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Simionescu O, Petrică M, Avram AM, Costache M, Scurtu LG, Tudorache SI, Iorga PG, Grigore M. Dermoscopy of skin metastases in advanced cancer-systemic (visceral, hematologic) and cutaneous. Front Med (Lausanne) 2024; 11:1445811. [PMID: 39139791 PMCID: PMC11319161 DOI: 10.3389/fmed.2024.1445811] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2024] [Accepted: 07/15/2024] [Indexed: 08/15/2024] Open
Abstract
Introduction Skin metastases arise in 10% of cancer patients, but standardized dermoscopy diagnostic criteria for skin metastases remain poor. This study's objective was to analyze the dermoscopy features of skin metastases from advanced systemic and cutaneous cancers. Methods A retrospective study on 715 dermoscopy images of skin metastases from 33 patients with various primary cancers (breast, ovary, melanoma, non-melanoma skin cancer, and chronic leukemia) attending two academic centers between 2013 and 2023 was performed. Four independent observers blindly analyzed patterns, colors, vessels, and elementary lesions for each metastasis (30 parameters in total). Results The structureless white pattern was the most prominent indicator of cutaneous metastasis (81.26%, p < 0.001). Regardless of the primary tumor, colors pink, red, white, and tan were identified. Elementary lesions were infrequent, except for melanoma metastases that displayed dots (13.23%) and globules (11.11%). Breast cancer metastases presented: blue (41.48%) and red (34.32%) colors, irregular vessels (13.58%), and a blue-naevus pattern (22.22%). Melanoma metastases displayed: a blue-naevus pattern (61.38%), a blue color (85.71%), and a structureless-blue combination pattern (79.37%). Non-melanoma skin cancer metastases were characterized by vascular (42.11%) and angioma-like (31.58%) patterns, pink (57.89%) and red (57.89%) colors, irregular (57.89%), thin hairpin (47.37%), comma (47, 37%), and thick hairpin (26, 32%) vessels and a red, white and irregular vessels combination pattern (52, 63%). A pink structureless combination pattern was frequent (61.05%) in chronic leukemia metastases. Ovarian cancer metastases displayed a white and tan structureless combination pattern (100%) and frequently had dotted vessels (42.85%). Conclusion Papules and nodules with a white structureless pattern suggest skin metastases, regardless of the primary tumor. A blue structureless lesion is indicative of melanoma metastasis and a vascular pattern with irregular vessels indicates a non-melanoma skin cancer metastasis. Dermoscopy stands as a reliable non-invasive diagnostic method for suspected cutaneous metastases in patients with a known cancer history.
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Affiliation(s)
- Olga Simionescu
- Faculty of Medicine, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
- Department of Dermatology I, Colentina Clinical Hospital, Bucharest, Romania
| | - Marian Petrică
- Department of Partial Differential Equations and Applications in Sciences, “Gheorghe Mihoc-Caius Iacob” Institute of Mathematical Statistics and Applied Mathematics of the Romanian Academy, Bucharest, Romania
- Faculty of Mathematics and Computer Science, University of Bucharest, Bucharest, Romania
| | - Alina Mariana Avram
- Faculty of Medicine, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
- Department of Dermatology I, Colentina Clinical Hospital, Bucharest, Romania
| | - Mariana Costache
- Faculty of Medicine, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
- Department of Pathology, University Emergency Hospital, Bucharest, Romania
| | - Lucian G. Scurtu
- Faculty of Medicine, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
- Department of Dermatology I, Colentina Clinical Hospital, Bucharest, Romania
| | - Sorin Ioan Tudorache
- Department of Preclinical Medicine, Faculty of Medicine, “Titu Maiorescu” University, Bucharest, Romania
| | - Polixenia Georgeta Iorga
- Faculty of Medicine, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
- Department of Medical Oncology, Bucharest Emergency University Hospital, Bucharest, Romania
| | - Mariana Grigore
- Faculty of Medicine, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
- Department of Dermatology I, Colentina Clinical Hospital, Bucharest, Romania
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2
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Di Raimondo C, Lozzi F, Di Domenico PP, Campione E, Bianchi L. The Diagnosis and Management of Cutaneous Metastases from Melanoma. Int J Mol Sci 2023; 24:14535. [PMID: 37833981 PMCID: PMC10572973 DOI: 10.3390/ijms241914535] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2023] [Revised: 09/24/2023] [Accepted: 09/25/2023] [Indexed: 10/15/2023] Open
Abstract
Melanoma is one of the deadliest skin tumors, accounting for almost 90% of skin cancer mortality. Although immune therapy and targeted therapy have dramatically changed the prognosis of metastatic melanoma, many patients experience disease progression despite the currently available new treatments. Skin metastases from melanoma represent a relatively common event as first sign of advanced disease or a sign of recurrence. Skin metastases are usually asymptomatic, although in advanced stages, they can present with ulceration, bleeding, and superinfection; furthermore, they can cause symptoms related to compression on nearby tissues. Treatments vary from simple surgery resections to topical or intralesional local injections, or a combination of these techniques with the most recent systemic immune or target therapies. New research and studies should focus on the pathogenesis and molecular mechanisms of the cutaneous metastases of melanoma in order to shed light on the mechanisms underlying the different behavior and prognoses of different patients.
