1
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Manfredini M, Chello C, Ciardo S, Guida S, Chester J, Lasagni C, Bigi L, Farnetani F, Bettoli V, Pellacani G. Hidradenitis Suppurativa: morphologic and vascular study of nodular inflammatory lesions by means of optical coherence tomography. Exp Dermatol 2022; 31:1076-1082. [PMID: 35263469 DOI: 10.1111/exd.14560] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [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: 12/26/2021] [Revised: 03/01/2022] [Accepted: 03/05/2022] [Indexed: 11/28/2022]
Abstract
BACKGROUND Hidradenitis Suppurativa (HS) is an inflammatory disease characterized by a recurrent-remission trend and clinical lesions that range from asymptomatic to inflamed, deep-seated nodules with scarring and suppuration. OBJECTIVE To identify morphologic and vascular features of HS nodules by means of dynamic optical coherence tomography (D-OCT) and to define if they are correlated to patient endotype and risk of disease progression. METHODS A set of standardized clinical pictures and D-OCT images were acquired from 57 inflammatory nodules of 40 patients affected by HS. A set of 20 clinical and D-OCT images were acquired from 20 healthy volunteers as a control group. The comparison of D-OCT features among HS and control group was analyzed. The correlation between HS patient endotype and D-OCT features of the lesions was calculated. RESULTS D-OCT enabled to identify vascular and morphological aspects characterizing HS nodular inflammatory lesions. In addition, several D-OCT features were significantly different among distinct disease endotypes. CONCLUSION The characterization of HS nodular inflammatory lesions through D-OCT, corresponding to blood vessel dilation and inflammatory associated hyper-vascularization, may have important clinical consequences in the assessment of HS risk of progression, therapeutic decisions and treatment efficacy monitoring.
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Affiliation(s)
- M Manfredini
- Department of Dermatology, University of Modena and Reggio Emilia, Modena, Italy
| | - C Chello
- Dermatology Section, Department of Plastic, Reconstructive and Cosmetic Surgery, Campus Biomedico University hospital, Via Alvaro del Portillo 200, 00128, Rome, Italy
| | - S Ciardo
- Department of Dermatology, University of Modena and Reggio Emilia, Modena, Italy
| | - S Guida
- Department of Dermatology, University of Modena and Reggio Emilia, Modena, Italy
| | - J Chester
- Department of Dermatology, University of Modena and Reggio Emilia, Modena, Italy
| | - C Lasagni
- Department of Dermatology, University of Modena and Reggio Emilia, Modena, Italy
| | - L Bigi
- Department of Dermatology, University of Modena and Reggio Emilia, Modena, Italy
| | - F Farnetani
- Department of Dermatology, University of Modena and Reggio Emilia, Modena, Italy
| | - V Bettoli
- Department of Dermatology, University of Ferrara, Ferrara, Italy
| | - G Pellacani
- Dermatology, Department of Clinical, Internal, Anesthesiological and Cardiovascular Sciences, La Sapienza University of Rome, Rome, Italy
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2
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Guiducci L, Kaleci S, Chester J, Longo C, Ciardo S, Farnetani F, Pellacani G. Dendritic cells in reflectance confocal microscopy is a clue for early melanoma diagnosis in extrafacial flat pigmented melanocytic lesions. Exp Dermatol 2022; 31:1048-1055. [PMID: 35220636 PMCID: PMC9542116 DOI: 10.1111/exd.14553] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2021] [Revised: 02/04/2022] [Accepted: 02/24/2022] [Indexed: 11/30/2022]
Abstract
Differential diagnosis of extrafacial flat pigmented lesions with dermoscopic reticular and/or homogeneous pattern is challenging. Dendritic cells upon reflectance confocal microscopy (RCM) still represent a pitfall. This study aims to determine the role of dendritic cells upon RCM in the epidermis and dermo‐epidermal junction (DEJ), together with common RCM features for melanoma and nevi, in dermoscopically equivocal extrafacial flat pigmented lesions. A retrospective evaluation of RCM images of melanocytic extrafacial flat pigmented lesions with reticular and/or homogeneous dermoscopic pattern and with histopathological diagnosis, was performed. A multivariate model of RCM features was used to obtain a score of independent risk factors. A total of 698 lesions were included. Increasing patient age, epidermal dendritic cells, many dendritic cells in the DEJ (>30%) and many (>5/mm2) round atypical cells were independent risk factors for melanoma. Edged papillae and melanophages were indicative of nevus. A score based on these features was developed to assist in melanoma differential diagnosis. The RCM observation of abundant (>30%) dendritic cells in the DEJ is highly suggestive of malignity. This independent risk factor should also be considered for improved differential diagnosis of extrafacial melanoma.
