126
|
Savoia F, Ravaioli GM, Tabanelli M, Dika E, Patrizi A. Scraping test for the diagnosis of acral subcorneal hemorrhage. J Am Acad Dermatol 2019; 81:e29-e30. [DOI: 10.1016/j.jaad.2019.01.068] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2018] [Revised: 01/23/2019] [Accepted: 01/27/2019] [Indexed: 10/26/2022]
|
127
|
Ricci C, Dika E, Di Nanni DD, Zannetti G, Lambertini M, Corti B. Could EMA and cytokeratin 7 be useful in distinguishing tricholemmal carcinoma from clear-cell squamous cell carcinoma? A case series from our department and a brief review of the literature. Acta Histochem 2019; 121:765-767. [PMID: 31230705 DOI: 10.1016/j.acthis.2019.06.002] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2019] [Revised: 05/07/2019] [Accepted: 06/05/2019] [Indexed: 11/27/2022]
Abstract
Tricholemmal carcinoma is a malignant cutaneous adnexal tumor showing outer root sheath differentiation, thought to be the malignant counterpart of trichilemmoma. Although the real existence of tricholemmal carcinoma continues to be a matter of debate, it has been introduced in the recently published 4th edition of World Health Organization classification of skin tumors. Herein, we evaluated whether immunohistochemistry (EMA, CK7, CK5/14, p63, p16, and Ber-EP4) supports tricholemmal carcinoma as a separate entity and whether it could be useful in this differential diagnosis. A total of 9 cases, 3 tricholemmal carcinomas and 6 clear-cell squamous cell carcinomas were evaluated on the basis of histological criteria suggested by the WHO. In our opinion, although these results need to be validated in larger series, they support tricholemmal carcinoma as a separate entity and suggest an immunohistochemical profile (clear-cell squamous cell carcinomas: EMA diffusely positive, CK7 negative; tricholemmal carcinoma: EMA negative, CK7 patchy or moderately positive) that could be useful for this differential diagnosis.
Collapse
|
128
|
Vaccari S, Barisani A, Dika E, Fanti PA, D'antuono A, Gaspari V, Tosti G, Patrizi A. Genital bowenoid papulosis: the variegated dermoscopic features. Ital J Dermatol Venerol 2019; 153:595-597. [PMID: 29767494 DOI: 10.23736/s0392-0488.17.05736-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
|
129
|
Dika E, Veronesi G, Misciali C, Corti B, Dika I, Riefolo M, Scarfì F, Lambertini M, Patrizi A. Malignant Melanoma Cells and Hair Follicles. Am J Clin Pathol 2019; 152:109-114. [PMID: 31165166 DOI: 10.1093/ajcp/aqz029] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
OBJECTIVES The extension of atypical melanocytes to the hair follicle, also termed melanoma folliculotropism, is poorly evaluated and its role is contradictory. We performed an observational study focusing on anatomical areas rich in follicles, such as the head and neck region. METHODS Primary head and neck melanomas diagnosed in the Melanoma Unit, Policlinic Sant'Orsola-Malpighi, University of Bologna were analyzed. Folliculotropism was evaluated with a quantitative and morphologic parameter. Statistical analyses were performed correlating patients' prognosis with folliculotropism and other clinical and histopathologic factors. RESULTS The study was carried out on a sample of 62 patients. The diffuse distribution (atypical melanocytes present in more than three contiguous follicular units) correlated with scalp localization, nodular subtype, higher Breslow thickness, and a poorer prognosis. CONCLUSIONS We believe that folliculotropism should be further investigated and reported by pathologists during the histologic diagnosis of melanoma.
