1
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Characteristics of Giant Nodular Melanomas in Special Locations: a Case Series and Review of the Literature. Dermatol Ther (Heidelb) 2022; 12:2851-2862. [DOI: 10.1007/s13555-022-00841-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2022] [Accepted: 10/20/2022] [Indexed: 11/06/2022] Open
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2
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Kavitha A, Chennamsetty K, Attili S, Carr RA, Elaine CTY. Angiosarcoma of Nose Masquerading Rhinophyma. Indian J Dermatol 2021; 66:320-322. [PMID: 34446959 PMCID: PMC8375539 DOI: 10.4103/ijd.ijd_354_19] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Affiliation(s)
- Athota Kavitha
- Consultant Dermatologist, Dr. Paruchuri Raja Ram Memorial Skin and Laser Centre, Guntur, Andhra Pradesh, India . E-mail:
| | - Kavya Chennamsetty
- Consultant Dermatologist, Leelavathi Advanced Skin and Laser Centre, Guntur, Andhra Pradesh, India
| | - Sasi Attili
- Consultant Dermatologist, Cosmetic Surgeon and Dermatopathologist, Visakha Institute of Skin and Allergy, Visakhapatnam, Andhra Pradesh, India
| | - Richard A Carr
- Department of Histopathology, Warwick Hospital, Lakin Road, Warwick, CV34 5BJ, UK
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3
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Cole DW, Huerta T, Andea A, Tejasvi T. Purpuric Plaques-Dermoscopic and Histopathological Correlation of Cutaneous Angiosarcoma. Dermatol Pract Concept 2020; 10:e2020084. [PMID: 33150028 DOI: 10.5826/dpc.1004a84] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/16/2020] [Indexed: 10/31/2022] Open
Affiliation(s)
- Daniel W Cole
- Wayne State University School of Medicine, Detroit, MI, USA
| | - Tomas Huerta
- Department of Dermatology, University of Michigan, Ann Arbor, MI, USA
| | - Aleodor Andea
- Department of Dermatology, University of Michigan, Ann Arbor, MI, USA.,Department of Pathology, University of Michigan, Ann Arbor, MI, USA
| | - Trilokraj Tejasvi
- Department of Dermatology, University of Michigan, Ann Arbor, MI, USA
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4
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Ronchi A, Cozzolino I, Zito Marino F, De Chiara A, Argenziano G, Moscarella E, Pagliuca F, Franco R. Primary and secondary cutaneous angiosarcoma: Distinctive clinical, pathological and molecular features. Ann Diagn Pathol 2020; 48:151597. [PMID: 32829071 DOI: 10.1016/j.anndiagpath.2020.151597] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2020] [Revised: 07/01/2020] [Accepted: 07/12/2020] [Indexed: 01/11/2023]
Abstract
Angiosarcomas are ubiquitous neoplasms involving both cutaneous and soft tissue and visceral locations. Accumulating biomolecular evidences suggest that cutaneous angiosarcomas are distinctive entities with molecular, clinical and pathological peculiarities. Despite several ongoing clinical trials with promising therapeutic agents, the prognosis of cutaneous angiosarcomas is dismal and survival still rely on early diagnosis and surgery. An accurate diagnosis and the knowledge of the underlying molecular landscape are therefore essential to improve the prognosis. We detail the molecular, clinical, dermoscopic, morphological and prognostic features of cutaneous angiosarcoma. Although the molecular landscape of cutaneous angiosarcoma is not completely understood, accumulating evidences suggest that there are characteristic molecular alterations including dysregulation of angiogenesis and several complex molecular pathways. Secondary cutaneous angiosarcomas, arising in correlation with chronic lymphedema and ionizing radiation, have different molecular hallmarks, which are also leading to the first diagnostic applications. The diagnosis of cutaneous angiosarcoma may be challenging, as well-differentiated forms can be hard to distinguish from benign and low-grade vascular neoplasms, while poorly differentiated forms can be easily confounded with other non-vascular high-grade neoplasms. An accurate and early diagnosis, which is mandatory to ensure the best survival for the patients, is mainly based on morphological hallmarks.