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Affiliation(s)
- L Guiducci
- Department of Dermatology University of Modena and Reggio Emilia Modena Italy
| | - S Kaleci
- Department of Dermatology University of Modena and Reggio Emilia Modena Italy
| | - J Chester
- Department of Dermatology University of Modena and Reggio Emilia Modena Italy
| | - C Longo
- Department of Dermatology University of Modena and Reggio Emilia Modena Italy
| | - S Ciardo
- Department of Dermatology University of Modena and Reggio Emilia Modena Italy
| | - F Farnetani
- Department of Dermatology University of Modena and Reggio Emilia Modena Italy
| | - G Pellacani
- Department of Dermatology University of Modena and Reggio Emilia Modena Italy
- Dermatology Clinic Dept. of Clinical Internal, Anesthesiological and Cardiovascular Sciences Sapienza University of Rome Rome Italy
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3
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Chello C, Ciardo S, Chester J, Guanti M, Farnetani F, Guida S, Sticchi A, Giacobazzi P, Meduri B, Lohr F, Pellacani G, Manfredini M. Radiotherapy-induced subclinical skin changes revealed by dynamic optical coherence tomography: a case-controlled pilot study. J Eur Acad Dermatol Venereol 2021; 36:e75-e77. [PMID: 34487366 DOI: 10.1111/jdv.17639] [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: 07/21/2021] [Accepted: 09/02/2021] [Indexed: 12/01/2022]
Affiliation(s)
- C Chello
- Department of Plastic and Reconstructive Surgery, Università Campus Biomedico di Roma, Roma, Italy
| | - S Ciardo
- Section of Dermatology, Department of Surgical, Medical, Dental and Morphological Sciences with Interest Transplant, Oncological and Regenerative Medicine, University of Modena and Reggio Emilia, Modena, Italy
| | - J Chester
- Section of Dermatology, Department of Surgical, Medical, Dental and Morphological Sciences with Interest Transplant, Oncological and Regenerative Medicine, University of Modena and Reggio Emilia, Modena, Italy
| | - M Guanti
- Section of Dermatology, Department of Surgical, Medical, Dental and Morphological Sciences with Interest Transplant, Oncological and Regenerative Medicine, University of Modena and Reggio Emilia, Modena, Italy
| | - F Farnetani
- Section of Dermatology, Department of Surgical, Medical, Dental and Morphological Sciences with Interest Transplant, Oncological and Regenerative Medicine, University of Modena and Reggio Emilia, Modena, Italy
| | - S Guida
- Section of Dermatology, Department of Surgical, Medical, Dental and Morphological Sciences with Interest Transplant, Oncological and Regenerative Medicine, University of Modena and Reggio Emilia, Modena, Italy
| | - A Sticchi
- Section of Dermatology, Department of Surgical, Medical, Dental and Morphological Sciences with Interest Transplant, Oncological and Regenerative Medicine, University of Modena and Reggio Emilia, Modena, Italy
| | - P Giacobazzi
- Radiotherapy Unit, Oncology and Hematology Department, University Hospital of Modena, Modena, Italy
| | - B Meduri
- Radiotherapy Unit, Oncology and Hematology Department, University Hospital of Modena, Modena, Italy
| | - F Lohr
- Radiotherapy Unit, Oncology and Hematology Department, University Hospital of Modena, Modena, Italy
| | - G Pellacani
- Dermatology, Department of Clinical Internal, Anesthesiological and Cardiovascular Sciences, La Sapienza University of Rome, Rome, Italy
| | - M Manfredini