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Affiliation(s)
- Cosimo Di Raimondo
- Department of Dermatology, University of Roma Tor Vergata, 00133 Rome, Italy; (F.L.); (P.P.D.D.); (E.C.); (L.B.)
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3
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Kostaki M, Plaka M, Moustaki M, Befon A, Champsas G, Kypreou K, Chardalia V, Chasapi V, Polydorou D, Stratigos A. Cutaneous melanoma metastases: Clinical and dermoscopic findings. J Eur Acad Dermatol Venereol 2022; 37:941-944. [PMID: 36310344 DOI: 10.1111/jdv.18701] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2022] [Accepted: 10/18/2022] [Indexed: 11/06/2022]
Abstract
BACKGROUND About 2%-20% of melanoma patients will develop cutaneous melanoma metastases (CMM). Their clinical diagnosis still remains challenging because of the variation of clinical and dermoscopic characteristics. Until today, few studies exist concerning the dermoscopic image of CMM but no one has focused on its possible association with clinicopathological melanoma characteristics. METHODS Between 2002 and 2019, 42 patients diagnosed with melanoma at Andreas Syggros Hospital developed CMM. We studied the dermoscopic presentation of these metastases and its possible association with the clinical and histologic characteristics of the underlying melanoma. RESULTS There were 20 male and 22 female patients with a mean age of 64.02 years. Nineteen patients developed satellites and 23 in transit metastases. Mean Breslow index was estimated at 2.93 mm and ulceration was observed in half of the tumours (50%). Almost half of the patients developed cutaneous metastases on the lower limbs (45.24%). We identified 5 dermoscopic patterns of CMM: saccular, amelanotic, homogenous, vascular and polymorphic. Homogenous (30.95%) and amelanotic (28.57%) were the most common patterns. Homogenous pattern was the most common in satellite metastases while amelanotic was mostly observed in in-transit metastases. Homogenous pattern was more frequent among superficial spreading melanomas. Patients with thin (<1 mm) and medium depth (1-2 mm) melanomas mostly developed metastases with saccular pattern. Vascular pattern was only present in metastases of tumours with Breslow index 2-4 mm. Homogenous and amelanotic were the only patterns found in tumours with Breslow index >4 mm. CONCLUSIONS We observed that vascular structures were more frequent in metastases of deeper tumours while nevus-like structures were more common in metastases of thinner tumours. CMM occasionally may constitute the first clinical sign of melanoma disease. Therefore, it is important for clinicians to recognize their dermoscopic patterns which seem to be associated with some of the clinical and histological characteristics of cutaneous melanomas.
