1
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Manzo Margiotta F, Michelucci A, Capalbo E, Ricceri F, Rosi E, Rossari S, Magnano M, Savarese I, Milanesi N, Simoni B, Romanelli M, Rubegni P, DI Cesare A, Panduri S, Pescitelli L, Trovato E, Prignano F. Efficacy of risankizumab after intra-class switching between anti IL-23 antagonists: a multi-center, retrospective, real-life observation. Ital J Dermatol Venerol 2024; 159:64-65. [PMID: 37997317 DOI: 10.23736/s2784-8671.23.07648-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2023]
Affiliation(s)
| | | | - Eugenio Capalbo
- Section of Dermatology, Department of Medical, Surgical and Neurological Science, University of Siena, Siena, Italy
| | | | - Elia Rosi
- Section of Dermatology, Department of Health Sciences, University of Florence, Florence, Italy
| | - Susanna Rossari
- Unit of Dermatology, Versilia Hospital, Lido di Camaiore, Lucca, Italy
| | - Michela Magnano
- Unit of Dermatology, Versilia Hospital, Lido di Camaiore, Lucca, Italy
| | - Imma Savarese
- Department of Dermatology, San Jacopo Hospital, Pistoia, Italy
| | - Nicola Milanesi
- Department of Dermatology, San Jacopo Hospital, Pistoia, Italy
| | - Barbara Simoni
- Unit of Dermatology, Hospital of Campo di Marte, Lucca, Italy
| | | | - Pietro Rubegni
- Section of Dermatology, Department of Medical, Surgical and Neurological Science, University of Siena, Siena, Italy
| | - Antonella DI Cesare
- Section of Dermatology, Department of Health Sciences, University of Florence, Florence, Italy
| | | | | | - Emanuele Trovato
- Section of Dermatology, Department of Medical, Surgical and Neurological Science, University of Siena, Siena, Italy -
| | - Francesca Prignano
- Section of Dermatology, Department of Health Sciences, University of Florence, Florence, Italy
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Savarese I, Yazami S, De Rose DU, Carkeek K, Campi F, Auriti C, Danhaive O, Piersigilli F. Use of 2% taurolidine lock solution for treatment and prevention of catheter-related bloodstream infections in neonates: a feasibility study. J Hosp Infect 2024; 143:76-81. [PMID: 37972710 DOI: 10.1016/j.jhin.2023.11.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2023] [Revised: 10/26/2023] [Accepted: 11/02/2023] [Indexed: 11/19/2023]
Abstract
BACKGROUND Taurolidine lock, a technique used to prevent or treat catheter-related bloodstream infection (CRBSI), is effective in adult and paediatric patients but has been described rarely in neonates. The aim of this descriptive retrospective study, was to determine the feasibility and direct outcomes of prophylactic and therapeutic taurolidine locks in term and preterm neonates. METHODS We implemented the use of therapeutic taurolidine lock in addition to antibiotic treatment with the aim of catheter salvage in critical neonates with difficult vascular access (group 1). In addition, we introduced taurolidine lock as a preventive measure in neonates with a central venous catheter (CVC) at high risk of developing CRBSI (group 2). Every 24 h (in the treatment group) a 2% taurolidine solution was injected and the catheter locked for at least 120 min, until infection clearance (group 1). In the preventive group, the catheter was locked for 30 min every 48 h until CVC removal (group 2). FINDINGS Thirty-seven neonates who received taurolidine were included in this study. We did not observe any major adverse events. In group 1 (21 cases), clinical symptom disappearance and bacteraemia clearance were achieved without catheter removal in 18 cases (85.7%); in the other three neonates the catheter was removed shortly after the start of the locks as it was possible to replace the CVC. In group 2 (16 neonates), no CRBSI was observed during the duration of the catheter placement. CONCLUSIONS In this retrospective study, taurolidine was successfully used in neonates both for prevention and treatment of CRBSI, without major undesired effects. A larger cohort and a randomized clinical trial is warranted in order to establish its efficacy and safety in neonates.
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Affiliation(s)
- I Savarese
- Neonatal Intensive Care Unit, "Bambino Gesù" Children's Hospital IRCCS, Rome, Italy
| | - S Yazami
- Neonatal Intensive Care Unit, Cliniques Universitaires Saint Luc, Université Catholique de Louvain, Bruxelles, Belgium
| | - D U De Rose
- Neonatal Intensive Care Unit, "Bambino Gesù" Children's Hospital IRCCS, Rome, Italy
| | - K Carkeek
- Neonatal Intensive Care Unit, Cliniques Universitaires Saint Luc, Université Catholique de Louvain, Bruxelles, Belgium
| | - F Campi
- Neonatal Intensive Care Unit, "Bambino Gesù" Children's Hospital IRCCS, Rome, Italy
| | - C Auriti
- Neonatal Intensive Care Unit, "Bambino Gesù" Children's Hospital IRCCS, Rome, Italy
| | - O Danhaive
- Neonatal Intensive Care Unit, Cliniques Universitaires Saint Luc, Université Catholique de Louvain, Bruxelles, Belgium
| | - F Piersigilli
- Neonatal Intensive Care Unit, Cliniques Universitaires Saint Luc, Université Catholique de Louvain, Bruxelles, Belgium.
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Tognetti L, Cartocci A, Żychowska M, Savarese I, Cinotti E, Pizzichetta MA, Moscarella E, Longo C, Farnetani F, Guida S, Paoli J, Lallas A, Tiodorovic D, Stanganelli I, Magi S, Dika E, Zalaudek I, Suppa M, Argenziano G, Pellacani G, Perrot JL, Miracapillo C, Rubegni G, Cevenini G, Rubegni P. A risk-scoring model for the differential diagnosis of lentigo maligna and other atypical pigmented facial lesions of the face: The facial iDScore. J Eur Acad Dermatol Venereol 2023; 37:2301-2310. [PMID: 37467376 DOI: 10.1111/jdv.19360] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2023] [Accepted: 07/07/2023] [Indexed: 07/21/2023]
Abstract
BACKGROUND Due to progressive ageing of the population, the incidence of facial lentigo maligna (LM) of the face is increasing. Many benign simulators of LM and LMM, known as atypical pigmented facial lesions (aPFLs-pigmented actinic keratosis, solar lentigo, seborrheic keratosis, seborrheic-lichenoid keratosis, atypical nevus) may be found on photodamaged skin. This generates many diagnostic issues and increases the number of biopsies, with a subsequent impact on aesthetic outcome and health insurance costs. OBJECTIVES Our aim was to develop a risk-scoring classifier-based algorithm to estimate the probability of an aPFL being malignant. A second aim was to compare its diagnostic accuracy with that of dermoscopists so as to define the advantages of using the model in patient management. MATERIALS AND METHODS A total of 154 dermatologists analysed 1111 aPFLs and their management in a teledermatology setting: They performed pattern analysis, gave an intuitive clinical diagnosis and proposed lesion management options (follow-up/reflectance confocal microscopy/biopsy). Each case was composed of a dermoscopic and/or clinical picture plus metadata (histology, age, sex, location, diameter). The risk-scoring classifier was developed and tested on this dataset and then validated on 86 additional aPFLs. RESULTS The facial Integrated Dermoscopic Score (iDScore) model consisted of seven dermoscopic variables and three objective parameters (diameter ≥ 8 mm, age ≥ 70 years, male sex); the score ranged from 0 to 16. In the testing set, the facial iDScore-aided diagnosis was more accurate (AUC = 0.79 [IC 95% 0.757-0.843]) than the intuitive diagnosis proposed by dermatologists (average of 43.5%). In the management study, the score model reduced the number of benign lesions sent for biopsies by 41.5% and increased the number of LM/LMM cases sent for reflectance confocal microscopy or biopsy instead of follow-up by 66%. CONCLUSIONS The facial iDScore can be proposed as a feasible tool for managing patients with aPFLs.