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Affiliation(s)
- Andrea Ronchi
- Pathology Unit, Department of Mental and Physical Health and Preventive Medicine, Università degli Studi della Campania "Luigi Vanvitelli", via Luciano Armanni 20, 80100 Naples, Italy
| | - Immacolata Cozzolino
- Pathology Unit, Department of Mental and Physical Health and Preventive Medicine, Università degli Studi della Campania "Luigi Vanvitelli", via Luciano Armanni 20, 80100 Naples, Italy
| | - Federica Zito Marino
- Pathology Unit, Department of Mental and Physical Health and Preventive Medicine, Università degli Studi della Campania "Luigi Vanvitelli", via Luciano Armanni 20, 80100 Naples, Italy
| | - Annarosaria De Chiara
- Pathology Unit, Department in Support of Oncology Paths, Diagnostic Area, Istituto Nazionale dei Tumori I.R.C.C.S. Fondazione "Pascale", via Mariano Semmola 52, 80131 Naples, Italy
| | - Giuseppe Argenziano
- Dermatology Unit, Department of Mental and Physical Health and Preventive Medicine, Università degli Studi della Campania "Luigi Vanvitelli", via Sergio Pansini 5, 80131 Naples, Italy
| | - Elvira Moscarella
- Dermatology Unit, Department of Mental and Physical Health and Preventive Medicine, Università degli Studi della Campania "Luigi Vanvitelli", via Sergio Pansini 5, 80131 Naples, Italy
| | - Francesca Pagliuca
- Pathology Unit, Department of Mental and Physical Health and Preventive Medicine, Università degli Studi della Campania "Luigi Vanvitelli", via Luciano Armanni 20, 80100 Naples, Italy
| | - Renato Franco
- Pathology Unit, Department of Mental and Physical Health and Preventive Medicine, Università degli Studi della Campania "Luigi Vanvitelli", via Luciano Armanni 20, 80100 Naples, Italy.
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5
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Oranges T, Janowska A, Vitali S, Loggini B, Izzetti R, Romanelli M, Dini V. Dermatoscopic and ultra‐high frequency ultrasound evaluation in cutaneous postradiation angiosarcoma. J Eur Acad Dermatol Venereol 2020; 34:e741. [DOI: 10.1111/jdv.16583] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Affiliation(s)
- T. Oranges
- Department of Clinical and Experimental Medicine University of Pisa Pisa Italy
| | - A. Janowska
- Department of Clinical and Experimental Medicine University of Pisa Pisa Italy
| | - S. Vitali
- Department of Diagnostic and Interventional Radiology University of Pisa Pisa Italy
| | - B. Loggini
- Department of Translational Research and New Technologies in Medicine and Surgery University of Pisa Pisa Italy
| | - R. Izzetti
- Department of Translational Research and New Technologies in Medicine and Surgery University of Pisa Pisa Italy
| | - M. Romanelli
- Department of Clinical and Experimental Medicine University of Pisa Pisa Italy
| | - V. Dini
- Department of Clinical and Experimental Medicine University of Pisa Pisa Italy
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6
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An unusual case of compound naevus of the scalp with hair greying, suggesting melanoma in dermoscopy. Postepy Dermatol Alergol 2020; 37:274-276. [PMID: 32489367 PMCID: PMC7262802 DOI: 10.5114/ada.2020.94848] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2020] [Accepted: 01/25/2020] [Indexed: 11/24/2022] Open
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7
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Swoboda R, Kaminska-Winciorek G, Jaworska M, Giebel S. Dermoscopic follow-up of therapeutic response in mantle cell lymphoma with secondary involvement of the scalp. J Cosmet Dermatol 2019; 18:1438-1440. [PMID: 30520227 DOI: 10.1111/jocd.12826] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2018] [Accepted: 10/31/2018] [Indexed: 01/24/2023]
Abstract
The scalp is a potential location for both benign and malignant tumors. Lymphoproliferative diseases can involve the skin as a primary or secondary manifestation. Dermoscopy is a noninvasive diagnostic tool for rapid diagnosis, screening, and follow-up of the majority of skin tumors. Mantle cell lymphoma (MCL), a rare type of aggressive systemic lymphoma, usually occurs as a generalized lymphadenopathy, commonly with infiltration of the bone marrow, spleen, gastrointestinal tract, and Waldeyer's ring. In rare cases, it can also involve other structures, such as the lungs, central nervous system, liver, or skin. We report the case of a 74-year-old male patient suffering from MCL since 2015. Complete remission was obtained after R-CHOP (rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone) treatment. During maintenance therapy with rituximab, a solitary tumor occurred on the scalp. Dermoscopy of the lesion suggested relapse because of the presence of multiple chaotically distributed short linear vessels with multiple red dots within the hair follicles. Histological examination confirmed the diagnosis of MCL. After second-line therapy with rituximab and bendamustine (R-B), the tumor of the scalp completely disappeared and dermoscopy showed no abnormalities.