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Affiliation(s)
- Maria Kostaki
- First Department of Dermatology-Venereology, Andreas Syggros Hospital, Medical School of Athens University, Athens, Greece
| | - Michaela Plaka
- First Department of Dermatology-Venereology, Andreas Syggros Hospital, Medical School of Athens University, Athens, Greece
| | - Margarita Moustaki
- First Department of Dermatology-Venereology, Andreas Syggros Hospital, Medical School of Athens University, Athens, Greece
| | - Aggeliki Befon
- First Department of Dermatology-Venereology, Andreas Syggros Hospital, Medical School of Athens University, Athens, Greece
| | - Grigoris Champsas
- First Department of Dermatology-Venereology, Andreas Syggros Hospital, Medical School of Athens University, Athens, Greece
| | - Katerina Kypreou
- First Department of Dermatology-Venereology, Andreas Syggros Hospital, Medical School of Athens University, Athens, Greece
| | - Vasiliki Chardalia
- First Department of Dermatology-Venereology, Andreas Syggros Hospital, Medical School of Athens University, Athens, Greece
| | - Vasiliki Chasapi
- First Department of Dermatology-Venereology, Andreas Syggros Hospital, Medical School of Athens University, Athens, Greece
| | - Dorothea Polydorou
- First Department of Dermatology-Venereology, Andreas Syggros Hospital, Medical School of Athens University, Athens, Greece
| | - Alexandros Stratigos
- First Department of Dermatology-Venereology, Andreas Syggros Hospital, Medical School of Athens University, Athens, Greece
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4
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Kaminska-Winciorek G, Pilśniak A, Piskorski W, Wydmański J. Skin metastases in the clinical and dermoscopic aspects. Semin Oncol 2022; 49:160-169. [DOI: 10.1053/j.seminoncol.2022.04.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/04/2020] [Revised: 04/07/2022] [Accepted: 04/07/2022] [Indexed: 11/11/2022]
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5
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Cucu CI, Giurcăneanu C, Popa LG, Orzan OA, Beiu C, Holban AM, Grumezescu AM, Matei BM, Popescu MN, Căruntu C, Mihai MM. Electrochemotherapy and Other Clinical Applications of Electroporation for the Targeted Therapy of Metastatic Melanoma. MATERIALS 2021; 14:ma14143985. [PMID: 34300902 PMCID: PMC8305146 DOI: 10.3390/ma14143985] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/31/2021] [Revised: 07/10/2021] [Accepted: 07/11/2021] [Indexed: 12/21/2022]
Abstract
Electrochemotherapy (ECT) is an effective bioelectrochemical procedure that uses controlled electrical pulses to facilitate the increase of intracellular concentration of certain substances (electropermeabilization/ reversible electroporation). ECT using antitumor drugs such as bleomycin and cisplatin is a minimally invasive targeted therapy that can be used as an alternative for oncologic patients not eligible for surgery or other standard therapies. Even though ECT is mainly applied as palliative care for metastases, it may also be used for primary tumors that are unresectable due to size and location. Skin neoplasms are the main clinical indication of ECT, the procedure reporting good curative results and high efficiency across all tumor types, including melanoma. In daily practice, there are many cases in which the patient’s quality of life can be significantly improved by a safe procedure such as ECT. Its popularity must be increased because it has a safe profile and minor local adverse reactions. The method can be used by dermatologists, oncologists, and surgeons. The aim of this paper is to review recent literature concerning electrochemotherapy and other clinical applications of electroporation for the targeted therapy of metastatic melanoma.
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Affiliation(s)
- Corina Ioana Cucu
- Department of Oncologic Dermatology-“Elias” Emergency University Hospital, “Carol Davila” University of Medicine and Pharmacy, 020021 Bucharest, Romania; (C.I.C.); (C.G.); (O.A.O.); (C.B.); (M.M.M.)
| | - Călin Giurcăneanu
- Department of Oncologic Dermatology-“Elias” Emergency University Hospital, “Carol Davila” University of Medicine and Pharmacy, 020021 Bucharest, Romania; (C.I.C.); (C.G.); (O.A.O.); (C.B.); (M.M.M.)
| | - Liliana Gabriela Popa
- Department of Oncologic Dermatology-“Elias” Emergency University Hospital, “Carol Davila” University of Medicine and Pharmacy, 020021 Bucharest, Romania; (C.I.C.); (C.G.); (O.A.O.); (C.B.); (M.M.M.)
- Correspondence: ; Tel.: +40-727-173-767
| | - Olguța Anca Orzan
- Department of Oncologic Dermatology-“Elias” Emergency University Hospital, “Carol Davila” University of Medicine and Pharmacy, 020021 Bucharest, Romania; (C.I.C.); (C.G.); (O.A.O.); (C.B.); (M.M.M.)
| | - Cristina Beiu
- Department of Oncologic Dermatology-“Elias” Emergency University Hospital, “Carol Davila” University of Medicine and Pharmacy, 020021 Bucharest, Romania; (C.I.C.); (C.G.); (O.A.O.); (C.B.); (M.M.M.)