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Affiliation(s)
- Linda Tognetti
- Dermatology Unit, Department of Medical, Surgical and Neurosciences, University of Siena, Siena, Italy
| | - Alessandra Cartocci
- Dermatology Unit, Department of Medical, Surgical and Neurosciences, University of Siena, Siena, Italy
- Department of Medical Biotechnologies, University of Siena, Siena, Italy
| | - Magdalena Żychowska
- Department of Dermatology, Institute of Medical Sciences, Medical College of Rzeszow University, Rzeszów, Poland
| | - Imma Savarese
- Soc Dermatologia Pistoia-Prato, USL Toscana Centro, Pistoia, Italy
| | - Elisa Cinotti
- Dermatology Unit, Department of Medical, Surgical and Neurosciences, University of Siena, Siena, Italy
| | - Maria Antonietta Pizzichetta
- Dermatology Clinic, Ospedale di Trieste, Trieste, Italy
- Department of Medical Oncology, Centro di Riferimento Oncologico di Aviano (CRO), IRCCS, Aviano, Italy
| | - Elvira Moscarella
- Dermatology Unit, University of Campania Luigi Vanvitelli, Naples, 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
| | - Francesca Farnetani
- Department of Dermatology, University of Modena and Reggio Emilia, Modena, Italy
| | - Stefania Guida
- Vita-Salute San Raffaele University, Milan, Italy
- Dermatology Clinic, IRCCS San Raffaele Scientific Institute, Milan, Italy
| | - John Paoli
- Department of Dermatology and Venereology, Institute of Clinical Sciences, Sahlgrenska Academy, Sahlgrenska University Hospital, University of Gothenburg, Gothenburg, Sweden
- Department of Dermatology and Venereology, Region Västra Götaland, Sahlgrenska University Hospital, Gothenburg, Sweden
| | - Aimilios Lallas
- First Department of Dermatology, Aristotle University, Thessaloniki, Greece
| | | | - Ignazio Stanganelli
- Skin Cancer Unit, Scientific Institute of Romagna for the Study of Cancer, IRCCS, IRST, Meldola, Italy
- Department of Dermatology, University of Parma, Parma, Italy
| | - Serena Magi
- Skin Cancer Unit, Scientific Institute of Romagna for the Study of Cancer, IRCCS, IRST, Meldola, Italy
| | - Emi Dika
- Dermatology Unit, Department of Experimental, Diagnostic and Specialty Medicine (DIMES), University of Bologna, Bologna, Italy
- Dermatology, IRCCS Azienda Ospedaliero Universitaria di Bologna, Bologna, Italy
| | - Iris Zalaudek
- Dermatology Clinic, Ospedale di Trieste, Trieste, Italy
| | - Mariano Suppa
- Department of Dermatology, Hôpital Erasme, Université Libre de Bruxelles, Brussels, Belgium
- Groupe d'Imagerie Cutanée Non-Invasive, Société Française de Dermatologie, Paris, France
- Department of Dermatology, Institut Jules Bordet, Brussels, Belgium
| | | | - Giovanni Pellacani
- Department of Dermatology, Policlinico Umberto I, University of Rome La Sapienza, Rome, Italy
| | - Jean Luc Perrot
- Dermatology Unit, University Hospital of St-Etienne, Saint Etienne, France
| | - Chiara Miracapillo
- Dermatology Unit, Department of Medical, Surgical and Neurosciences, University of Siena, Siena, Italy
| | - Giovanni Rubegni
- Department of Ophthalmology, University of Catania, Catania, Italy
| | - Gabriele Cevenini
- Bioengineering and Biomedical Data Science Lab, Department of Medical Biotechnologies, University of Siena, Siena, Italy
| | - Pietro Rubegni
- Dermatology Unit, Department of Medical, Surgical and Neurosciences, University of Siena, Siena, Italy
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Dragotto M, Capalbo E, Cartocci A, Manzo Margiotta F, Michelucci A, Rosi E, Ricceri F, Simoni B, Savarese I, Milanesi N, Rossari S, Magnano M, Romanelli M, Rubegni P, Prignano F, Di Cesare A, Panduri S, Pescitelli L, Trovato E. Real-life effectiveness of Risankizumab according to body mass index: results of an Italian multicenter retrospective study. J Eur Acad Dermatol Venereol 2023. [PMID: 37062048 DOI: 10.1111/jdv.19117] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2023] [Accepted: 04/07/2023] [Indexed: 04/17/2023]
Affiliation(s)
- Martina Dragotto
- Dermatology Section, Department of Medical, Surgical and Neurological Science, University of Siena, Siena, Italy
| | - Eugenio Capalbo
- Dermatology Section, Department of Medical, Surgical and Neurological Science, University of Siena, Siena, Italy
| | | | | | | | - Elia Rosi
- Unit of Dermatology, Department of Surgery and Translational Medicine, University of Florence, Florence, Italy
| | | | - Barbara Simoni
- Unit of Dermatology, Hospital of Campo di Marte, Lucca, Italy
| | - Imma Savarese
- Department of Dermatology, San Jacopo Hospital, Pistoia, Italy
| | - Nicola Milanesi
- Department of Dermatology, San Jacopo Hospital, Pistoia, Italy
| | - Susanna Rossari
- Unit of Dermatology, Versilia Hospital, Lido di Camaiore, Lucca, Italy
| | - Michela Magnano
- Unit of Dermatology, Versilia Hospital, Lido di Camaiore, Lucca, Italy
| | | | - Pietro Rubegni
- Dermatology Section, Department of Medical, Surgical and Neurological Science, University of Siena, Siena, Italy
| | - Francesca Prignano
- Unit of Dermatology, Department of Surgery and Translational Medicine, University of Florence, Florence, Italy
| | - Antonella Di Cesare
- Unit of Dermatology, Department of Surgery and Translational Medicine, University of Florence, Florence, Italy
| | | | | | - Emanuele Trovato
- Dermatology Section, Department of Medical, Surgical and Neurological Science, University of Siena, Siena, Italy
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5
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Cecchi R, Savarese I. Modified Spear flap for the reconstruction of a full-thickness defect of the nasal ala. Dermatol Reports 2022; 14:9306. [PMID: 36199900 PMCID: PMC9527685 DOI: 10.4081/dr.2022.9306] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2021] [Accepted: 07/08/2021] [Indexed: 11/23/2022] Open
Abstract
Various options are available for the reconstruction of full-thickness defects of the nasal ala with different advantages and disadvantages, but none are fully satisfactory. We present the case of a 57- year-old man with a recurrent basal cell carcinoma of the right nasal ala and nearby cheek and upper lip. Tumour clearance was achieved after two stages of ‘fresh/frozen’ Tübingen technique, resulting in a 2.0×2.0 cm full-thickness defect of the lateral right ala. The wound involved the alar rim, groove and adjacent check and upper lip. Reconstruction was successfully achieved with a nasolabial turnover flap (modified Spear flap) in a single stage. The surgical procedure and subsequent outcomes are illustrated. Our experience shows the effectiveness of the nasolabial turnover flap for a single-stage repair of full-thickness defects of the nasal area and adjacent tissue.
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6
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De Giorgi V, Silvestri F, Savarese I, Venturi F, Scarfì F, Trane L, Bellerba F, Zuccaro B, Maio V, Massi D, Gandini S. Porocarcinoma: an epidemiological, clinical, and dermoscopic 20-year study. Int J Dermatol 2022; 61:1098-1105. [PMID: 35229289 DOI: 10.1111/ijd.16129] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/14/2021] [Revised: 01/09/2022] [Accepted: 01/11/2022] [Indexed: 11/26/2022]
Abstract
BACKGROUND Porocarcinoma (PC) is a rare cutaneous adnexal tumor with a variable metastatic potential. Given the paucity of data, guidelines and specific recommendations for PC are not yet well-established. In this study, we evaluate the disease-specific characteristics and outcome of this rare and often underestimated tumor. MATERIALS AND METHOD A retrospective study of the epidemiological, clinical, and dermoscopic characteristics among cases of histopathologically diagnosed PC, collected from the database of two skin cancer clinics in Italy (Firenze, Pistoia) from 2000 to 2020, was conducted. RESULTS Among the 52 patients with 53 tumors, 31 were men (59.6%) and 21 were women (40.4%) with an age range of 49-96 years (median age 82 years). The most common locations were the head/neck region in men (34% in men vs. 17% in women) and the lower limb in women (17% in women vs. 9% in men). Forty-eight cases (91%) underwent local excision. Of these patients, two (4%) experienced local recurrence, and one (2%) developed a second PC on a different anatomical site 1 month after the primary tumor's excision. Lymph node metastases were present in three cases (6%). Two of them have been treated surgically with adjuvant radiotherapy (both are disease-free after a 2-year follow-up period), whereas the third case developed visceral metastases followed by PC-related death. CONCLUSIONS This study, with 52 patients with 53 tumors covering a follow-up period of more than 5 years, shows a less aggressive behavior of PC with 4% local recurrence, 6% nodal metastases, and 2% mortality.
