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Strouphauer ER, Lohray R, Verma KK, Lewis DJ. The role of hairdressers in early detection of scalp and neck melanoma. Arch Dermatol Res 2024; 316:430. [PMID: 38913132 DOI: 10.1007/s00403-024-03158-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2024] [Revised: 05/10/2024] [Accepted: 06/05/2024] [Indexed: 06/25/2024]
Affiliation(s)
| | - Rishabh Lohray
- College of Medicine, Baylor College of Medicine, Houston, TX, USA
| | - Kritin K Verma
- School of Medicine, Texas Tech University Health Sciences Center, Lubbock, TX, USA
| | - Daniel J Lewis
- Department of Dermatology, University of Pennsylvania, Philadelphia, PA, USA.
- Penn Dermatology Oncology Center, Perelman School of Medicine, University of Pennsylvania, 3400 Civic Center Boulevard, Suite 1-330S, Philadelphia, PA, 19104, USA.
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Barlow R, Shah A, Mohandas P. Pigmented skin lesions. BMJ 2024; 385:e077845. [PMID: 38857912 DOI: 10.1136/bmj-2023-077845] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/12/2024]
Affiliation(s)
- Richard Barlow
- Birmingham Queen Elizabeth Hospital, Birmingham, UK
- Patient author
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Ali S, Collins M, Pupo Wiss I, Burns L, Hagigeorges D, Pickford J, Senna M. Improving hairdressers' knowledge and identification of scarring alopecia using an educational video. Int J Womens Dermatol 2023; 9:e079. [PMID: 37073365 PMCID: PMC10106178 DOI: 10.1097/jw9.0000000000000079] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2022] [Accepted: 02/11/2023] [Indexed: 04/20/2023] Open
Affiliation(s)
- Shaheir Ali
- Department of Dermatology, Lahey Hospital and Medical Center, Burlington, Massachusetts
| | - Maya Collins
- Department of Dermatology, Lahey Hospital and Medical Center, Burlington, Massachusetts
| | - Isabel Pupo Wiss
- Department of Dermatology, Lahey Hospital and Medical Center, Burlington, Massachusetts
| | - Laura Burns
- Department of Dermatology, Lahey Hospital and Medical Center, Burlington, Massachusetts
| | - Dina Hagigeorges
- Department of Dermatology, Lahey Hospital and Medical Center, Burlington, Massachusetts
| | | | - Maryanne Senna
- Department of Dermatology, Lahey Hospital and Medical Center, Burlington, Massachusetts
- Harvard Medical School, Boston, Massachusetts
- *Corresponding author. E-mail address: (M. Senna)
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Gibbs DC, Ng S, Baranowski MLH, Reddy S, Bederman A, Bean MB, Eisenstadt R, Chen SC. Skin cancer surveillance practices and attitudes among hairdressers: A cross-sectional study in Atlanta, Georgia. J Am Acad Dermatol 2023; 88:155-158. [PMID: 31325550 PMCID: PMC7374908 DOI: 10.1016/j.jaad.2019.07.034] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2019] [Revised: 07/11/2019] [Accepted: 07/11/2019] [Indexed: 01/03/2023]
Affiliation(s)
- David C Gibbs
- Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia; Emory University School of Medicine, Emory University, Atlanta, Georgia
| | - Spencer Ng
- Department of Dermatology, Northwestern University Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Marissa L H Baranowski
- Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia; Emory University School of Medicine, Emory University, Atlanta, Georgia
| | | | - Annelise Bederman
- Emory University School of Medicine, Emory University, Atlanta, Georgia
| | - Marta B Bean
- Emory University School of Medicine, Emory University, Atlanta, Georgia
| | - Rachel Eisenstadt
- Emory University School of Medicine, Emory University, Atlanta, Georgia
| | - Suephy C Chen
- Emory University School of Medicine, Emory University, Atlanta, Georgia; Department of Dermatology, Emory University, Atlanta, Georgia; Division of Dermatology, Atlanta VA Medical Center, Atlanta, Georgia.