| | - Alina Maria Holban
- Department of Microbiology and Immunology, Faculty of Biology, University of Bucharest, 030018 Bucharest, Romania;
- Research Institute of the University of Bucharest, 050657 Bucharest, Romania
- Department of Science and Engineering of Oxide Materials and Nanomaterials, Faculty of Applied Chemistry and Materials Science, University Politehnica of Bucharest, 1-7 Polizu Street, 011061 Bucharest, Romania;
| | - Alexandru Mihai Grumezescu
- Department of Science and Engineering of Oxide Materials and Nanomaterials, Faculty of Applied Chemistry and Materials Science, University Politehnica of Bucharest, 1-7 Polizu Street, 011061 Bucharest, Romania;
| | - Bogdan Mircea Matei
- Department of Biophysics and Cellular Biotechnology, “Carol Davila” University of Medicine and Pharmacy, 020021 Bucharest, Romania;
| | - Marius Nicolae Popescu
- Department of Physical and Rehabilitation Medicine, “Elias” Emergency University Hospital, “Carol Davila” University of Medicine and Pharmacy, 020021 Bucharest, Romania;
| | - Constantin Căruntu
- Faculty of Medicine, “Titu Maiorescu” University, 22 Dambrovnicului, 031593 Bucharest, Romania;
| | - Mara Mădălina Mihai
- Department of Oncologic Dermatology-“Elias” Emergency University Hospital, “Carol Davila” University of Medicine and Pharmacy, 020021 Bucharest, Romania; (C.I.C.); (C.G.); (O.A.O.); (C.B.); (M.M.M.)
- Research Institute of the University of Bucharest, 050657 Bucharest, Romania
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6
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Liso FG, Luc Perrot J, Rubegni P, Cinotti E. Hematoma‐like metastases in melanoma: Ultrasound findings. Skin Res Technol 2020; 26:757-758. [DOI: 10.1111/srt.12845] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2019] [Accepted: 02/29/2020] [Indexed: 11/27/2022]
Affiliation(s)
- Flavio Giulio Liso
- Department of Medical Surgical and Neurological Science, Dermatology Section University of Siena S. Maria alle Scotte Hospital Siena Italy
| | - Jean Luc Perrot
- Department of Dermatology University Hospital of St‐Etienne Saint‐Etienne France
| | - Pietro Rubegni
- Department of Medical Surgical and Neurological Science, Dermatology Section University of Siena S. Maria alle Scotte Hospital Siena Italy
| | - Elisa Cinotti
- Department of Medical Surgical and Neurological Science, Dermatology Section University of Siena S. Maria alle Scotte Hospital Siena Italy
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7
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Avilés-Izquierdo JA, Ciudad-Blanco C, Sánchez-Herrero A, Mateos-Mayo A, Nieto-Benito LM, Rodríguez-Lomba E. Dermoscopy of cutaneous melanoma metastases: A color-based pattern classification. J Dermatol 2019; 46:564-569. [PMID: 31120139 DOI: 10.1111/1346-8138.14926] [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] [Received: 02/28/2019] [Accepted: 04/22/2019] [Indexed: 12/01/2022]
Abstract
Dermoscopic studies about cutaneous metastases of malignant melanoma (CMMM) are few. Our objective was to analyze the dermoscopic features of CMMM and propose a new dermoscopic pattern classification based on color pigmentation and some specific dermoscopic features. A retrospective evaluation of 150 dermoscopic images of CMMM taken from 40 patients was performed. One hundred CMMM images were individually evaluated by six dermatologists in order to classify them according to four dermoscopic patterns: (i) blue pattern; (ii) pink pattern; (iii) brown pattern; and (iv) mixed pattern. One hundred and fifty dermoscopic images including 50 CMMM and 100 benign lesions were evaluated by five dermatologists to calculate the accuracy of these patterns in the recognition of CMMM. An intra- and interobserver reproducibility agreement study between all different dermoscopic pattern classifications was performed. Seventy-five percent of our cases of CMMM showed a monochromatic pattern. Light brown pigmented halo, peripheral gray spots and polymorphic atypical vessels were the most significant focal dermoscopic structures. The reproducibility of the color-based dermoscopic pattern classification was superior to previous dermoscopic pattern classification. In summary, a dermoscopic pattern classification based on color pigmentation and some specific dermoscopic features may be useful in recognizing early cutaneous melanoma metastasis. Multicentric studies are recommended in order to lower the impact of interobserver variability.