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Affiliation(s)
- Vincenzo De Giorgi
- Section of Dermatology, Department of Health Sciences, University of Florence, Florence, Italy
| | - Flavia Silvestri
- Section of Dermatology, Department of Health Sciences, University of Florence, Florence, Italy
| | - Imma Savarese
- Unit of Dermatology, S. Jacopo Hospital, AUSL Toscana Centro, Pistoia, Italy
| | - Federico Venturi
- Section of Dermatology, Department of Health Sciences, University of Florence, Florence, Italy
| | - Federica Scarfì
- Section of Dermatology, Department of Health Sciences, University of Florence, Florence, Italy
| | - Luciana Trane
- Cancer Research "AttiliaPofferi" Foundation, Pistoia, Italy
| | - Federica Bellerba
- Department of Experimental Oncology, European Institute of Oncology (IEO), IRCCS, Milan, Italy
| | - Biancamaria Zuccaro
- Section of Dermatology, Department of Health Sciences, University of Florence, Florence, Italy
| | - Vincenza Maio
- Histopathology and Molecular Diagnostics, Careggi University Hospital, Florence, Italy
| | - Daniela Massi
- Section of Pathology, Department of Health Sciences, University of Florence and Histopathology and Molecular Diagnostics, Careggi University Hospital, Florence, Italy
| | - Sara Gandini
- Department of Experimental Oncology, European Institute of Oncology (IEO), IRCCS, Milan, Italy
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7
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De Giorgi V, Venturi F, Silvestri F, Trane L, Savarese I, Scarfì F, Cencetti F, Pecenco S, Tramontana M, Maio V, Zuccaro B, Colombo J, Bagnoni G, Stingeni L, Massi D. Atypical Spitz Tumors: An epidemiological, clinical and dermoscopic multicenter study with 16‐year follow‐up. Clin Exp Dermatol 2022; 47:1464-1471. [DOI: 10.1111/ced.15123] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2021] [Revised: 01/24/2022] [Accepted: 01/31/2022] [Indexed: 11/30/2022]
Affiliation(s)
- Vincenzo De Giorgi
- Section of Dermatology Department of Health Sciences University of Florence Florence Italy
| | - Federico Venturi
- Section of Dermatology Department of Health Sciences University of Florence Florence Italy
| | - Flavia Silvestri
- Section of Dermatology Department of Health Sciences University of Florence Florence Italy
| | - Luciana Trane
- Cancer Research "AttiliaPofferi" Foundation Pistoia Italy
| | | | - Federica Scarfì
- Section of Dermatology Department of Health Sciences University of Florence Florence Italy
| | - Francesca Cencetti
- Dermatology Section Department of Medicine and Surgery University of Perugia
| | | | - Marta Tramontana
- Dermatology Section Department of Medicine and Surgery University of Perugia
| | | | - Biancamaria Zuccaro
- Section of Dermatology Department of Health Sciences University of Florence Florence Italy
| | - Jacopo Colombo
- Section of Dermatology Department of Health Sciences University of Florence Florence Italy
| | | | - Luca Stingeni
- Dermatology Section Department of Medicine and Surgery University of Perugia
| | - Daniela Massi
- Section of Anatomic Pathology Department of Health Sciences University of Florence Florence Italy
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8
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Savarese I, Bonciani D, Vanzi L, Cecchi R. From step flap to hatchet flap: How to change an ongoing reconstructive procedure. Dermatol Ther 2021; 35:e15230. [PMID: 34820984 DOI: 10.1111/dth.15230] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2021] [Revised: 11/19/2021] [Accepted: 11/22/2021] [Indexed: 11/26/2022]
Affiliation(s)
- Imma Savarese
- Department of Dermatology, San Jacopo Hospital, Pistoia, Italy
| | | | - Laura Vanzi
- Department of Dermatology, San Jacopo Hospital, Pistoia, Italy
| | - Roberto Cecchi
- Department of Dermatology, San Jacopo Hospital, Pistoia, Italy
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9
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De Giorgi V, Trane L, Savarese I, Silvestri F, Venturi F, Zuccaro B, Scarfì F. Lasting response after discontinuation of cemiplimab in a patient with locally advanced basal cell carcinoma. Clin Exp Dermatol 2021; 46:1612-1614. [PMID: 34157152 DOI: 10.1111/ced.14804] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/14/2021] [Indexed: 01/01/2023]
Affiliation(s)
- V De Giorgi
- Section of Dermatology, Department of Health Sciences, University of Florence, Florence, Italy
| | - L Trane
- Cancer Research Attilia Pofferi Foundation, Pistoia, Italy
| | - I Savarese
- Unit of Dermatology, S. Jacopo Hospital, AUSL Toscana Centro, Pistoia, Italy
| | - F Silvestri
- Section of Dermatology, Department of Health Sciences, University of Florence, Florence, Italy
| | - F Venturi
- Section of Dermatology, Department of Health Sciences, University of Florence, Florence, Italy
| | - B Zuccaro
- Section of Dermatology, Department of Health Sciences, University of Florence, Florence, Italy
| | - F Scarfì
- Section of Dermatology, Department of Health Sciences, University of Florence, Florence, Italy
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10
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Khalil Ramla M, Goffredo BM, Giustini F, Pisani M, Cairoli S, Simeoli R, Nunziata J, Perdichizzi S, Savarese I, Marano M. The importance of free digoxin serum levels after digoxin poisoning. Clin Toxicol (Phila) 2021; 60:136-137. [PMID: 34080509 DOI: 10.1080/15563650.2021.1928164] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Affiliation(s)
- M Khalil Ramla
- Pediatric Poison Control Center, Children's Hospital Bambino Gesù, IRCCS, Rome, Italy
| | - B M Goffredo
- Division Of Metabolic Biochemistry, Children's Hospital Bambino Gesù, IRCCS, Rome, Italy
| | - F Giustini
- Division of Clinical Laboratory, Children's Hospital Bambino Gesù, IRCCS, Rome, Italy
| | - M Pisani
- Emergency Department, Children's Hospital Bambino Gesù, IRCCS, Rome, Italy
| | - S Cairoli
- Division Of Metabolic Biochemistry, Children's Hospital Bambino Gesù, IRCCS, Rome, Italy
| | - R Simeoli
- Division Of Metabolic Biochemistry, Children's Hospital Bambino Gesù, IRCCS, Rome, Italy
| | - J Nunziata
- DEA Pediatric Intensive Care Unit, Children's Hospital Bambino Gesù, IRCCS, Rome, Italy
| | - S Perdichizzi
- DEA Pediatric Intensive Care Unit, Children's Hospital Bambino Gesù, IRCCS, Rome, Italy
| | - I Savarese
- Department of Medical and Surgical Neonatology, Children's Hospital Bambino Gesù, IRCCS, Rome, Italy
| | - M Marano
- Pediatric Poison Control Center, Children's Hospital Bambino Gesù, IRCCS, Rome, Italy.,DEA Pediatric Intensive Care Unit, Children's Hospital Bambino Gesù, IRCCS, Rome, Italy
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11
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De Giorgi V, Venturi F, Scarfì F, Trane L, Silvestri F, Savarese I, Facchini F, Buccoliero AM, Massi D. Clinical and dermoscopic polymorphisms in agminated Spitz nevi: Ugly presentation but benign behavior. Pediatr Dermatol 2021; 38:461-463. [PMID: 33528051 DOI: 10.1111/pde.14535] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/28/2020] [Revised: 12/09/2020] [Accepted: 12/21/2020] [Indexed: 11/25/2022]
Abstract
Agminated Spitz nevi are an uncommon entity, and their management is challenging due not only the young age of the patients but also the tumor's uncertain malignant potential and the variability in the dermoscopic and clinical presentation. We report a case of a 6-year-old boy with multiple agminated Spitz nevi on a café au lait macule with different atypical clinical patterns and dermoscopic features.
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Affiliation(s)
- Vincenzo De Giorgi
- Section of Dermatology, Department of Health Sciences, University of Florence, Florence, Italy
| | - Federico Venturi
- Section of Dermatology, Department of Health Sciences, University of Florence, Florence, Italy
| | - Federica Scarfì
- Section of Dermatology, Department of Health Sciences, University of Florence, Florence, Italy
| | - Luciana Trane
- Section of Dermatology, Department of Health Sciences, University of Florence, Florence, Italy
| | - Flavia Silvestri
- Section of Dermatology, Department of Health Sciences, University of Florence, Florence, Italy
| | - Imma Savarese
- Section of Dermatology, Department of Health Sciences, University of Florence, Florence, Italy
| | | | | | - Daniela Massi
- Section of Anatomic Pathology, Department of Health Sciences, University of Florence, Florence, Italy
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12
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Longo D, Bottino F, Lucignani G, Scarciolla L, Pasquini L, Rossi Espagnet MC, Polito C, Figà-Talamanca L, Calbi G, Savarese I, Giliberti P, Napolitano A. DTI parameters in neonates with hypoxic-ischemic encephalopathy after total body hypothermia. J Matern Fetal Neonatal Med 2020; 35:4035-4042. [PMID: 33203279 DOI: 10.1080/14767058.2020.1846180] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
BACKGROUND AND PURPOSE MR imaging provides means for discriminating different patterns of Hypoxic-ischemic encephalopathy (HIE) and may distinguish most severe cases from less severe but is unable to predict long-term outcome. Diffusion tensor imaging (DTI) offers information for a more complete characterization of HIE. The purpose of this study is to compare the modifications of DTI parameters in newborns one week and six months following total-body cooling to healthy controls. METHODS Forty-seven cooled newborns were studied with MRI, 20 underwent follow-up at 6 months. 12 healthy newborns and nine children at 6 months were enrolled as control groups (HC). Inferior Longitudinal Fasciculus (ILF), Corpus Callosum Fasciculus (CCF), Corticospinal Tract (CST), Optical Tract (OT), Optic Radiation (OR) were generated in all subjects. DTI parameters were evaluated in basal ganglia (BG), thalamus (TH) and tracks. Statistical analysis was performed with MANOVA. RESULTS In newborns HIE versus HC, there were significantly lower fractional anisotropy (FA) on OR and CST and higher axial diffusivity (AD), apparent diffusion coefficient (ADC) and radial diffusivity (RD) values on CST, BG and TH in HIE-N. At 6 months there were no significant grouping effects. The analysis showed a significant increase of FA, decrease of ADC, AD, RD after 6 months for HIE and HC. CONCLUSIONS We observed modifications of parameter values in HIE newborns vs HC; however normalization of values at 6 months suggests that changes of parameters cannot be considered early biomarkers for evaluation of therapeutic hypothermia in newborns with moderate HIE and normal conventional MRI.