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Licata G, Scharf C, Ronchi A, Pellerone S, Argenziano G, Verolino P, Moscarella E. Diagnosis and Management of Melanoma of the Scalp: A Review of the Literature. Clin Cosmet Investig Dermatol 2021; 14:1435-1447. [PMID: 34675579 PMCID: PMC8504470 DOI: 10.2147/ccid.s293115] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2021] [Accepted: 09/22/2021] [Indexed: 12/17/2022]
Abstract
Cutaneous melanoma is a public health issue and the head and neck region is of particular interest, despite accounting for only 9.0% of the total body surface, it harbours 20% of melanoma cases. Data from the literature show that scalp melanomas (SM) carry high mortality rates, with a 10-year survival rate of 60% which lead them to be named as the “invisible killer”. Moreover, SMs are more common in the elderly than in young population, and they occur six times more frequently in men than in women. This is probably related to the higher incidence of androgenetic alopecia and a higher cumulative and intermittent ultraviolet damage on the scalp. Histologically, SM is a heterogenous group, including lentiginous melanoma (LM), desmoplastic melanoma, superficial spreading and nodular melanoma. Thin melanomas tend to display an atypical network or pseudo-network and regression in dermoscopy. Blue-white veil, irregular pigmented blotches and an unspecific pattern are most commonly detected in thick lesions. On reflectance confocal microscopy (RCM), the most frequent pattern is irregular meshwork, but also ringed and disarranged pattern have been described. Differential diagnosis includes benign solar lentigo, actinic keratoses, lichen planus like keratosis, melanocytic nevi and blue nevi. All suspicious lesions should be biopsied; therefore, an excisional biopsy with 2 mm margins is usually the best option. The management of SM is the same as for melanoma on other body sites. However, sentinel node biopsy tends to be more challenging, as well as achieving adequate excision margins of the primary tumor. In this review, we summarize clinical, pathologic, dermoscopic and RCM features of SM, and focus on its epidemiology, risk factors and best management options.
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Affiliation(s)
- Gaetano Licata
- Dermatology Unit, Department of Mental and Physical Health and Preventive Medicine, University of Campania Luigi Vanvitelli Naples, Naples, Italy
| | - Camila Scharf
- Dermatology Unit, Department of Mental and Physical Health and Preventive Medicine, University of Campania Luigi Vanvitelli Naples, Naples, Italy
| | - Andrea Ronchi
- Pathology Unit, Department of Mental and Physical Health and Preventive Medicine, University of Campania Luigi Vanvitelli Naples, Naples, Italy
| | - Sebastiano Pellerone
- Dermatology Unit, Department of Mental and Physical Health and Preventive Medicine, University of Campania Luigi Vanvitelli Naples, Naples, Italy
| | - Giuseppe Argenziano
- Dermatology Unit, Department of Mental and Physical Health and Preventive Medicine, University of Campania Luigi Vanvitelli Naples, Naples, Italy
| | - Pasquale Verolino
- Plastic Surgery Unit, Multidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania Luigi Vanvitelli Naples, Naples, Italy
| | - Elvira Moscarella
- Dermatology Unit, Department of Mental and Physical Health and Preventive Medicine, University of Campania Luigi Vanvitelli Naples, Naples, Italy
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Pearlman RL, Wilkerson AH, Ferris TS, Griffin DB, Cobb EK, McCowan HK, Bhattacharya K, Leo JT, Melton SC, Nahar VK. Skin cancer knowledge, attitudes, and practices among non-medical skin care professionals: A narrative review of cross-sectional and interventional studies. J Cosmet Dermatol 2021; 20:2437-2457. [PMID: 34047438 DOI: 10.1111/jocd.14260] [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: 04/13/2021] [Accepted: 05/20/2021] [Indexed: 11/29/2022]
Abstract
BACKGROUND Skin cancers are the most common malignancies in the United States. Total body skin examination by a physician, especially a dermatologist, is the gold standard for detecting suspicious lesions that may require further evaluation. Non-medical professionals (NMPs) including massage therapists, estheticians, hairdressers, and cosmetologists have the unique opportunity to frequently examine their client's skin outside of a clinical setting. By evaluating their knowledge of and comfort with evaluation of suspicious lesions, multiple studies have gauged the utility of patient encounters with NMPs for skin cancer detection. Several studies have also focused on assessment of intervention strategies for assessing and improving NMPs ability to detect suspicious lesions and to refer for physician evaluation when necessary. AIMS To conduct a narrative review of skin cancer knowledge, attitudes, and practices among NMPs. PATIENTS/METHODS A systematic search of the databases yielded 16 studies for review. A total of 8 cross-sectional studies examined the knowledge and attitudes of NMPs toward skin evaluation, and 8 studies assessed interventional strategies for improving NMPs' ability to assess skin lesions for consideration of physician referral. RESULTS This review finds that NMPs are open to the idea of examining the exposed body surfaces relevant to their work with clients and are willing to refer for physician evaluation when needed. Multiple interventional strategies have demonstrated success with educating NMPs on the importance of skin surveillance and the characteristic physical examination findings associated with skin cancers. CONCLUSION Strengthening the readiness of NMPs to examine their client's skin offers an opportunity to reduce time to skin cancer diagnosis, improve patient outcomes, and lower healthcare-associated costs of skin cancer treatment.
