1
|
Cantisani C, Paolino G, Di Guardo A, Gomes V, Carugno A, Greco ME, Musolff N, Azzella G, Rossi G, Soda G, Longo C, Pellacani G. Diagnostic Imaging of Agminated Blue Lesions and Blue Lesions with Satellitosis: Case Series with a Concise Review of the Current Literature. J Clin Med 2024; 13:894. [PMID: 38337588 PMCID: PMC10856709 DOI: 10.3390/jcm13030894] [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: 12/03/2023] [Revised: 01/22/2024] [Accepted: 01/31/2024] [Indexed: 02/12/2024] Open
Abstract
Background: Agmination and/or satellitosis in pigmented blue lesions is a phenomenon rarely mentioned in the literature and not well known. This phenomenon can be expressed by several benign and malignant pigmented blue lesions, such as blue nevi, Spitz nevi, melanocytoma and melanoma. On this spectrum, dermoscopy, reflectance confocal microscopy (RCM) and dynamic Optical coherence tomography (D-OCT) represent non-invasive imaging technologies, which may help clinicians in the diagnosis of melanoma and non-melanoma skin cancers in daily clinical practice. Methods: Currently, in the literature there is a lack of new data about agminated blue lesions and blues lesions with satellitosis, as well as the lack of a recent and updated review of the literature about this topic. Therefore, considering that clinicians must be confident with the diagnosis of these rare skin lesions, we decided to carry out this work. Results: In this paper, four new cases of agminated pigmented cutaneous lesions were described. Moreover, a review of the current literature on this topic was performed. Conclusions: A clinical-pathological correlation is often needed to reach a correct diagnosis; currently, dermoscopy and non-invasive diagnostic techniques, such as reflectance confocal microscopy and optical coherence tomography, due to the depth of these skin lesions in the dermis, can only make a partial and limited contribution.
Collapse
Affiliation(s)
- Carmen Cantisani
- Department of Dermatology, Sapienza University of Rome, 00185 Rome, Italy
| | - Giovanni Paolino
- Unit of Dermatology, IRCCS Ospedale San Raffaele, 20132 Milan, Italy
| | - Antonio Di Guardo
- Department of Dermatology, Sapienza University of Rome, 00185 Rome, Italy
| | - Vito Gomes
- Department of Anatomy and Pathology, Ospedale San Filippo Neri, 00135 Rome, Italy
| | - Andrea Carugno
- Dermatology Unit, ASST Papa Giovanni XXIII, 24127 Bergamo, Italy
- Ph.D. Program in Molecular and Translational Medicine (DIMET), University of Milan-Bicocca, 20126 Milan, Italy
| | | | - Noah Musolff
- Department of Dermatology, Sapienza University of Rome, 00185 Rome, Italy
| | - Giulia Azzella
- Department of Dermatology, Sapienza University of Rome, 00185 Rome, Italy
| | - Giovanni Rossi
- Department of Dermatology, Sapienza University of Rome, 00185 Rome, Italy
| | - Giuseppe Soda
- Department of Molecular Medicine, Policlinico Umberto I, Sapienza University of Rome, 00185 Rome, Italy
| | - Caterina Longo
- Dermatology Department, University of Modena and Reggio Emilia, 41121 Modena, Italy
- Azienda Unità Sanitaria Locale–IRCCS di Reggio Emilia, Skin Cancer Center, 42122 Reggio Emilia, Italy
| | - Giovanni Pellacani
- Department of Dermatology, Sapienza University of Rome, 00185 Rome, Italy
| |
Collapse
|
2
|
Ogawa K, Fujimoto M, Takai T, Mitsui Y, Iwasa K, Ohsita A, Komori S, Asai J, Azukizawa H, Miyagawa F, Yurugi S, Kuwahara M, Sasaki C, Ando J, Asada H. Acquired agminated melanocytic nevus in the acral area is a potential mimicker of acral lentiginous melanoma: A three-case series report and published work review. J Dermatol 2020; 47:770-773. [PMID: 32363624 DOI: 10.1111/1346-8138.15353] [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: 02/12/2020] [Accepted: 03/23/2020] [Indexed: 11/26/2022]
Abstract
Agminated nevus refers to a clustered group of melanocytic nevi confined to a localized area of the body. It rarely involves acral skin, but recognition of acquired agminated nevus (AAN) in the acral area is clinically important because it may mimic acral lentiginous melanoma (ALM). However, acral AAN has only been described in a few case reports and its clinical characteristics remain unclear. We report three additional cases of acral AAN to further analyze the differential points between ALM. Clinical images, including those of dermoscopy, of three cases of acral AAN were reviewed. The lesions were located on the sole or lateral border of the foot. All acral AAN were flat and large in size (>20 mm in greatest dimension), and associated with asymmetry and irregular border. However, no parallel ridge pattern suggesting ALM was observed on dermoscopy. In two patients, the lesions on the sole were totally resected; microscopic evaluation of these two lesions confirmed junctional nests of banal melanocytes. AAN lesions on the sole with chronic mechanical pressure are slightly larger and more diffuse; thus, they may be more likely to be overdiagnosed as malignancy upon inspection than those in the non-acral area. Understanding the concept of the disease and careful dermoscopic evaluation leads to an accurate diagnosis.