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Affiliation(s)
- D Longo
- Imaging Department, IRCCS Bambino Gesù Children's Hospital, Rome, Italy
| | - F Bottino
- Medical Physics Department, IRCCS Bambino Gesù Children's Hospital, Rome, Italy
| | - G Lucignani
- Imaging Department, IRCCS Bambino Gesù Children's Hospital, Rome, Italy
| | - L Scarciolla
- Imaging Department, IRCCS Bambino Gesù Children's Hospital, Rome, Italy
| | - L Pasquini
- NESMOS, Neuroradiology Department, Sapienza University, Rome, Italy
| | - M C Rossi Espagnet
- Imaging Department, IRCCS Bambino Gesù Children's Hospital, Rome, Italy.,NESMOS, Neuroradiology Department, Sapienza University, Rome, Italy
| | - C Polito
- Medical Physics Department, IRCCS Bambino Gesù Children's Hospital, Rome, Italy
| | - L Figà-Talamanca
- Imaging Department, IRCCS Bambino Gesù Children's Hospital, Rome, Italy
| | - G Calbi
- Anesthesiology Unit, DEA-ARCO, IRCCS Bambino Gesù Children's Hospital, Rome, Italy
| | - I Savarese
- Neonatal Intensive Care Unit, Department of Medical and Surgical Neonatology, IRCCS Bambino Gesù Children's Hospital, Rome, Italy
| | - P Giliberti
- Neonatal Intensive Care Unit, Department of Medical and Surgical Neonatology, IRCCS Bambino Gesù Children's Hospital, Rome, Italy
| | - A Napolitano
- Medical Physics Department, IRCCS Bambino Gesù Children's Hospital, Rome, Italy
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13
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De Giorgi V, Savarese I, Gori A, Scarfi F, Topa A, Trane L, Portelli F, Innocenti A, Covarelli P. Advanced basal cell carcinoma: when a good drug is not enough. J DERMATOL TREAT 2020; 31:552-553. [PMID: 30388924 DOI: 10.1080/09546634.2018.1542481] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- Vincenzo De Giorgi
- Division of Dermatology, Department of Surgery and Translational Medicine, University of Florence, Florence, Italy
| | - Imma Savarese
- Division of Dermatology, Department of Surgery and Translational Medicine, University of Florence, Florence, Italy
| | - Alessia Gori
- Cancer Research "Attilia Pofferi" Foundation, Pistoia, Italy
| | - Federica Scarfi
- Division of Dermatology, Department of Surgery and Translational Medicine, University of Florence, Florence, Italy
| | - Alessandro Topa
- Division of Dermatology, Department of Surgery and Translational Medicine, University of Florence, Florence, Italy
| | - Luciana Trane
- Division of Dermatology, Department of Surgery and Translational Medicine, University of Florence, Florence, Italy
| | | | - Alessandro Innocenti
- Division of Plastic Surgery, Department of Surgery and Translational Medicine, University of Florence, Florence, Italy
| | - Piero Covarelli
- Department of Surgery, University of Perugia, Perugia, Italy
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14
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De Giorgi V, Salvati L, Barchielli A, Caldarella A, Gori A, Scarfì F, Savarese I, Pimpinelli N, Urso C, Massi D. Cutaneous adnexal carcinoma and the risk of SCC. Br J Dermatol 2019. [DOI: 10.1111/bjd.17557] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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15
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De Giorgi V, Salvati L, Barchielli A, Caldarella A, Gori A, Scarfì F, Savarese I, Pimpinelli N, Urso C, Massi D. 皮肤附属器肿瘤和 SCC 风险. Br J Dermatol 2019. [DOI: 10.1111/bjd.17573] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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16
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De Giorgi V, Salvati L, Barchielli A, Caldarella A, Gori A, Scarfì F, Savarese I, Pimpinelli N, Urso C, Massi D. The burden of cutaneous adnexal carcinomas and the risk of associated squamous cell carcinoma: a population‐based study. Br J Dermatol 2018; 180:565-573. [DOI: 10.1111/bjd.17321] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/10/2018] [Indexed: 12/24/2022]
Affiliation(s)
- V. De Giorgi
- Division of Dermatology University of Florence Florence Italy
- Cancer Research “Attilia Pofferi” Foundation Pistoia Italy
| | - L. Salvati
- Division of Dermatology University of Florence Florence Italy
| | - A. Barchielli
- Clinical Epidemiology Institute for Study and Cancer Prevention Florence Italy
| | - A. Caldarella
- Clinical Epidemiology Institute for Study and Cancer Prevention Florence Italy
| | - A. Gori
- Cancer Research “Attilia Pofferi” Foundation Pistoia Italy
| | - F. Scarfì
- Division of Dermatology University of Florence Florence Italy
| | - I. Savarese
- Division of Dermatology University of Florence Florence Italy
| | - N. Pimpinelli
- Division of Dermatology University of Florence Florence Italy
| | - C. Urso
- Dermatopathology Study Centre of Florence Florence Italy
| | - D. Massi
- Division of Pathological Anatomy Department of Surgery and Translational Medicine University of Florence Florence Italy
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17
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De Giorgi V, Gori A, Greco A, Savarese I, Alfaioli B, Grazzini M, Rossari S, Papi F, Scarfi F, Janowska A, D’Errico A, Salvati L, Covarelli P, Gandini S. Sun-Protection Behavior, Pubertal Development and Menarche: Factors Influencing the Melanocytic Nevi Development—The Results of an Observational Study of 1,512 Children. J Invest Dermatol 2018; 138:2144-2151. [DOI: 10.1016/j.jid.2018.02.046] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2017] [Revised: 02/05/2018] [Accepted: 02/10/2018] [Indexed: 11/29/2022]
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18
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Gori A, Oranges T, Janowska A, Savarese I, Chiarugi A, Nardini P, Salvati L, Maria Palleschi G, Scarfì F, Massi D, Innocenti A, Covarelli P, De Giorgi V. Clinical and Dermoscopic Features of Lichenoid Keratosis: A Retrospective Case Study. J Cutan Med Surg 2018; 22:561-566. [PMID: 30016886 DOI: 10.1177/1203475418786213] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
BACKGROUND Lichenoid keratosis is a benign cutaneous lesion exhibiting many clinical faces and different dermoscopic features. OBJECTIVE This study aims to determine the pattern of different clinical subtypes of lichenoid keratosis and to establish whether there is any correlation between the clinical variants of lichenoid keratosis and their dermoscopic appearance. METHODS We retrospectively analyzed the medical records and clinical database of patients who had received a histological diagnosis of lichenoid keratosis. Based on the literature review and the clinical-dermoscopic features of lichenoid keratosis, we divided the lesions into 6 clinical subtypes to evaluate potential correlations between clinical and dermoscopic features in all subtypes. RESULTS Fifty-one lesions were included in this clinical study. Preoperatively, only 1.9% of cases were clinically diagnosed as lichenoid keratosis, and the most common misdiagnosis was basal cell carcinoma (52.9%). We identified 6 subtypes of lichenoid keratosis and their corresponding dermoscopic features and clues. CONCLUSION Since lichenoid keratosis has no pathognomonic dermoscopic clues and it is commonly misdiagnosed as malignant skin neoplasms, such as basal cell carcinoma and melanoma, improving the knowledge of both clinical and dermoscopic variability of lichenoid keratosis may help dermatologists to reduce unnecessary surgery and to reduce health care spending.
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Affiliation(s)
- Alessia Gori
- 1 Cancer Research "Attilia Pofferi" Foundation, Pistoia, Italy
| | - Teresa Oranges
- 2 Department of Dermatology, University of Florence, Florence, Italy
| | - Agata Janowska
- 2 Department of Dermatology, University of Florence, Florence, Italy
| | - Imma Savarese
- 2 Department of Dermatology, University of Florence, Florence, Italy
| | - Alessandra Chiarugi
- 3 Secondary Prevention and Screening Unit Institut for Study and Cancer Prevention (ISPO), Florence, Italy
| | - Paolo Nardini
- 3 Secondary Prevention and Screening Unit Institut for Study and Cancer Prevention (ISPO), Florence, Italy
| | - Lorenzo Salvati
- 2 Department of Dermatology, University of Florence, Florence, Italy
| | | | - Federica Scarfì
- 2 Department of Dermatology, University of Florence, Florence, Italy
| | - Daniela Massi
- 4 Division of Pathological Anatomy, Department of Surgery and Translational Medicine, University of Florence, Florence, Italy
| | - Alessandro Innocenti
- 5 Plastic and Reconstructive Microsurgery, Careggi University Hospital, Florence, Italy
| | - Piero Covarelli
- 6 Department of Surgery, University of Perugia, Perugia, Italy
| | - Vincenzo De Giorgi
- 1 Cancer Research "Attilia Pofferi" Foundation, Pistoia, Italy.,2 Department of Dermatology, University of Florence, Florence, Italy
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19
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De Giorgi V, Gori A, Savarese I, D'Errico A, Scarfì F, Papi F, Maio V, Covarelli P, Massi D, Gandini S. Role of BMI and hormone therapy in melanoma risk: a case-control study. J Cancer Res Clin Oncol 2017; 143:1191-1197. [PMID: 28289899 DOI: 10.1007/s00432-017-2387-5] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2016] [Accepted: 02/27/2017] [Indexed: 12/27/2022]
Abstract
BACKGROUND Currently, the association between body mass index (BMI) and hormone therapies and Cutaneous Melanoma (CM) development is strongly debated. This study was carried out to assess the association between BMI, hormone therapies, and CM risk. METHODS The present study is a hospital-based case-control study with 605 consecutive CM patients and 592 controls treated for non-neoplastic conditions at the Department of Dermatology in Florence. The associations of melanoma risk with BMI and hormone therapies were assessed performing unconditional logistic regression to estimate odds ratios (OR) and their 95% confidence intervals, adjusting for potential confounders. RESULTS We found a significant interaction of BMI with age (P < 0.0001): being overweight significantly increased CM risk among individuals less than 50 years old (OR = 1.85 with 95% CI 1.14-2.94), whereas the association was not significant for individuals over 50 years old (OR = 1.15 with 95% CI 0.77-1.71). For oestrogen therapy, women taking oral contraceptives (OCs)/hormone replacement therapy (HRT) showed a lower CM risk than men (OR = 0.63, 95% CI 0.44-0.89), with risk estimates significantly lower (P < 0.0001) than in non OCs/HRT users, which had an increased risk compared to men (OR = 1.81, 95% CI 1.29-2.53). CONCLUSIONS Being overweight was significantly associated with CM risk, and this relationship was highly age-conditioned; the second finding was the protective effect of oestrogen therapies for women. Both findings may have a significant impact on melanoma prevention, as the prevalence of obesity and hormone therapy use is increasing worldwide.