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Affiliation(s)
| | - Cristina Ciudad-Blanco
- Department of Dermatology and Venereology, Hospital General Universitario Gregorio Marañón, Madrid, Spain
| | - Alejandro Sánchez-Herrero
- Department of Dermatology and Venereology, Hospital General Universitario Gregorio Marañón, Madrid, Spain
| | - Ana Mateos-Mayo
- Department of Dermatology and Venereology, Hospital General Universitario Gregorio Marañón, Madrid, Spain
| | - Lula María Nieto-Benito
- Department of Dermatology and Venereology, Hospital General Universitario Gregorio Marañón, Madrid, Spain
| | - Enrique Rodríguez-Lomba
- Department of Dermatology and Venereology, Hospital General Universitario Gregorio Marañón, Madrid, Spain
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8
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Steele L, Yeoh CC. Sentinel bruising as a presentation of metastatic melanoma. BMJ Case Rep 2019; 12:e228114. [PMID: 30804161 PMCID: PMC6388787 DOI: 10.1136/bcr-2018-228114] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/09/2019] [Indexed: 01/09/2023] Open
Abstract
A 46-year-old man presented with a 4-week history of bruising with subcutaneous nodules and weight loss. He also had a 2-week history of progressive back and hip pain. He had been diagnosed with stage Ib cutaneous melanoma 30 months previously, which had been fully excised. A sentinel lymph node biopsy was negative. On examination, there were five skin lesions at different stages. Each had spontaneously appeared as a bruise with a central subcutaneous nodule, and the bruising then faded to leave a persistent subcutaneous nodule. Excision of one of the nodules demonstrated a 4.5 mm diameter partly necrotic melanoma deposit in the dermis. CT scan of the head, chest, abdomen and pelvis showed widespread metastases. This rare presentation of cutaneous malignant melanoma metastases has been termed 'sentinel bruising'. There are fewer than 10 cases reported in the literature.
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Affiliation(s)
- Lloyd Steele
- Imperial College Healthcare NHS Trust, London, UK
- Acute Medicine, Portsmouth Hospitals NHS Trust, Portsmouth, UK
| | - Chit Cheng Yeoh
- Medical Oncology, Portsmouth Hospitals NHS Trust, Portsmouth, UK
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9
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Farnetani F, Manfredini M, Longhitano S, Chester J, Shaniko K, Cinotti E, Mazzoni L, Venturini M, Manganoni A, Longo C, Reggiani-Bonetti L, Giannetti L, Rubegni P, Calzavara-Pinton P, Stanganelli I, Perrot JL, Pellacani G. Morphological classification of melanoma metastasis with reflectance confocal microscopy. J Eur Acad Dermatol Venereol 2018; 33:676-685. [PMID: 30394598 DOI: 10.1111/jdv.15329] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2018] [Accepted: 10/12/2018] [Indexed: 11/28/2022]
Abstract
BACKGROUND Cutaneous malignant melanoma metastases differential diagnosis is challenging, as clinical and dermoscopic features can simulate primary melanoma or other benign or malignant skin neoplasms, and in-vivo reflectance confocal microscopy could assist. Our aim was to identify specific reflectance confocal microscopy features for cutaneous malignant melanoma metastases, and epidermal and dermal involvement. METHODS A retrospective, multicentre observational study of lesions with proven cutaneous malignant melanoma metastases diagnosis between January 2005 and December 2016. Lesions were retrospectively assessed according to morphological features observed at reflectance confocal microscopy. Potential homogeneous subgroups of epidermal or dermal involvement were investigated with cluster analysis. RESULTS Cutaneous malignant melanoma metastases (51 lesions in 29 patients) exhibited different frequencies of features according to metastasis dermoscopy patterns. Lesions classified at dermoscopy with nevus-like globular and non-globular patterns were more likely to be epidermotropic, showing characteristics of epidermal and dermal involvement at reflectance confocal microscopy. Other dermoscopy pattern classifications were more likely to be dermotropic, showing characteristics od dermal involvement at reflectance confocal microscopy. Distinguishing features at reflectance confocal microscopy included irregular (78%) and altered (63%) epidermis, pagetoid infiltration (51%), disarranged junctional architecture (63%), non-edged papillae (76%), dense and sparse, and cerebriform nests in the upper dermis (74%), and vascularity (51%). Cluster analysis identified three groups, which were retrospectively correlated with histopathological diagnoses of dermotropic and epidermotropic diagnoses (P < 0.001). The third cluster represents lesions with deep dermis morphological changes, which were too deep for evaluation with reflectance confocal microscopy. CONCLUSIONS Specific reflectance confocal microscopy features of cutaneous malignant melanoma metastases for correct diagnosis, and subtype diagnosis, seem achievable in most cases where morphological alterations are located above the deep dermis.