Collapse
Affiliation(s)
- Kohei Ogawa
- Department of Dermatology, Nara Medical University School of Medicine, Kashihara, Japan
| | - Masakazu Fujimoto
- Department of Diagnostic Pathology, Kyoto University Hospital, Kyoto, Japan
| | - Toshihiro Takai
- Department of Dermatology, Hyogo Cancer Center, Akashi, Japan
| | - Yasuhiro Mitsui
- Department of Dermatology, Nara Medical University School of Medicine, Kashihara, Japan
| | - Kentaro Iwasa
- Department of Dermatology, Nara Medical University School of Medicine, Kashihara, Japan
| | - Akifumi Ohsita
- Department of Dermatology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan
| | - Satoshi Komori
- Department of Dermatology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan
| | - Jun Asai
- Department of Dermatology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan
| | - Hiroaki Azukizawa
- Department of Dermatology, Nara Medical University School of Medicine, Kashihara, Japan
| | - Fumi Miyagawa
- Department of Dermatology, Nara Medical University School of Medicine, Kashihara, Japan
| | - Satoshi Yurugi
- Division of Plastic Surgery, Nara Medical University School of Medicine, Kashihara, Japan
| | - Masamitsu Kuwahara
- Division of Plastic Surgery, Nara Medical University School of Medicine, Kashihara, Japan
| | - Chikako Sasaki
- Division of Plastic Surgery, Nara Medical University School of Medicine, Kashihara, Japan
| | - Junji Ando
- Division of Plastic Surgery, Nara Medical University School of Medicine, Kashihara, Japan
| | - Hideo Asada
- Department of Dermatology, Nara Medical University School of Medicine, Kashihara, Japan
| |
Collapse
|
3
|
Piccolo V, De Barros M, Corneli P, de Almeida Costa Sartoretto B, Russo T, Zalaudek I, Alfano R, Argenziano G. Dermoscopy of blue naevus on acral volar skin: A review of the literature. Australas J Dermatol 2019; 60:336-338. [PMID: 30724334 DOI: 10.1111/ajd.12999] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
Affiliation(s)
- Vincenzo Piccolo
- Dermatology Unit, University of Campania 'Luigi Vanvitelli', Naples, Italy
| | - Mayara De Barros
- Professor Rubem David Azulay Institute, Charity Hospital of Rio de Janeiro, Rio de Janeiro, Brazil
| | - Paola Corneli
- Department of Dermatology, Ospedale Maggiore, University of Trieste, Trieste, Italy
| | | | - Teresa Russo
- Dermatology Unit, University of Campania 'Luigi Vanvitelli', Naples, Italy
| | - Iris Zalaudek
- Department of Dermatology, Ospedale Maggiore, University of Trieste, Trieste, Italy
| | - Roberto Alfano
- Department of Anesthesiology, Surgery and Emergency, University of Campania Luigi Vanvitelli, Naples, Italy
| | | |
Collapse
|
4
|
Eichenfield DZ, Cotter D, Thorson J, Hinds B, Sun BK. Agminated blue nevus with a GNAQ mutation: A case report and review of the literature. J Cutan Pathol 2018; 46:130-133. [PMID: 30315589 DOI: 10.1111/cup.13373] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2018] [Revised: 09/07/2018] [Accepted: 10/08/2018] [Indexed: 01/17/2023]
Abstract
Agminated blue nevi are dermal melanocytic proliferations that classically present as dark blue macules or papules in a grouped, linear, or blaschkoid distribution. In their more common sporadic form, blue nevi manifest in young adulthood as solitary blue papules or macules on the scalp, face, hands, or feet. By contrast, agminated blue nevi tend to manifest earlier in life, and are distributed more evenly across anatomic sites. Recent studies have identified mutations in sporadic blue nevi in the genes encoding G Protein subunit alpha Q and G protein subunit alpha 11 (GNAQ and GNA11). It is unknown whether agminated blue nevi share the same genetic changes. In the present paper, we present a case of agminated blue nevus on the wrist, and identify an activating mutation (c.626A > T, p.Glu209Leu) in GNAQ. We hypothesize that GNAQ/GNA11 activating mutations arising earlier during development may trigger agminated blue nevi, explaining the broader field of involvement in these cutaneous lesions.
Collapse
Affiliation(s)
- Dawn Z Eichenfield
- Department of Dermatology, University of California, San Diego, California
| | - David Cotter
- Department of Dermatology, University of California, San Diego, California
| | - John Thorson
- Department of Pathology, University of California, San Diego, California
| | - Brian Hinds
- Department of Dermatology, University of California, San Diego, California
| | - Bryan K Sun
- Department of Dermatology, University of California, San Diego, California
| |
Collapse
|