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Affiliation(s)
- Vincenzo De Giorgi
- Department of Dermatology, University of Florence, Via Michelangelo 41, 50124, Florence, Italy.
- Cancer Research "Attilia Pofferi" Foundation, Pistoia, Italy.
| | - Alessia Gori
- Cancer Research "Attilia Pofferi" Foundation, Pistoia, Italy
| | - Imma Savarese
- Department of Dermatology, University of Florence, Via Michelangelo 41, 50124, Florence, Italy
| | - Antonietta D'Errico
- Department of Dermatology, University of Florence, Via Michelangelo 41, 50124, Florence, Italy
| | - Federica Scarfì
- Department of Dermatology, University of Florence, Via Michelangelo 41, 50124, Florence, Italy
| | - Federica Papi
- Department of Dermatology, University of Florence, Via Michelangelo 41, 50124, Florence, Italy
| | - Vincenza Maio
- Department of Human Pathology and Oncology, University of Florence, Florence, Italy
| | - Piero Covarelli
- Department of Dermatology, University of Perugia, Perugia, Italy
| | - Daniela Massi
- Department of Human Pathology and Oncology, University of Florence, Florence, Italy
| | - Sara Gandini
- Division of Epidemiology and Biostatistics, European Institute of Oncology, Milan, Italy
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20
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De Giorgi V, Gori A, Savarese I, D'Errico A, Papi F, Grazzini M, Scarfì F, Covarelli P, Massi D. Clinical and dermoscopic features of truly amelanotic plantar melanoma. Melanoma Res 2017; 27:224-230. [PMID: 28252554 DOI: 10.1097/cmr.0000000000000337] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Currently, there are no specific clinical and dermoscopic features for diagnosing truly amelanotic plantar melanoma (TAPM). The present study aimed to investigate the dermoscopic features of all clinical variants of TAMPS and to evaluate their histopathological correlations. A retrospective analysis of prospectively collected data was carried out during a 10-year period (2003-2013). We analyzed the clinical data of 1321 patients, who had received a histological diagnosis of melanoma at the Melanoma Unit of the University of Florence. We selected the clinical and dermoscopic images of TAPMs and analyzed the presence of dermoscopic parameters. Incorrect preoperative diagnoses were analyzed to highlight peculiar dermoscopic features of pinkish plantar melanomas, the clinical diagnosis of which is extremely challenging for the dermatologist. Of all 1321 patients, 29 (24%) had TAPMs. Importantly, only 20.7% of patients with TAPMs had a correct preoperative diagnosis of suspicious melanocytic lesion. On the basis of the initial misdiagnosis, TAPMs were categorized as eczema-like, verruca-like, angioma-like lesions. Dermoscopically, all TAPMs showed the presence of a well-defined 'erythematous homogeneous area' with an atypical polymorphous vascular pattern with dotted, globular, and glomerular vessels. Our study highlights a crucial dermoscopic feature of TAPMs, the 'erythematous homogeneous area' that is characteristic of the plantar region, and, to our knowledge and experience, has not been described in nonacral amelanotic melanomas.
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Affiliation(s)
- Vincenzo De Giorgi
- aDepartment of Surgery and Translational Medicine, Division Dermatology bDepartment of Surgery and Translational Medicine, Division of Pathological Anatomy, University of Florence, Florence cCancer Research 'Attilia Pofferi' Foundation, Pistoia dDepartment of Surgery, University of Perugia, Perugia, Italy
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21
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Savarese I, Grazzini M, Gori A, D'Errico A, Doni L, Scarfì F, Covarelli P, Di Costanzo F, De Giorgi V. Trichilemmal cystis in metastatic melanoma: a case report. Exp Oncol 2017; 39:86-87. [PMID: 28361863] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
The malignant melanoma is a neoplasm associated with a wide variety of cutaneous paraneoplastic syndromes, as dermatomyositis, systemic sclerosis, paraneoplastic pemphigus. We describe a case of four multiple trichilemmal cystis arising on frontal region in the same patient with brain metastasis and unknown primary melanoma and discuss their relationship.
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Affiliation(s)
- I Savarese
- Department of Dermatology, Department of Critical Care Medicine and Surgery, University of Florence, Firenze 50121, 50132, Italy
| | - M Grazzini
- Department of Dermatology, Department of Critical Care Medicine and Surgery, University of Florence, Firenze 50121, 50132, Italy
| | - A Gori
- Cancer Research "Attilia Pofferi" Foundation, Pistoia 51100, Italy
| | - A D'Errico
- Department of Dermatology, Department of Critical Care Medicine and Surgery, University of Florence, Firenze 50121, 50132, Italy
| | - L Doni
- Oncology Unit, Department of Critical Care Medicine and Surgery, University of Florence, Firenze 50121, 50132, Italy
| | - F Scarfì
- Department of Dermatology, Department of Critical Care Medicine and Surgery, University of Florence, Firenze 50121, 50132, Italy
| | - P Covarelli
- Department of Surgery, University of Perugia, Perugia 06121, Italy
| | - F Di Costanzo
- Oncology Unit, Department of Critical Care Medicine and Surgery, University of Florence, Firenze 50121, 50132, Italy
| | - V De Giorgi
- Department of Dermatology, Department of Critical Care Medicine and Surgery, University of Florence, Firenze 50121, 50132, Italy
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22
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Savarese I, Scarfì F, Gori A, Papi F, D'Errico A, Grazzini M, Covarelli P, De Giorgi V. Cutaneous Metastasis from Breast Tumour Seeding in Percutaneous Needle Biopsy. Breast Care (Basel) 2017; 11:427. [PMID: 28228711 DOI: 10.1159/000453604] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Affiliation(s)
- Imma Savarese
- Department of Dermatology, University of Florence, Florence, Italy
| | - Federica Scarfì
- Department of Dermatology, University of Florence, Florence, Italy
| | - Alessia Gori
- Department of Dermatology, University of Florence, Florence, Italy
| | - Federica Papi
- Department of Dermatology, University of Florence, Florence, Italy
| | | | - Marta Grazzini
- Department of Dermatology, University of Florence, Florence, Italy
| | - Piero Covarelli
- Department of Surgery, University of Perugia, Perugia, Italy
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23
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Gori A, Savarese I, D'Errico A, Grazzini M, Papi F, Maio V, Covarelli P, Massi D, Gandini S, De Giorgi V. Estrogen receptor (ER)β expression and worse outcome from melanoma in pregnant and perimenopausal women. J Am Acad Dermatol 2016; 75:e117. [PMID: 27543235 DOI: 10.1016/j.jaad.2016.02.1245] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2016] [Accepted: 02/08/2016] [Indexed: 01/01/2023]
Affiliation(s)
- Alessia Gori
- Cancer Research "Attilia Pofferi" Foundation, Pistoia, Italy
| | - Imma Savarese
- Department of Dermatology, University of Florence, Florence, Italy
| | | | - Marta Grazzini
- Department of Dermatology, University of Florence, Florence, Italy
| | - Federica Papi
- Department of Dermatology, University of Florence, Florence, Italy
| | - Vincenza Maio
- Department of Human Pathology and Oncology, University of Florence, Florence, Italy
| | - Piero Covarelli
- Department of Surgery, University of Perugia, Perugia, Italy
| | - Daniela Massi
- Department of Human Pathology and Oncology, University of Florence, Florence, Italy
| | - Sara Gandini
- Division of Epidemiology and Biostatistics, European Institute of Oncology, Milan, Italy
| | - Vincenzo De Giorgi
- Cancer Research "Attilia Pofferi" Foundation, Pistoia, Italy; Department of Dermatology, University of Florence, Florence, Italy.