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Affiliation(s)
- Ryszard Swoboda
- The Department of Bone Marrow Transplantation and Onco-Hematology, Maria Sklodowska-Curie Institute - Oncology Center, Gliwice Branch, Gliwice, Poland
| | - Grazyna Kaminska-Winciorek
- The Department of Bone Marrow Transplantation and Onco-Hematology, Maria Sklodowska-Curie Institute - Oncology Center, Gliwice Branch, Gliwice, Poland
| | - Magdalena Jaworska
- The Department of Tumor Pathology, Maria Sklodowska-Curie Institute - Oncology Center, Gliwice Branch, Gliwice, Poland
| | - Sebastian Giebel
- The Department of Bone Marrow Transplantation and Onco-Hematology, Maria Sklodowska-Curie Institute - Oncology Center, Gliwice Branch, Gliwice, Poland
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8
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Kato J, Horimoto K, Sato S, Minowa T, Uhara H. Dermoscopy of Melanoma and Non-melanoma Skin Cancers. Front Med (Lausanne) 2019; 6:180. [PMID: 31497603 PMCID: PMC6712997 DOI: 10.3389/fmed.2019.00180] [Citation(s) in RCA: 38] [Impact Index Per Article: 7.6] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2019] [Accepted: 07/29/2019] [Indexed: 12/24/2022] Open
Abstract
Dermoscopy is a widely used non-invasive technique for diagnosing skin tumors. In melanocytic tumors, e.g., melanoma and basal cell carcinoma (BCC), the effectiveness of dermoscopic examination has been fully established over the past two decades. Moreover, dermoscopy has been used to diagnose non-melanocytic tumors. Here, we review novel findings from recent reports concerning dermoscopy of melanoma and non-melanoma skin cancers including BCC, sebaceous carcinoma, actinic keratosis, Bowen's disease, squamous cell carcinoma (SCC), Merkel cell carcinoma (MCC), extramammary Paget's disease (EMPD), and angiosarcoma.
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Affiliation(s)
- Junji Kato
- Department of Dermatology, Sapporo Medical University School of Medicine, Sapporo, Japan
| | - Kohei Horimoto
- Department of Dermatology, Sapporo Medical University School of Medicine, Sapporo, Japan
| | - Sayuri Sato
- Department of Dermatology, Sapporo Medical University School of Medicine, Sapporo, Japan
| | - Tomoyuki Minowa
- Department of Dermatology, Sapporo Medical University School of Medicine, Sapporo, Japan
| | - Hisashi Uhara
- Department of Dermatology, Sapporo Medical University School of Medicine, Sapporo, Japan
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9
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Marasca C, Fontanella G, Fabbrocini G, De Maio G, Tranchini P, Cinelli E, Marino V, Megna M. A case of Stewart-Treves Syndrome of the lower limbs: The usefulness of dermoscopy. Int Wound J 2019; 16:1237-1238. [PMID: 31407462 DOI: 10.1111/iwj.13185] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2019] [Accepted: 07/28/2019] [Indexed: 11/30/2022] Open
Affiliation(s)
- Claudio Marasca
- Department of Clinical Medicine and Surgery, Section of Dermatology, University of Naples Federico II, Naples, Italy
| | - Giuseppina Fontanella
- Department of Clinical Medicine and Surgery, Section of Dermatology, University of Naples Federico II, Naples, Italy
| | - Gabriella Fabbrocini
- Department of Clinical Medicine and Surgery, Section of Dermatology, University of Naples Federico II, Naples, Italy
| | - Gabriele De Maio
- Department of Clinical Medicine and Surgery, Section of Dermatology, University of Naples Federico II, Naples, Italy
| | - Paolo Tranchini
- Department of Clinical Medicine and Surgery, Section of Dermatology, University of Naples Federico II, Naples, Italy
| | - Eleonora Cinelli
- Department of Clinical Medicine and Surgery, Section of Dermatology, University of Naples Federico II, Naples, Italy
| | - Vincenzo Marino
- Department of Clinical Medicine and Surgery, Section of Dermatology, University of Naples Federico II, Naples, Italy
| | - Matteo Megna
