligna (LM) of the face whose identification depended on dermoscopic examination which was performed routinely on all facial lesions, as the lesions did not show ABCD clinical criteria for malignancy. In our experience, the identification of early signs of malignancy by dermoscopy may indicate the excision of LM at an early phase, before the lesion is associated with the ABCD signs of melanoma. Dermatologists should avoid the mistake of immediately excluding a diagnosis of malignancy when examining an ABCD-negative pigmented skin lesion of the face.
KW - Dermoscopy
KW - Hutchinson's lentigo
KW - Lentigo maligna
KW - Melanoma
KW - Skin cancer
UR - http://www.scopus.com/inward/record.url?scp=14844317609&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=14844317609&partnerID=8YFLogxK
U2 - 10.1111/j.1365-2133.2004.06328.x
DO - 10.1111/j.1365-2133.2004.06328.x
M3 - Article
VL - 152
SP - 361
EP - 364
JO - British Journal of Dermatology
JF - British Journal of Dermatology
SN - 0007-0963
IS - 2
ER -