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24
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De Giorgi V, Savarese I, D'Errico A, Gori A, Papi F, Grazzini M, Scarfì F, Covarelli P. Teledermoscopy for skin cancer screening. J Eur Acad Dermatol Venereol 2016; 31:e71. [PMID: 27256578 DOI: 10.1111/jdv.13731] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- V De Giorgi
- Division Dermatology, Department of Surgery and Traslational Medicine, University of Florence, Florence, Italy
| | - I Savarese
- Division Dermatology, Department of Surgery and Traslational Medicine, University of Florence, Florence, Italy
| | - A D'Errico
- Division Dermatology, Department of Surgery and Traslational Medicine, University of Florence, Florence, Italy
| | - A Gori
- Division Dermatology, Department of Surgery and Traslational Medicine, University of Florence, Florence, Italy
| | - F Papi
- Division Dermatology, Department of Surgery and Traslational Medicine, University of Florence, Florence, Italy
| | - M Grazzini
- Division Dermatology, Department of Surgery and Traslational Medicine, University of Florence, Florence, Italy
| | - F Scarfì
- Division Dermatology, Department of Surgery and Traslational Medicine, University of Florence, Florence, Italy
| | - P Covarelli
- Department of Surgery, University of Perugia, Perugia, Italy
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25
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Bruno W, Pastorino L, Ghiorzo P, Andreotti V, Martinuzzi C, Menin C, Elefanti L, Stagni C, Vecchiato A, Rodolfo M, Maurichi A, Manoukian S, De Giorgi V, Savarese I, Gensini F, Borgognoni L, Testori A, Spadola G, Mandalà M, Imberti G, Savoia P, Astrua C, Ronco AM, Farnetti A, Tibiletti MG, Lombardo M, Palmieri G, Ayala F, Ascierto P, Ghigliotti G, Muggianu M, Spagnolo F, Picasso V, Tanda ET, Queirolo P, Bianchi-Scarrà G. Multiple primary melanomas (MPMs) and criteria for genetic assessment: MultiMEL, a multicenter study of the Italian Melanoma Intergroup. J Am Acad Dermatol 2016; 74:325-32. [PMID: 26775776 DOI: 10.1016/j.jaad.2015.09.053] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2015] [Revised: 09/24/2015] [Accepted: 09/29/2015] [Indexed: 12/20/2022]
Abstract
BACKGROUND Multiple primary melanoma (MPM), in concert with a positive family history, is a predictor of cyclin-dependent kinase (CDK) inhibitor 2A (CDKN2A) germline mutations. A rule regarding the presence of either 2 or 3 or more cancer events (melanoma and pancreatic cancer) in low or high melanoma incidence populations, respectively, has been established to select patients for genetic referral. OBJECTIVE We sought to determine the CDKN2A/CDK4/microphthalmia-associated transcription factor mutation rate among Italian patients with MPM to appropriately direct genetic counseling regardless of family history. METHODS In all, 587 patients with MPM and an equal number with single primary melanomas and control subjects were consecutively enrolled at the participating centers and tested for CDKN2A, CDK4, and microphthalmia-associated transcription factor. RESULTS CDKN2A germline mutations were found in 19% of patients with MPM versus 4.4% of patients with single primary melanoma. In familial MPM cases the mutation rate varied from 36.6% to 58.8%, whereas in sporadic MPM cases it varied from 8.2% to 17.6% in patients with 2 and 3 or more melanomas, respectively. The microphthalmia-associated transcription factor E318K mutation accounted for 3% of MPM cases altogether. LIMITATIONS The study was hospital based, not population based. Rare novel susceptibility genes were not tested. CONCLUSION Italian patients who developed 2 melanomas, even in situ, should be referred for genetic counseling even in the absence of family history.
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Affiliation(s)
- William Bruno
- Department of Internal Medicine, Medical Specialties and Surgical Science and Integrated Diagnostics, University of Genoa, Genoa, Italy; Genetics of Rare Cancers, IRCCS AOU San Martino-IST Istituto Nazionale per la Ricerca sul Cancro, Genoa, Italy
| | - Lorenza Pastorino
- Department of Internal Medicine, Medical Specialties and Surgical Science and Integrated Diagnostics, University of Genoa, Genoa, Italy; Genetics of Rare Cancers, IRCCS AOU San Martino-IST Istituto Nazionale per la Ricerca sul Cancro, Genoa, Italy.
| | - Paola Ghiorzo
- Department of Internal Medicine, Medical Specialties and Surgical Science and Integrated Diagnostics, University of Genoa, Genoa, Italy; Genetics of Rare Cancers, IRCCS AOU San Martino-IST Istituto Nazionale per la Ricerca sul Cancro, Genoa, Italy
| | - Virginia Andreotti
- Department of Internal Medicine, Medical Specialties and Surgical Science and Integrated Diagnostics, University of Genoa, Genoa, Italy
| | - Claudia Martinuzzi
- Department of Internal Medicine, Medical Specialties and Surgical Science and Integrated Diagnostics, University of Genoa, Genoa, Italy; Department of Internal Medicine, Medical Specialties and Surgical Science and Integrated Diagnostics, University of Genoa, Genoa, Italy
| | - Chiara Menin
- Immunology and Molecular Oncology Unit, Veneto Institute of Oncology, Istituto Oncologico Veneto (IOV)-IRCCS, Padua, Italy
| | - Lisa Elefanti
- Immunology and Molecular Oncology Unit, Veneto Institute of Oncology, Istituto Oncologico Veneto (IOV)-IRCCS, Padua, Italy
| | - Camilla Stagni
- Section of Oncology and Immunology, Department of Surgery, Oncology, and Gastroenterology, University of Padua, Padua, Italy
| | - Antonella Vecchiato
- Melanoma and Soft Tissue Sarcoma Unit, Veneto Institute of Oncology, IOV-IRCCS, Padua, Italy
| | - Monica Rodolfo
- Department of Experimental Oncology, Fondazione IRCCS Istituto Nazionale Tumori, Milan, Italy
| | - Andrea Maurichi
- Melanoma and Sarcoma Surgery Unit, Fondazione IRCCS Istituto Nazionale Tumori, Milan, Italy
| | - Siranoush Manoukian
- Medical Genetics Unit, Fondazione IRCCS Istituto Nazionale Tumori, Milan, Italy
| | | | - Imma Savarese
- Department of Dermatology, University of Florence, Florence, Italy
| | - Francesca Gensini
- Unit of Medical Genetics, Department of Biomedical Experimental and Clinical Sciences, University of Florence, Florence, Italy
| | - Lorenzo Borgognoni
- Plastic Surgery Unit, Regional Melanoma Referral Center, Santa Maria Annunziata Hospital, Florence, Italy
| | - Alessandro Testori
- Division of Dermatoncological Surgery, European Institute of Oncology, Milan, Italy
| | - Giuseppe Spadola
- Division of Dermatoncological Surgery, European Institute of Oncology, Milan, Italy
| | - Mario Mandalà
- Medical Oncology Unit, Ospedale Papa Giovanni XXIII, Bergamo, Italy
| | | | - Paola Savoia
- Department of Medical Sciences, Dermatology Section, University of Turin, Turin, Italy
| | - Chiara Astrua
- Department of Medical Sciences, Dermatology Section, University of Turin, Turin, Italy
| | - Anna Maria Ronco
- Dermatoncological Surgery Unit, Presidio Sanitario Gradenigo, Turin, Italy
| | | | | | | | - Giuseppe Palmieri
- Cancer Genetics Unit, Institute of Biomolecular Chemistry, National Research Council, Sassari, Italy
| | - Fabrizio Ayala
- Department of Melanoma, National Cancer Institute Pascale Foundation, Naples, Italy
| | - Paolo Ascierto
- Department of Melanoma, National Cancer Institute Pascale Foundation, Naples, Italy
| | - Giovanni Ghigliotti
- Dermatology Unit, IRCCS AOU San Martino-IST Istituto Nazionale per la Ricerca sul Cancro, Genoa, Italy
| | - Marisa Muggianu
- Department of Plastic and Reconstructive Surgery, IRCCS AOU San Martino-IST Istituto Nazionale per la Ricerca sul Cancro, Genoa, Italy
| | - Francesco Spagnolo
- Department of Plastic and Reconstructive Surgery, IRCCS AOU San Martino-IST Istituto Nazionale per la Ricerca sul Cancro, Genoa, Italy
| | - Virginia Picasso
- Department of Medical Oncology, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Azienda Ospedaliera Universitaria (AOU) San Martino-Istituto Nazionale dei Tumori (IST) Istituto Nazionale per la Ricerca sul Cancro, Genoa, Italy
| | - Enrica Teresa Tanda
- Department of Medical Oncology, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Azienda Ospedaliera Universitaria (AOU) San Martino-Istituto Nazionale dei Tumori (IST) Istituto Nazionale per la Ricerca sul Cancro, Genoa, Italy
| | - Paola Queirolo
- Department of Medical Oncology, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Azienda Ospedaliera Universitaria (AOU) San Martino-Istituto Nazionale dei Tumori (IST) Istituto Nazionale per la Ricerca sul Cancro, Genoa, Italy
| | - Giovanna Bianchi-Scarrà
- Department of Internal Medicine, Medical Specialties and Surgical Science and Integrated Diagnostics, University of Genoa, Genoa, Italy; Genetics of Rare Cancers, IRCCS AOU San Martino-IST Istituto Nazionale per la Ricerca sul Cancro, Genoa, Italy
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de Giorgi V, Gori A, Savarese I, D'Errico A, Grazzini M, Papi F, Maio V, Covarelli P, Urso C, Massi D. Teledermoscopy in doubtful melanocytic lesions: is it really useful? Int J Dermatol 2016; 55:1119-23. [PMID: 27062047 DOI: 10.1111/ijd.13281] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/20/2015] [Revised: 11/09/2015] [Accepted: 12/05/2015] [Indexed: 11/28/2022]
Abstract
INTRODUCTION The diagnosis of cutaneous pigmented lesions remains a challenge for both dermatologists and pathologists. Our aim was to determine the diagnostic concordance between the conventional face-to-face diagnosis and the telediagnosis of 10 dermatologists with expertise in dermato-oncology of 10 challenging pigmented lesions. METHODS Using a store-and-forward teledermatology method, clinical and dermoscopic digital images of all selected lesions were transmitted via e-mail to 10 dermatologists. Dermatologists were called to provide their telediagnoses with a step-by-step approach. When the dermatologists responded with their first clinical telediagnosis, they received a second email that contained dermoscopic images of the 10 cases. Final histopathological diagnosis was considered the gold standard for comparison with face-to-face and teledermatology diagnoses in statistical analysis. RESULTS Face-to-face results indicated moderate agreement between clinical and histopathological diagnoses (K = 0.6). After the first clinical step, interobserver concordance of telediagnosis was lower than face-to-face diagnosis (K = 0.52). After the second dermoscopy step, the concordance declined further (K = 0.38). CONCLUSIONS Teledermatology was inferior to face-to-face dermatology. Moreover, the diagnostic concordance of telediagnosis decreased after the teledermoscopic step. This finding may be justified by the dermoscopic difficulty of the selected lesions, including Spitzoid proliferations and atypical melanocytic nevi of the elderly. These lesions may represent a potential diagnostic pitfall given their confounding dermoscopic aspects.