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Affiliation(s)
- F Farnetani
- Division of Dermatology, Department of Surgical, Medical, Dental and Morphological Sciences with Interest transplant, Oncological and Regenerative Medicine, University of Modena and Reggio Emilia, Modena, Italy
| | - M Manfredini
- Division of Dermatology, Department of Surgical, Medical, Dental and Morphological Sciences with Interest transplant, Oncological and Regenerative Medicine, University of Modena and Reggio Emilia, Modena, Italy.,Division of Dermatology, University of Ferrara, Ferrara, Italy
| | - S Longhitano
- Division of Dermatology, Department of Surgical, Medical, Dental and Morphological Sciences with Interest transplant, Oncological and Regenerative Medicine, University of Modena and Reggio Emilia, Modena, Italy
| | - J Chester
- Division of Dermatology, Department of Surgical, Medical, Dental and Morphological Sciences with Interest transplant, Oncological and Regenerative Medicine, University of Modena and Reggio Emilia, Modena, Italy
| | - K Shaniko
- Division of Dermatology, Department of Surgical, Medical, Dental and Morphological Sciences with Interest transplant, Oncological and Regenerative Medicine, University of Modena and Reggio Emilia, Modena, Italy
| | - E Cinotti
- Department of Medical, Surgical, and Neurological Science, Dermatology Section, University of Siena, S Maria alle Scotte Hospital, Siena, Italy
| | - L Mazzoni
- Skin Cancer Unit, IstitutoTumori Romagna (IRST), Meldola, Italy
| | - M Venturini
- Division of Dermatology, SpedaliCivili University Hospital, Brescia, Italy
| | - A Manganoni
- Division of Dermatology, SpedaliCivili University Hospital, Brescia, Italy
| | - C Longo
- Division of Dermatology, Department of Surgical, Medical, Dental and Morphological Sciences with Interest transplant, Oncological and Regenerative Medicine, University of Modena and Reggio Emilia, Modena, Italy.,Skin Cancer Unit, Arcispedale Santa Maria Nuova-IRCCS, Reggio Emilia, Italy
| | - L Reggiani-Bonetti
- Department of Pathology, University of Modena and Reggio Emilia, Modena, Italy
| | - L Giannetti
- Department of Surgical, Medical, Dental and Morphological Sciences with Interest Transplant, Oncological and Regenerative Medicine, University of Modena and Reggio Emilia, Modena, Italy
| | - P Rubegni
- Department of Medical, Surgical, and Neurological Science, Dermatology Section, University of Siena, S Maria alle Scotte Hospital, Siena, Italy
| | - P Calzavara-Pinton
- Division of Dermatology, SpedaliCivili University Hospital, Brescia, Italy
| | - I Stanganelli
- Skin Cancer Unit, IstitutoTumori Romagna (IRST), Meldola, Italy.,Division of Dermatology, Department of Clinical and Experimental Medicine, University of Parma, Parma, Italy
| | - J L Perrot
- Department of Dermatology, University Hospital of Saint-Etienne, Saint-Etienne, France
| | - G Pellacani
- Division of Dermatology, Department of Surgical, Medical, Dental and Morphological Sciences with Interest transplant, Oncological and Regenerative Medicine, University of Modena and Reggio Emilia, Modena, Italy
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10
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Goggins CA, Khachemoune A. The use of electrochemotherapy in combination with immunotherapy in the treatment of metastatic melanoma: a focused review. Int J Dermatol 2018; 58:865-870. [PMID: 30479009 DOI: 10.1111/ijd.14314] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/04/2018] [Revised: 09/30/2018] [Accepted: 10/30/2018] [Indexed: 01/04/2023]
Abstract
Electrochemotherapy (ECT) is a treatment modality that combines low-dose chemotherapy with electroporation, thereby enhancing cytotoxicity. ECT was first utilized in the treatment of metastatic head and neck cancer. Today it is used as a local treatment for the cutaneous and subcutaneous metastases of a variety of cancers, including melanoma. In addition, recent evidence indicates that ECT in combination with immunotherapy can lead to a systemic tumor response. This review aims to summarize the efficacy of ECT in the treatment of metastatic melanoma, with a specific focus on the combination of ECT with immunotherapy.