Collapse
|
130
|
Moscarella E, Pellegrini C, Pampena R, Argenziano G, Manfredini M, Martorelli C, Ciarrocchi A, Dika E, Peris K, Antonini A, Cipolloni G, Alfano R, Longo C, Fargnoli MC. Dermoscopic similarity is an independent predictor of BRAF mutational concordance in multiple melanomas. Exp Dermatol 2019; 28:829-835. [PMID: 31034104 DOI: 10.1111/exd.13951] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2019] [Revised: 04/17/2019] [Accepted: 04/24/2019] [Indexed: 11/30/2022]
Abstract
BACKGROUND The association of clinical and dermoscopic features with BRAF mutational status has been poorly analysed in multiple primary melanomas (MPM). OBJECTIVE To investigate whether concordance of BRAF mutational status is associated with dermoscopic similarity in multiple melanomas of the same patient. METHODS Dermoscopic images and corresponding tissue sections of 124 melanomas from 62 patients with MPM were selected at four Italian Dermatology Departments. Similarity of dermoscopic appearance between multiple melanomas was evaluated according to the presence of the same prevalent dermoscopic feature. The BRAFV600 mutational status was analysed with allele-specific TaqManTM assays or pyrosequencing. Spearman's correlation and univariate and multivariate regression analysis were used for statistical analysis. RESULTS A similar dermoscopic appearance was identified in 38.7% (24/62) of patients with MPM and was correlated with older age at first diagnosis (rho: 0.26; P: 0.042) and occurrence on sun-damaged skin (rho: 0.27; P: 0.037). The BRAFV600 mutation was detected in 39.5% (49/124) of the tumors and a concordant BRAF mutational status between melanomas in 33/62 (53.2%) MPM patients. Dermoscopically similar melanomas showed 5.7-fold higher odds to be concordant for BRAF mutational status compared to dissimilar lesions (OR: 5.7; 95% CI 1.7-19.5; P: 0.005). CONCLUSION Dermoscopic similarity of multiple melanomas represents an independent clinical predictor of a concordant BRAF mutational status in MPM patients.
Collapse
|
131
|
Barisani A, Chessa MA, Patrizi A, Savoia F, Dika E, Vaccari S. The variegated dermoscopic features of pigmented eccrine poroma: a single institution experience. Ital J Dermatol Venerol 2019. [DOI: 10.23736/s0392-0488.19.06300-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
|
132
|
D’Antuono A, Lambertini M, Gaspari V, La Placa M, Sgubbi P, Filippini A, Maglie R, Dika E. Visual Dermatology: Self-Induced Chronic Saxophone Penis Due to Paraffin Injections. J Cutan Med Surg 2019; 23:330. [DOI: 10.1177/1203475419826971] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
|
133
|
Scarfì F, Lacava R, Patrizi A, Tartari F, Ravaioli GM, Veronesi G, Lambertini M, Dika E. Follicular psoriasis induced by pembrolizumab in a patient with advanced non‐small‐cell lung cancer. Int J Dermatol 2019; 58:e151-e152. [DOI: 10.1111/ijd.14457] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/13/2019] [Accepted: 03/18/2019] [Indexed: 12/13/2022]
|
134
|
Scarfì F, Gori A, Topa A, Trane L, Dika E, Broganelli P, Massi D, De Giorgi V. Image Gallery:
In vivo
fluorescence‐advanced videodermatoscopy for the characterization of skin melanocytic pigmented lesions. Br J Dermatol 2019; 180:e104. [DOI: 10.1111/bjd.17457] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
|
135
|
Dika E, Lambertini M, Fanti PA, Scarfì F, Corti B, Altimari A, Ceccarelli C, Pesci S, Evangelista V, Patrizi A. Braf-V600e immunohistochemical analyses in a series of 15, Caucasian patients affected by lentigo maligna. Acta Histochem 2019; 121:380-381. [PMID: 30797564 DOI: 10.1016/j.acthis.2019.02.003] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2019] [Revised: 02/12/2019] [Accepted: 02/13/2019] [Indexed: 10/27/2022]
|
136
|
Scarfì F, Gori A, Silvestri F, Trane L, Portelli F, Maida P, Dika E, Broganelli P, Massi D, De Giorgi V. Fluorescence‐advanced videodermatoscopy: A promising and potential technique for the in vivo evaluation of vitiligo. Dermatol Ther 2019; 32:e12863. [DOI: 10.1111/dth.12863] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2018] [Revised: 01/12/2019] [Accepted: 02/10/2019] [Indexed: 11/29/2022]