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Affiliation(s)
| | - Alessia Gori
- Department of Dermatology, University of Florence, Florence, Italy
| | - Imma Savarese
- Department of Dermatology, University of Florence, Florence, Italy
| | | | - Marta Grazzini
- Department of Dermatology, University of Florence, Florence, Italy
| | - Federica Papi
- Department of Dermatology, University of Florence, Florence, Italy
| | - Vincenza Maio
- Department of Human Pathology and Oncology, University of Florence, Florence, Italy
| | - Piero Covarelli
- Department of Surgery, University of Perugia, Perugia, Italy
| | - Carmelo Urso
- Department of Anatomic Pathology, Santa Maria Annunziata Hospital, Florence, Italy
| | - Daniela Massi
- Department of Human Pathology and Oncology, University of Florence, Florence, Italy
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De Giorgi V, Savarese I, D'Errico A, Gori A, Papi F, Colombino M, Sini MC, Grazzini M, Stanganelli I, Rossari S, Covarelli P, Massi D, Palmieri G. Epidemiological features and prognostic parameters of multiple primary melanomas in CDKN2A-mutations patients. Pigment Cell Melanoma Res 2015. [PMID: 26223839 DOI: 10.1111/pcmr.12403] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- Vincenzo De Giorgi
- Department of Surgery and Traslational Medicine, Division Dermatology, University of Florence, Florence, Italy
| | - Imma Savarese
- Department of Surgery and Traslational Medicine, Division Dermatology, University of Florence, Florence, Italy
| | - Antonietta D'Errico
- Department of Surgery and Traslational Medicine, Division Dermatology, University of Florence, Florence, Italy
| | - Alessia Gori
- Department of Surgery and Traslational Medicine, Division Dermatology, University of Florence, Florence, Italy
| | - Federica Papi
- Department of Surgery and Traslational Medicine, Division Dermatology, University of Florence, Florence, Italy
| | - Maria Colombino
- Unit of Cancer Genetics, Institute of Biomolecular Chemistry (ICB), National Research Council (CNR), Sassari, Italy
| | - Maria Cristina Sini
- Unit of Cancer Genetics, Institute of Biomolecular Chemistry (ICB), National Research Council (CNR), Sassari, Italy
| | - Marta Grazzini
- Department of Surgery and Traslational Medicine, Division Dermatology, University of Florence, Florence, Italy
| | - Ignazio Stanganelli
- Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori, IRCCS IRST, Meldola, Italy
| | - Susanna Rossari
- Department of Surgery and Traslational Medicine, Division Dermatology, University of Florence, Florence, Italy
| | - Piero Covarelli
- Department of Surgery, University of Perugia, Perugia, Italy
| | - Daniela Massi
- Department of Surgery and Translational Medicine, Division of Pathological Anatomy, University of Florence, Florence, Italy
| | - Giuseppe Palmieri
- Unit of Cancer Genetics, Institute of Biomolecular Chemistry (ICB), National Research Council (CNR), Sassari, Italy
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Savarese I, Papi F, D'Errico A, Gori A, Grazzini M, Vannucchi M, Massi D, De Giorgi V. Acral lentiginous melanoma treated with topical imiquimod cream: possible cooperation between drug and tumour cells. Clin Exp Dermatol 2014; 40:27-30. [DOI: 10.1111/ced.12469] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/19/2014] [Indexed: 11/30/2022]
Affiliation(s)
- I. Savarese
- Department of Dermatology; University of Florence; Florence Italy
| | - F. Papi
- Department of Dermatology; University of Florence; Florence Italy
| | - A. D'Errico
- Department of Dermatology; University of Florence; Florence Italy
| | - A. Gori
- Department of Dermatology; University of Florence; Florence Italy
| | - M. Grazzini
- Department of Dermatology; University of Florence; Florence Italy
| | - M. Vannucchi
- Division of Pathological Anatomy; Department of Surgery and Translational Medicine; University of Florence; Florence Italy
| | - D. Massi
- Division of Pathological Anatomy; Department of Surgery and Translational Medicine; University of Florence; Florence Italy
| | - V. De Giorgi
- Division of Pathological Anatomy; Department of Surgery and Translational Medicine; University of Florence; Florence Italy
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De Giorgi V, Savarese I, D'Errico A, Gori A, Papi F, Colombino M, Sini MC, Stanganelli I, Palmieri G, Massi D. CDKN2A mutations could influence the dermoscopic pattern of presentation of multiple primary melanoma: a clinical dermoscopic genetic study. J Eur Acad Dermatol Venereol 2014; 29:574-80. [PMID: 25200134 DOI: 10.1111/jdv.12643] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2014] [Accepted: 06/17/2014] [Indexed: 01/02/2023]
Abstract
BACKGROUND Patients who develop cutaneous melanoma are at increased risk of developing a second primary melanoma. There are many aetiological reasons by which the risk of a second melanoma increases. Among others, genetic factors may contribute to modulating this risk. The risk of identifying a CDKN2A germline mutation increases with the number of primary melanomas and with the presence of familial history of melanoma. Patients with melanoma are especially encouraged to have regular follow-up visits with their dermatologist to perform clinical and dermatoscopic examination. In particular, dermoscopy could be very useful in multiple primary melanoma (MPM) patients. OBJECTIVES To analyse the clinical and dermatoscopic features of multiple melanomas, focusing on those features that are more frequently found in the same patient to recognize them earlier and understand whether they appear with the similar peculiar dermatoscopic features, especially in CDKN2A carriers. METHODS Medical records of MPM patients were selected from a database including 1065 patients with histopathologically proven melanoma diagnosis, all treated at the dermatology clinic of the University of Florence from 2000 to 2013. Pictures of melanoma were independently and blindly administered to three dermatologist experts in dermoscopy to evaluate the presence or absence of ABCD criteria for each clinical image, and the main pattern for the dermoscopic images. The results were then analyzed and crossed to rate the clinical and dermoscopic features of MPM. RESULTS Seventy five (7.0%) of 1065 patients included in our database were found to carry an MPM disease. Among them, we selected 12 (16%) patients with three or more MPMs. The presence of the CDKN2A melanoma susceptibility gene was observed in 4/12 (33.33%) patients; two patients presented the C500G and c.5 + 1delG polymorphisms in the CDKN2A gene. In CDKN2A carriers, each patient showed a similar and specific dermatoscopic pattern in their lesions. CONCLUSIONS Even being aware of the limitations of this study, according to hereditary characters and their modes of transmissions, we could speculate that for each patient with a CDKN2A germline mutation, it is possible to find the same kind of dermoscopical pattern among their melanocytic tumours.