- Department of Clinical Medicine and Surgery, Section of Dermatology, University of Naples Federico II, Naples, Italy
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10
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Kelati A, Debagh F, Mernissi FZ. Dermoscopy in a lymphangiosarcoma of Stewart–Treves syndrome. BREAST CANCER MANAGEMENT 2018. [DOI: 10.2217/bmt-2017-0022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Stewart–Treves syndrome is a rare invasive lymphangiosarcoma linked with chronic lymphedema after mastectomy for breast cancer. Given the aggressive nature of the tumor, preventative measures and early diagnosis are important. This case is the first dermoscopic description of the lymphangiosarcoma of Stewart–Treves syndrome; it shares similar dermoscopic findings with angiosarcoma of the scalp after irradiation, with findings of a pink-white background, white lines and a combination of red, blue and black structureless areas containing red dots and globules. The lack of conspicuous lacunae make dermoscopy useful for ruling out other differentials such as benign vascular proliferations. Color heterogeneity and vascularization in dermoscopy might inform the clinician of a high percentage of tumor cells on histology.
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Affiliation(s)
- Awatef Kelati
- Department of Dermatology, University Hospital Hassan II of Fez, Fez, Morocco
| | - Fatima Debagh
- Department of Dermatology, University Hospital Hassan II of Fez, Fez, Morocco
| | - Fatima Z Mernissi
- Department of Dermatology, University Hospital Hassan II of Fez, Fez, Morocco
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11
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Cozzani E, Chinazzo C, Ghigliotti G, Pastorino C, Gasparini G, Parodi A. Cutaneous angiosarcoma: the role of dermoscopy to reduce the risk of a delayed diagnosis. Int J Dermatol 2018; 57:996-997. [DOI: 10.1111/ijd.13966] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/06/2017] [Revised: 02/01/2018] [Accepted: 02/23/2018] [Indexed: 11/27/2022]
Affiliation(s)
- Emanuele Cozzani
- Di.S.Sal. Section of Dermatology; Ospedale Policlinico San Martino; Genoa Italy
| | - Chiara Chinazzo
- Di.S.Sal. Section of Dermatology; Ospedale Policlinico San Martino; Genoa Italy
| | - Giovanni Ghigliotti
- Di.S.Sal. Section of Dermatology; Ospedale Policlinico San Martino; Genoa Italy
| | - Carlotta Pastorino
- Di.S.Sal. Section of Dermatology; Ospedale Policlinico San Martino; Genoa Italy
| | - Giulia Gasparini
- Di.S.Sal. Section of Dermatology; Ospedale Policlinico San Martino; Genoa Italy
| | - Aurora Parodi
- Di.S.Sal. Section of Dermatology; Ospedale Policlinico San Martino; Genoa Italy
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12
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Deinlein T, Richtig G, Schwab C, Scarfi F, Arzberger E, Wolf I, Hofmann-Wellenhof R, Zalaudek I. The use of dermatoscopy in diagnosis and therapy of nonmelanocytic skin cancer. J Dtsch Dermatol Ges 2016; 14:144-51. [PMID: 26819109 DOI: 10.1111/ddg.12903] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Today, dermatoscopy is an integral part of every clinical skin examination, as it markedly enhances the early detection of melanocytic and nonmelanocytic skin cancer (NMSC) compared to naked-eye inspection. Besides its diagnostic use, this noninvasive method is increasingly important in the selection of as well as the response assessment to various therapies used for NMSC, including basal cell carcinoma, actinic keratoses, squamous cell carcinoma, and also rare tumors such as Merkel cell carcinoma, angiosarcoma, or dermatofibrosarcoma protuberans. Thus, dermatoscopy is a valid tool for the preoperative assessment of tumor margins in basal cell carcinoma, but also for follow-up of actinic keratoses after topical treatment. The present article presents an overview on the use of dermatoscopy in the diagnosis and therapy of various types of NMSC.