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Affiliation(s)
- Ross L Pearlman
- Department of Dermatology, School of Medicine, University of Mississippi Medical Center, Jackson, MS, USA
| | - Amanda H Wilkerson
- Department of Human Environmental Sciences, College of Human Environmental Sciences, The University of Alabama, Tuscaloosa, AL, USA
| | - Taylor S Ferris
- Department of Dermatology, School of Medicine, University of Mississippi Medical Center, Jackson, MS, USA
| | - David B Griffin
- University of Washington School of Medicine, Seattle, WA, USA
| | - Emily K Cobb
- Department of Dermatology, School of Medicine, University of Mississippi Medical Center, Jackson, MS, USA
| | - Hannah K McCowan
- Department of Dermatology, School of Medicine, University of Mississippi Medical Center, Jackson, MS, USA
| | - Kaustuv Bhattacharya
- Department of Pharmacy Administration, University of Mississippi, University, Jackson, MS, USA
| | - Jonathan T Leo
- Edward Via College of Osteopathic Medicine, Auburn, AL, USA
| | - Sheree C Melton
- Department of Family Medicine, School of Medicine, University of Mississippi Medical Center, Jackson, MS, USA
| | - Vinayak K Nahar
- Department of Dermatology, School of Medicine, University of Mississippi Medical Center, Jackson, MS, USA.,Department of Preventive Medicine, School of Medicine/John D. Bower School of Population Health, University of Mississippi Medical Center, Jackson, MS, USA
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Pereira AR, Collgros H, Guitera P, Benati E, Longo C, Argenziano G, Dika E, Lambertini M, Menzies SW, Lobato Williams A, Gallo BM, Hirata SH. Melanomas of the scalp: is hair coverage preventing early diagnosis? Int J Dermatol 2020; 60:340-346. [PMID: 33128467 DOI: 10.1111/ijd.15283] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/31/2020] [Accepted: 10/06/2020] [Indexed: 12/11/2022]
Abstract
BACKGROUND Scalp melanomas are usually thicker and show worse prognosis than other sites and other head and neck melanomas. One hypothesis to explain this aggressive behavior could be diagnosis delay attributed to hair concealment of lesions. METHODS Primary melanomas of the scalp diagnosed over two decades at four reference centers in Australia and Italy were included. Hair coverage and visibility of the lesions were assessed on preoperative photographic documentation by two investigators and correlated with some prognostic factors (Breslow thickness, mitotic rate, and ulceration). Patients records and pathology reports provided clinical and histological data. RESULTS The majority of 113 melanomas included were located on easily visible areas of the scalp - hairless scalp (49%) or hairline (15%). The remaining ones (36%), considered to be hair-covered, showed more frequently thinning of hair (63%) than a dense hair coverage (37%). Melanomas of "hairy scalps" were more frequently invasive (81%) and had higher median Breslow (0.8 ± 1.3 mm) than those arising on bald scalps or areas with thinning of hair (43%; 0 ± 0.6 mm), P = 0.004. However, when considering only the invasive cases (n = 55), Breslow thickness and mitotic rate were not statistically different between concealed and easily visible areas. Melanomas detected by a doctor were thinner than those first noticed by the patient, relatives, or a hairdresser (P < 0.001). CONCLUSIONS Most scalp melanomas arose on easily visible areas, which are more prone to ultraviolet damage. Hair-covered ones, despite rare, could be overlooked during examination. Proactive screening of the scalp area should be encouraged.
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Affiliation(s)
- Amanda Regio Pereira
- Sydney Melanoma Diagnostic Centre, Royal Prince Alfred Hospital, Sydney, NSW, Australia.,Federal University of Sao Paulo, Sao Paulo, Brazil.,Discipline of Dermatology, Sydney Medical School, The University of Sydney, Sydney, NSW, Australia
| | - Helena Collgros
- Sydney Melanoma Diagnostic Centre, Royal Prince Alfred Hospital, Sydney, NSW, Australia.,Discipline of Dermatology, Sydney Medical School, The University of Sydney, Sydney, NSW, Australia
| | - Pascale Guitera
- Sydney Melanoma Diagnostic Centre, Royal Prince Alfred Hospital, Sydney, NSW, Australia.,Discipline of Dermatology, Sydney Medical School, The University of Sydney, Sydney, NSW, Australia.,Melanoma Institute Australia, Sydney, NSW, Australia
| | - Elisa Benati
- Centro oncologico ad Alta Tecnologia Diagnostica, Azienda Unità Sanitaria Locale - IRCCS di Reggio Emilia, Reggio Emilia, Italy
| | - Caterina Longo
- Centro oncologico ad Alta Tecnologia Diagnostica, Azienda Unità Sanitaria Locale - IRCCS di Reggio Emilia, Reggio Emilia, Italy.,Department of Dermatology, University of Modena and Reggio Emilia, Modena, Italy
| | | | - Emi Dika
- Dermatology, Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Bologna, Italy
| | - Martina Lambertini
- Dermatology, Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Bologna, Italy
| | - Scott W Menzies
- Sydney Melanoma Diagnostic Centre, Royal Prince Alfred Hospital, Sydney, NSW, Australia.,Discipline of Dermatology, Sydney Medical School, The University of Sydney, Sydney, NSW, Australia
| | | | - Bruna M Gallo
- Sydney Melanoma Diagnostic Centre, Royal Prince Alfred Hospital, Sydney, NSW, Australia.,Melanoma Institute Australia, Sydney, NSW, Australia
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