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Affiliation(s)
- V De Giorgi
- Division Dermatology, Dept. of Surgery and Translational Medicine, University of Florence, Florence, Italy
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De Giorgi V, Papi F, Giorgi L, Savarese I, Verdelli A, Scarfì F, Gandini S. Skin self-examination and the ABCDE rule in the early diagnosis of melanoma: is the game over? Br J Dermatol 2014; 168:1370-1. [PMID: 23738643 DOI: 10.1111/bjd.12250] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Zuppa AA, D’Andrea V, Verrillo G, Riccardi R, Savarese I, Cavani M, Romagnoli C. Spontaneous neonatal pneumomediastinum: Radiological or clinical diagnosis? J OBSTET GYNAECOL 2014; 34:138-40. [DOI: 10.3109/01443615.2013.830597] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Chew A, Stefanato C, Savarese I, Neill S, Fenton D, Lewis F. Clinical patterns of lichen planopilaris in patients with vulval lichen planus. Br J Dermatol 2014; 170:218-20. [DOI: 10.1111/bjd.12609] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
Affiliation(s)
- A. Chew
- St. John's Institute of Dermatology; St Thomas' Hospital; Westminster Bridge Road London SE1 7EH U.K
| | - C.M. Stefanato
- St. John's Institute of Dermatology; St Thomas' Hospital; Westminster Bridge Road London SE1 7EH U.K
- Department of Dermatopathology; St John's Institute of Dermatology; St Thomas' Hospital; Westminster Bridge Road London SE1 7EH U.K
| | - I. Savarese
- St. John's Institute of Dermatology; St Thomas' Hospital; Westminster Bridge Road London SE1 7EH U.K
- Department of Dermatopathology; St John's Institute of Dermatology; St Thomas' Hospital; Westminster Bridge Road London SE1 7EH U.K
| | - S.M. Neill
- St. John's Institute of Dermatology; St Thomas' Hospital; Westminster Bridge Road London SE1 7EH U.K
| | - D.A. Fenton
- St. John's Institute of Dermatology; St Thomas' Hospital; Westminster Bridge Road London SE1 7EH U.K
| | - F.M. Lewis
- St. John's Institute of Dermatology; St Thomas' Hospital; Westminster Bridge Road London SE1 7EH U.K
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Moscarella E, Zalaudek I, Ferrara G, Manzo M, Savarese I, Argenziano G. Problematic melanocytic lesions in children. ACTA ACUST UNITED AC 2014. [DOI: 10.1586/edm.09.22] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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de Giorgi LG, Rossari S, Grazzini M, Savarese I, Longo A, Oranges T, Gori A, Massi D. A particularly bothersome umbilical nodule. Indian J Dermatol 2013; 58:330. [PMID: 23919044 PMCID: PMC3726921 DOI: 10.4103/0019-5154.114004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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de Giorgi V, Savarese I, Rossari S, Gori A, Grazzini M, Crocetti E, Longo A, Oranges T, Massi D. Clinical and dermoscopic features of small Reed nevus (<6 mm). J Eur Acad Dermatol Venereol 2012; 27:919-21. [DOI: 10.1111/j.1468-3083.2012.04457.x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
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De Giorgi V, Grazzini M, Rossari S, Gori A, Papi F, Scarfi F, Savarese I, Gandini S. Is Skin Self-Examination for Cutaneous Melanoma Detection Still Adequate? A Retrospective Study. Dermatology 2012; 225:31-6. [DOI: 10.1159/000339774] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2012] [Accepted: 05/26/2012] [Indexed: 11/19/2022] Open
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Roma P, Savarese I, Martino A, Martino D, Annese P, Capoluongo P, Mordente I, Nicolino R, Zalaudek I, Argenziano G. Slow-growing melanoma: Report of five cases. J Dermatol Case Rep 2011; 1:1-3. [PMID: 21886697 DOI: 10.3315/jdcr.2007.1.1001] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2007] [Accepted: 11/20/2007] [Indexed: 11/11/2022]
Abstract
BACKGROUND Epidemiologic data on melanoma reveal a considerable increase in incidence, especially of the early forms (melanoma in situ and early invasive melanoma), but the mortality rates are relatively stable. These data suggest the hypothesis of the existence of a melanoma with less aggressive biological behaviour. This hypothesis is, however, hard to be proven if the assumption is true that more and less aggressive melanomas very often exhibit overlapping clinical and histopathologic features. Digital dermoscopic imaging techniques permit today a detailed documentation of lesions over time and, therefore, represent an optimal tool to disclose the natural evolution of a given lesion. We present five case of slow-growing melanomas observed during a long-term period of follow-up. MAIN OBSERVATION Five pigmented skin lesions from five patients with multiple atypical melanocytic nevi were examined at the baseline consultation and digital pictures were taken for monitoring purposes. The lesions have been followed-up for a long time because of the absence of significant changes over time. After a variable period of follow-up (1 to 10 years) all lesions were finally removed and subsequent histopathologic examination revealed early stage melanoma in all cases. CONCLUSION Dermoscopy and digital follow up might be the key factors to improve the knowledge about the natural evolution of nevi and melanoma and the spectrum of undefined melanocytic proliferations.
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Affiliation(s)
- Paolo Roma
- Department of Dermatology, Second University of Naples, Naples, Italy
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de Giorgi V, Rossari S, Papi F, Buzzoni C, Gori A, Grazzini M, Savarese I, Crocetti E, Longo AS, Massi D. Risk of second primary melanoma: how should be long follow-up be? Ratio of observed and expected cases. J Eur Acad Dermatol Venereol 2011; 26:1454-5. [PMID: 22070500 DOI: 10.1111/j.1468-3083.2011.04334.x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
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Abstract
The incidence of breast carcinoma cutaneous manifestation in patients with breast carcinoma is 23.9%. The most common sites of breast carcinoma cutaneous manifestation are the chest wall and abdomen, but they can occur at the extremities and in the head/neck region. Due the high incidence of breast carcinoma, these cutaneous manifestations are the most common metastases seen by dermatologists. In clinical practice, cutaneous metastases show a wide range of clinical manifestations. Nodules are the most common presentation, but several other patterns are described below.
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de Giorgi V, Gori A, Grazzini M, Janowska A, Rossari S, Papi F, Alfaioli B, Savarese I, Lotti T. Sun exposure and children: what do they know? An observational study in an Italian school. Prev Med 2011; 52:186-7. [PMID: 21129399 DOI: 10.1016/j.ypmed.2010.11.012] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/09/2010] [Revised: 11/16/2010] [Accepted: 11/20/2010] [Indexed: 10/18/2022]
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de Giorgi V, Grazzini M, Savarese I, Rossari S, Gori A, Massi D, Lotti T. What can hide under exophytic verrucous appearance? Acta Derm Venereol 2011; 91:100-1. [PMID: 21031279 DOI: 10.2340/00015555-0984] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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De Giorgi V, Grazzini M, Rossari S, Gori A, Alfaioli B, Papi F, Savarese I, Cervadoro E, Lotti T. Adding dermatoscopy to naked eye examination of equivocal melanocytic skin lesions: effect on intention to excise by general dermatologists. Clin Exp Dermatol 2010; 36:255-9. [DOI: 10.1111/j.1365-2230.2010.03963.x] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Ferrara G, Zalaudek I, Savarese I, Scalvenzi M, Argenziano G. Pediatric Atypical Spitzoid Neoplasms: A Review with Emphasis on ‘Red’ (‘Spitz’) Tumors and ‘Blue’ (‘Blitz’) Tumors. Dermatology 2010; 220:306-10. [DOI: 10.1159/000300093] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2009] [Accepted: 03/13/2010] [Indexed: 11/19/2022] Open
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Zuppa AA, Sindico P, Savarese I, D'Andrea V, Fracchiolla A, Cota F, Romagnoli C. Neonatal hyperthyroidism: neonatal clinical course of two brothers born to a mother with Graves-Basedow disease, before and after total thyroidectomy. J Pediatr Endocrinol Metab 2007; 20:535-9. [PMID: 17550218 DOI: 10.1515/jpem.2007.20.4.535] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND About 1-2% of infants born to mothers with Graves' disease or Hashimoto's thyroiditis develop neonatal hyperthyroidism because of transplacental passage of IgG stimulating TSH receptors (TRAb). OBJECTIVE To evaluate the effect of maternal total thyroidectomy on neonatal clinical course. METHODS We describe two brothers born to a mother with Graves' disease, before and after total thyroidectomy. RESULTS The first child showed persistent tachycardia, the presence of TRAb and a laboratory pattern of hyperthyroidism. Lugol's solution was started and then propylthiouracil was added. Digitalis, furosemide and diazepam were necessary for treatment of heart failure, hypertension and irritability. On the 70th day of life, hormone serum levels normalized and treatment was interrupted. TRAb normalized by the third month of life. The second infant was born 2 years after the mother underwent total thyroidectomy. In spite of a laboratory pattern of hyperthyroidism and positivity to TRAb, he showed only considerable weight loss, and no therapy was required. CONCLUSIONS TRAb may persist after total thyroidectomy: clinical and instrumental follow-up of the newborn is recommended.
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Affiliation(s)
- A A Zuppa
- Department of Pediatrics, Division of Neonatology, Catholic University of the Sacred Heart, Rome, Italy.
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Zuppa AA, Savarese I, Scorrano A, Calabrese V, D'Andrea V, Fracchiolla A, Cota E, Sindico P, Romagnoli C. [Prebiotics and probiotics in infant nutrition]. Pediatr Med Chir 2007; 29:69-83. [PMID: 17461094] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/15/2023] Open
Abstract
Many studies have recently analyzed the modulation of the intestinal microflora showing a benefic effects reducing the number of enteritis, improving the oligoelements absorption and stimulating the immunitary system. To do so three way are available: the use of prebiotics, the use of probiotics and the symbiotic way. Prebiotics are non-digestible oligosaccharides that can stimulate selectively the growth bifidogenus bacteria. Probiotics are dietary supplements made of live micro-organisms which improve the microbial environment of the gut. In this review literature is examined the possible efficacy of prebiotics and probiotics in the pediatric age; however, the studies available do not permit to obtain definitive conclusions.
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Affiliation(s)
- A A Zuppa
- Istituto di Clinica Pediatrica, Cattedra di Neonatologia, Università Cattolica del Sacro Cuore, Roma.
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