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Affiliation(s)
- Teresa Deinlein
- Department of Dermatology and Venereology, Medical University Graz, Graz, Austria
| | - Georg Richtig
- Department of Dermatology and Venereology, Medical University Graz, Graz, Austria
| | - Christoph Schwab
- Department of Ophthalmology, Medical University Graz, Graz, Austria
| | - Federica Scarfi
- Department of Translational Medicine and Surgery, University of Florence, Florence, Italy
| | - Edith Arzberger
- Department of Dermatology and Venereology, Medical University Graz, Graz, Austria
| | - Ingrid Wolf
- Department of Dermatology and Venereology, Medical University Graz, Graz, Austria
| | | | - Iris Zalaudek
- Department of Dermatology and Venereology, Medical University Graz, Graz, Austria
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13
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Deinlein T, Richtig G, Schwab C, Scarfi F, Arzberger E, Wolf I, Hofmann-Wellenhof R, Zalaudek I. Der Einsatz der Dermatoskopie in der Diagnose und Therapie von nichtmelanozytären Hautkrebsformen. J Dtsch Dermatol Ges 2016. [DOI: 10.1111/ddg.120_12903] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- Teresa Deinlein
- Universitätsklinik für Dermatologie und Venerologie; Medizinische Universität Graz; Österreich
| | - Georg Richtig
- Universitätsklinik für Dermatologie und Venerologie; Medizinische Universität Graz; Österreich
| | - Christoph Schwab
- Universitäts-Augenklinik; Medizinische Universität Graz; Österreich
| | - Federica Scarfi
- Department of Translational Medicine and Surgery; University of Florence; Italy
| | - Edith Arzberger
- Universitätsklinik für Dermatologie und Venerologie; Medizinische Universität Graz; Österreich
| | - Ingrid Wolf
- Universitätsklinik für Dermatologie und Venerologie; Medizinische Universität Graz; Österreich
| | | | - Iris Zalaudek
- Universitätsklinik für Dermatologie und Venerologie; Medizinische Universität Graz; Österreich
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14
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Dermoscopic pattern of radiation-induced angiosarcoma (RIA). J Am Acad Dermatol 2015; 73:e51-5. [DOI: 10.1016/j.jaad.2015.04.054] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2015] [Revised: 04/24/2015] [Accepted: 04/25/2015] [Indexed: 11/18/2022]
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15
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Abstract
Dermoscopy (dermatoscopy or surface microscopy) is an ancillary dermatologic tool that in experienced hands can improve the accuracy of diagnosis of a variety of benign and malignant pigmented skin tumors. The early and more accurate diagnosis of nonpigmented, or pink, tumors can also be assisted by dermoscopy. This review focuses on the dermoscopic diagnosis of pink lesions, with emphasis on blood vessel morphology and pattern. A 3-step algorithm is presented, which facilitates the timely and more accurate diagnosis of pink tumors and subsequently guides the management for such lesions.
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Affiliation(s)
- Jason Giacomel
- Skin Spectrum Medical Services, 400 Canning Highway, Como, Perth, Western Australia 6152, Australia.
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16
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Minagawa A, Koga H, Okuyama R. Vascular structure absence under dermoscopy in two cases of angiosarcoma on the scalp. Int J Dermatol 2014; 53:e350-2. [PMID: 24601957 DOI: 10.1111/ijd.12357] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- Akane Minagawa
- Department of Dermatology, Shinshu University School of Medicine, Matsumoto, Japan.
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17
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Lallas A, Moscarella E, Argenziano G, Longo C, Apalla Z, Ferrara G, Piana S, Rosato S, Zalaudek I. Dermoscopy of uncommon skin tumours. Australas J Dermatol 2013; 55:53-62. [PMID: 23866027 DOI: 10.1111/ajd.12074] [Citation(s) in RCA: 53] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2013] [Accepted: 04/01/2013] [Indexed: 02/01/2023]
Affiliation(s)
- Aimilios Lallas
- Skin Cancer Unit, Arcispedale Santa Maria Nuova IRCCS, Reggio Emilia
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