|
137
|
Vaccari S, Barisani A, Tosti G, Pirola S, Dika E, D'Antuono A, Gaspari V, Patrizi A. Vulval squamous cell carcinoma: a clinicodermoscopic correlation. Clin Exp Dermatol 2019; 44:939-941. [DOI: 10.1111/ced.13934] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/17/2019] [Indexed: 12/21/2022]
|
138
|
Scarfì F, Melotti B, Veronesi G, Ravaioli GM, Baraldi C, Lambertini M, Patrizi A, Dika E. Sweet syndrome in metastatic melanoma during treatment with dabrafenib and trametinib. Australas J Dermatol 2019; 60:e242-e243. [DOI: 10.1111/ajd.13001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
|
139
|
Traniello Gradassi A, Baraldi C, Patrizi A, Dika E. Eosinophilic ulcer of the oral mucosa. Ital J Dermatol Venerol 2019; 156:719-720. [PMID: 30717576 DOI: 10.23736/s2784-8671.19.06296-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
|
140
|
Traniello Gradassi A, Baraldi C, Patrizi A, Dika E. Eosinophilic ulcer of the oral mucosa. A case report. Ital J Dermatol Venerol 2019. [DOI: 10.23736/s0392-0488.19.06296-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
|
141
|
Dika E, Patrizi A, Lambertini M, Scarfì F, Fanti PA. Comment on 'Diagnostic accuracy of ex vivo fluorescence confocal microscopy for Mohs surgery of basal cell carcinomas: a prospective study on 753 margins'. Br J Dermatol 2019; 180:1559. [PMID: 30671937 DOI: 10.1111/bjd.17686] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
|
142
|
Dika E, Fanti PA, Patrizi A, Christman H, Baraldi C, Lambertini M. Unsuccessful treatment of penile intraepithelial neoplasia with Mohs micrographic surgery. Ital J Dermatol Venerol 2019; 156:20-22. [PMID: 30650955 DOI: 10.23736/s2784-8671.18.06230-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
|
143
|
Dika E, Fanti PA, Patrizi A, Christman H, Baraldi C, Lambertini M. Unsuccessful treatment of penile intraepithelial neoplasia with Mohs micrographic surgery. GIORNALE ITALIANO DI DERMATOLOGIA E VENEREOLOGIA : ORGANO UFFICIALE, SOCIETA ITALIANA DI DERMATOLOGIA E SIFILOGRAFIA 2019. [PMID: 30650955 DOI: 10.23736/s0392-0488.18.06230-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
|
144
|
Di Altobrando A, Scarfì F, Misciali C, Patrizi A, Dika E. In‐transit melanoma metastases. Int J Dermatol 2019; 58:844-845. [DOI: 10.1111/ijd.14377] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/10/2018] [Revised: 12/03/2018] [Accepted: 12/11/2018] [Indexed: 11/28/2022]
|
145
|
Riefolo M, Porcellini E, Dika E, Broseghini E, Ferracin M. Interplay between small and long non-coding RNAs in cutaneous melanoma: a complex jigsaw puzzle with missing pieces. Mol Oncol 2019; 13:74-98. [PMID: 30499222 PMCID: PMC6322194 DOI: 10.1002/1878-0261.12412] [Citation(s) in RCA: 29] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2018] [Revised: 10/20/2018] [Accepted: 10/23/2018] [Indexed: 12/12/2022] Open
Abstract
The incidence of cutaneous melanoma (CM) has increased in the past few decades. The biology of melanoma is characterized by a complex interaction between genetic, environmental and phenotypic factors. A greater understanding of the molecular mechanisms that promote melanoma cell growth and dissemination is crucial to improve diagnosis, prognostication, and treatment of CM. Both small and long non-coding RNAs (lncRNAs) have been identified to play a role in melanoma biology; microRNA and lncRNA expression is altered in transformed melanocytes and this in turn has functional effects on cell proliferation, apoptosis, invasion, metastasis, and immune response. Moreover, specific dysregulated ncRNAs were shown to have a diagnostic or prognostic role in melanoma and to drive the establishment of drug resistance. Here, we review the current literature on small and lncRNAs with a role in melanoma, with the aim of putting into some order this complex jigsaw puzzle.
