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Gupta P, Garg S, Sethy M, Behera B, Thakur V. A Solitary Firm Nodule Over Back. Indian Dermatol Online J 2024; 15:652-654. [PMID: 39050056 PMCID: PMC11265757 DOI: 10.4103/idoj.idoj_425_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2023] [Revised: 10/27/2023] [Accepted: 11/06/2023] [Indexed: 07/27/2024] Open
Affiliation(s)
- Priyansh Gupta
- Department of Dermatology and Venereology, All India Institute of Medical Sciences, Bhubaneshwar, Odisha, India
| | - Sonika Garg
- Department of Dermatology and Venereology, All India Institute of Medical Sciences, Bhubaneshwar, Odisha, India
| | - Madhusmita Sethy
- Department of Pathology, All India Institute of Medical Sciences, Bhubaneshwar, Odisha, India
| | - Biswanath Behera
- Department of Dermatology and Venereology, All India Institute of Medical Sciences, Bhubaneshwar, Odisha, India
| | - Vishal Thakur
- Department of Dermatology and Venereology, All India Institute of Medical Sciences, Bhubaneshwar, Odisha, India
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Zaballos P, Álvarez-Salafranca M, Llambrich À, Malvehy J, Taberner R, Medina C, Argenziano G, Thomas L, Pizarro Á, Del Pozo LJ, Avilés JA, Martin JM, Karaarslan I, Guionnet N, Bañuls J. Dermoscopy of haemosiderotic/aneurysmal dermatofibroma: A morphological study of 110 cases. J Eur Acad Dermatol Venereol 2023; 37:317-327. [PMID: 36251407 DOI: 10.1111/jdv.18664] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2022] [Accepted: 09/21/2022] [Indexed: 01/18/2023]
Abstract
BACKGROUND Haemosiderotic and aneurysmal dermatofibromas are uncommon and frequently misdiagnosed lesions, which can be considered as different histopathological stages of the same tumour. A dermoscopic diagnosis testing accuracy has not been performed for these tumours to date. OBJECTIVES To determine the diagnostic significance of dermoscopic structures and patterns associated with haemosiderotic/ aneurysmal dermatofibromas in a large series. METHODS Dermoscopic images of histopathologically proven cases of 110 haemosiderotic/ aneurysmal dermatofibromas and 501 other tumours were collected. The frequency, sensitivity, specificity, positive predictive value and negative predictive value of the dermoscopic structures and patterns associated with these lesions were calculated. RESULTS Haemosiderotic/ aneurysmal dermatofibromas are mostly symmetric lesions (86.5%), and a prominent homogeneous area was present in 100% of them. The presence of vascular structures was very common (86.4%), and dotted vessels were predominant (58.2%). Shiny white structures were seen in 85.5% of lesions, while a peripheral delicate pigment network was present in 69.1%. The most significant pattern was the one composed of a prominent homogeneous area and peripheral delicate pigment network, which showed a specificity of 100% with a relatively good sensitivity (69.1%). All the patterns containing a peripheral delicate pigment network showed very good specificities, positive predictive values and negative predictive values. Those patterns without a peripheral delicate pigment network showed the highest sensitivities, but they showed a significant overlap with other tumours, mainly with melanoma. CONCLUSIONS Dermoscopy is helpful in improving the diagnostic accuracy of haemosiderotic/ aneurysmal dermatofibromas. However, there is a considerable dermoscopic overlap between these tumours and melanoma, specifically when the peripheral delicate pigment network is absent.
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Affiliation(s)
- Pedro Zaballos
- Dermatology Department, Hospital Sant Pau i Santa Tecla, Tarragona, Spain
| | | | - Àlex Llambrich
- Dermatology Department, Hospital Universitari Son Llatzer, Palma de Mallorca, Spain
| | - Josep Malvehy
- Dermatology Department, Hospital Clínic, Barcelona, Spain
| | - Rosa Taberner
- Dermatology Department, Hospital Universitari Son Llatzer, Palma de Mallorca, Spain
| | - Carolina Medina
- Dermatology Department, Hospital Universitario de Gran Canaria "Doctor Negrín", Gran Canaria, Spain
| | | | - Luc Thomas
- Department of Dermatology, Centre Hospitalier Lyon Sud, Lyon, France.,Lyon 1 University, Lyon, France.,Lyons Cancer Research Center UMR INSERM U1052 - CNRS5286 - UCBL1, Lyon, France
| | - Ángel Pizarro
- Dermatology Department, Clínica Dermatológica Internacional, Madrid, Spain
| | - Luis Javier Del Pozo
- Dermatology Department, Hospital Universitari Son Espases, Palma de Mallorca, Spain
| | - Jose Antonio Avilés
- Dermatology Department, Hospital Universitario Gregorio Marañón, Madrid, Spain
| | - Jose María Martin
- Dermatology Department, Hospital Clínico Universitario, Valencia, Spain
| | - Isil Karaarslan
- Dermatology Department, Medical University of Ege, Izmir, Turkey
| | - Neus Guionnet
- Pathology Department, Hospital de Sant Pau I Santa Tecla, Tarragona, Spain
| | - José Bañuls
- Dermatology Department, Hospital General Universitario de Alicante, ISABIAL, Alicante, Spain
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Al-Sukhni L, Mui UN, Tarbox M. A Spectrum of Diseases with the Dermoscopic Rainbow Pattern. JAAD Case Rep 2022; 21:144-147. [PMID: 35242968 PMCID: PMC8857564 DOI: 10.1016/j.jdcr.2022.01.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
Affiliation(s)
| | - Uyen Ngoc Mui
- Correspondence to: Uyen Ngoc Mui, MD, Department of Dermatology, Texas Tech University Health Sciences Center, 3601 4th St, Lubbock, TX 79430.
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Bostan E, Durmus O, Kosemehmetoglu K. A rare case of aneurysmal dermatofibroma with distinct dermatoscopic findings. J Cosmet Dermatol 2021; 21:3613-3614. [PMID: 34812566 DOI: 10.1111/jocd.14639] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2021] [Revised: 11/10/2021] [Accepted: 11/16/2021] [Indexed: 11/30/2022]
Affiliation(s)
- Ecem Bostan
- Department of Dermatology and Venereology, School of Medicine, Hacettepe University, Ankara, Turkey
| | - Oyku Durmus
- Department of Dermatology and Venereology, School of Medicine, Hacettepe University, Ankara, Turkey
| | - Kemal Kosemehmetoglu
- Department of Pathology, School of Medicine, Hacettepe University, Ankara, Turkey
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Behera B, Chandrashekar L, Thappa DM, Gochhait D, Ayyanar P. Atypical clinical and dermoscopic features of hobnail hemangioma. Indian J Dermatol Venereol Leprol 2021; 87:93-97. [PMID: 33580930 DOI: 10.25259/ijdvl_181_20] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2020] [Accepted: 07/01/2020] [Indexed: 11/04/2022]
Affiliation(s)
- Biswanath Behera
- Departments of Dermatology, and Venereology, AIIMS, Bhubaneswar, Odisha, India
| | | | - Devinder Mohan Thappa
- Department of Dermatology, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences, Shillong, Meghalaya, India
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