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Affiliation(s)
- Clare A Goggins
- Georgetown University School of Medicine, Washington, DC, USA
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11
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Manganoni AM, Fusano M, Pavoni L, Pizzati L, Consoli F, Venturini M, Zanca A, Calzavara-Pinton P. A solitary cutaneous metastasis from colon adenocarcinoma: Dermoscopic and confocal microscopy features. Indian J Dermatol Venereol Leprol 2018; 84:589-591. [PMID: 30073979 DOI: 10.4103/ijdvl.ijdvl_304_17] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Affiliation(s)
- Ausilia Maria Manganoni
- Department of Dermatology, University Hospital ASST Spedali Civili of Brescia, Brescia, Italy
| | - Marta Fusano
- Department of Dermatology, University Hospital ASST Spedali Civili of Brescia, Brescia, Italy
| | - Laura Pavoni
- Department of Dermatology, University Hospital ASST Spedali Civili of Brescia, Brescia, Italy
| | - Laura Pizzati
- Department of Dermatology, University Hospital ASST Spedali Civili of Brescia, Brescia, Italy
| | - Francesca Consoli
- Department of Oncology, University Hospital ASST Spedali Civili of Brescia, Brescia, Italy
| | - Marina Venturini
- Department of Dermatology, University Hospital ASST Spedali Civili of Brescia, Brescia, Italy
| | - Arianna Zanca
- Department of Dermatology, University Hospital ASST Spedali Civili of Brescia, Brescia, Italy
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12
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Mazzella C, Costa C, Cappello M, Scalvenzi M. Difficult to diagnose small cutaneous melanoma metastases mimicking angiomas: utility of dermoscopy. Int J Dermatol 2018; 57:1085-1087. [DOI: 10.1111/ijd.14128] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/05/2018] [Revised: 05/06/2018] [Accepted: 06/07/2018] [Indexed: 11/27/2022]
Affiliation(s)
- Caterina Mazzella
- Department of Dermatology; University of Naples Federico II; Naples Italy
| | - Claudia Costa
- Department of Dermatology; University of Naples Federico II; Naples Italy
| | - Milena Cappello
- Department of Dermatology; University of Naples Federico II; Naples Italy
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Popadić M, Sinz C, Kittler H. Die Bedeutung der blauen Farbe in der Dermatoskopie. J Dtsch Dermatol Ges 2017; 15:302-308. [DOI: 10.1111/ddg.13192_g] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2016] [Accepted: 06/14/2016] [Indexed: 11/28/2022]
Affiliation(s)
- Mirjana Popadić
- Abteilung für Dermato-Venereologie; Medizinische Universität Belgrad, Klinik für Dermato-Venereologie, Serbisches Klinisches Zentrum; Belgrad Serbien
| | - Christoph Sinz
- Abteilung für Dermatologie, Sektion Allgemeine Dermatologie; Medizinische Universität Wien; Österreich
| | - Harald Kittler
- Abteilung für Dermatologie, Sektion Allgemeine Dermatologie; Medizinische Universität Wien; Österreich
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Popadić M, Sinz C, Kittler H. The significance of blue color in dermatoscopy. J Dtsch Dermatol Ges 2017; 15:302-307. [DOI: 10.1111/ddg.13192] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2016] [Accepted: 06/14/2016] [Indexed: 12/01/2022]
Affiliation(s)
- Mirjana Popadić
- Department of Dermatovenereology, Medical University of Belgrade; Clinic of Dermatovenereology; Clinical Center of Serbia; Belgrade Serbia
| | - Christoph Sinz
- Department of Dermatology; Division of General Dermatology; Medical University of Vienna; Austria
| | - Harald Kittler
- Department of Dermatology; Division of General Dermatology; Medical University of Vienna; Austria
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15
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Apport de la microscopie confocale par réflectance dans le diagnostic de métastase cutanée de mélanome. Ann Dermatol Venereol 2016; 143:863-865. [DOI: 10.1016/j.annder.2016.05.004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2016] [Revised: 04/17/2016] [Accepted: 05/03/2016] [Indexed: 11/17/2022]
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16
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