Collapse
|
146
|
Lambertini M, Vincenzi C, Dika E, La Placa M. Chilblain Lupus with Nail Involvement: A Case Report and a Brief Overview. Skin Appendage Disord 2018; 5:42-45. [PMID: 30643780 PMCID: PMC6323373 DOI: 10.1159/000488543] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2017] [Accepted: 03/16/2018] [Indexed: 05/24/2024] Open
Abstract
Chilblain lupus erythematosus is a rare, chronic variant of cutaneous lupus erythematosus that occurs during cold or damp periods on the hands, fingers, or feet. It is often associated with other forms of cutaneous lupus and about 20% of patients develop systemic lupus erythematosus. Various medications have been put forward, including steroids, mycophenolate mofetil, calcium channel blockers, and hydroxychloroquine, but the symptoms do not remit completely.
Collapse
|
147
|
Starace M, Alessandrini A, Dika E, Piraccini BM. Squamous cell carcinoma of the nail unit. Dermatol Pract Concept 2018. [DOI: 10.5826/dpc.0803a017] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022] Open
|
148
|
Sacchelli L, Sechi A, Neri I, Gurioli C, Baraldi C, Misciali C, Patrizi A, Dika E. Degos disease in three patients with a common systemic involvement. GIORN ITAL DERMAT V 2018; 155:237-239. [PMID: 30375206 DOI: 10.23736/s0392-0488.18.05930-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
|
149
|
Ravaioli GM, Baraldi C, Dika E, Fanti PA, Misciali C. An Ulcerated Reddish Nodule of the Chest: When You See, Think …. Dermatopathology (Basel) 2018; 5:117-120. [PMID: 30345275 PMCID: PMC6180268 DOI: 10.1159/000491923] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2018] [Accepted: 07/08/2018] [Indexed: 11/19/2022] Open
Abstract
A 97-year-old man with a previous personal history of multiple nonmelanoma skin cancers presented with a fast-growing, ulcerated reddish nodule on his chest. The nodule was surgically removed, and hematoxylin and eosin stains of the specimen showed an asymmetrical, nonpigmented lesion with architectural and structural impairment, round cells with clear, whitish, foamy cytoplasm, multiple dermal mitoses and nuclear pleomorphism. Our first hypothesis was sebaceous carcinoma, a rare malignant neoplasm derived from epithelial cells showing sebaceous differentiation. A further histopathologic examination showed the presence of pigment in a few areas of the neoplasm. On immunohistochemical study, neoplastic cells were negative for wide-spectrum cytokeratin and diffusely positive for S-100, MART-1, and HMB-45 proteins. Our final diagnosis was nodular malignant melanoma (MM) with balloon epithelioid cells, a “bizarre” presentation of MM in vertical growth phase, mimicking metastatic and primary neoplasms of different lineage derivations.
Collapse
|
150
|
Sacchelli L, Baraldi C, Misciali C, Dika E, Ravaioli GM, Fanti PA. Neoplastic Leg Ulcers. Dermatopathology (Basel) 2018; 5:113-116. [PMID: 30345274 PMCID: PMC6180274 DOI: 10.1159/000491922] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2018] [Accepted: 07/08/2018] [Indexed: 12/14/2022] Open
|