- Section of Dermatology, Department of Surgical, Medical, Dental and Morphological Sciences with Interest Transplant, Oncological and Regenerative Medicine, University of Modena and Reggio Emilia, Modena, Italy
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4
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Peccerillo F, Odorici G, Ciardo S, Greco M, Guida S, Farnetani F, Pellacani G. Efficacy assessment of a TCA/H2O2 compositum for skin ageing treatment by confocal laser microscopy and optical coherence tomography. J Eur Acad Dermatol Venereol 2021; 35:e938-e942. [PMID: 34374139 DOI: 10.1111/jdv.17596] [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: 02/19/2021] [Accepted: 07/27/2021] [Indexed: 11/30/2022]
Affiliation(s)
- F Peccerillo
- Dermatology Unit, Arcispedale Santa Maria Nuova, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
| | - G Odorici
- Department of Dermatology, University of Ferrara, Ferrara, Italy
| | - S Ciardo
- Department of Dermatology, University of Modena and Reggio Emilia, Modena, Italy
| | - M Greco
- Department of Dermatology, University of Modena and Reggio Emilia, Modena, Italy
| | - S Guida
- Department of Dermatology, University of Modena and Reggio Emilia, Modena, Italy
| | - F Farnetani
- Department of Dermatology, University of Modena and Reggio Emilia, Modena, Italy
| | - G Pellacani
- Department of Dermatology, University of Modena and Reggio Emilia, Modena, Italy
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5
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Farnetani F, Pedroni G, Lippolis N, Giovani M, Ciardo S, Chester J, Kaleci S, Pezzini C, Cantisani C, Dattola A, Manfredini M, Dika E, Patrizi A, Pellacani G. Facial seborrheic keratosis with unusual dermoscopic patterns can be differentiated from other skin malignancies by in vivo reflectance confocal microscopy. J Eur Acad Dermatol Venereol 2021; 35:e784-e787. [PMID: 34161654 DOI: 10.1111/jdv.17470] [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] [Received: 03/24/2021] [Revised: 05/17/2021] [Accepted: 06/22/2021] [Indexed: 12/14/2022]
Affiliation(s)
- F Farnetani
- Dermatology Unit, Department of Surgical, Medical, Dental and Morphological Sciences related to Transplant, Oncology and Regenerative Medicine, University of Modena and Reggio Emilia, Modena, Italy
| | - G Pedroni
- Dermatology Unit, Department of Surgical, Medical, Dental and Morphological Sciences related to Transplant, Oncology and Regenerative Medicine, University of Modena and Reggio Emilia, Modena, Italy
| | - N Lippolis
- Dermatology Unit, Department of Surgical, Medical, Dental and Morphological Sciences related to Transplant, Oncology and Regenerative Medicine, University of Modena and Reggio Emilia, Modena, Italy
| | - M Giovani
- Dermatology Unit, Department of Surgical, Medical, Dental and Morphological Sciences related to Transplant, Oncology and Regenerative Medicine, University of Modena and Reggio Emilia, Modena, Italy
| | - S Ciardo
- Dermatology Unit, Department of Surgical, Medical, Dental and Morphological Sciences related to Transplant, Oncology and Regenerative Medicine, University of Modena and Reggio Emilia, Modena, Italy
| | - J Chester
- Dermatology Unit, Department of Surgical, Medical, Dental and Morphological Sciences related to Transplant, Oncology and Regenerative Medicine, University of Modena and Reggio Emilia, Modena, Italy
| | - S Kaleci
- Dermatology Unit, Department of Surgical, Medical, Dental and Morphological Sciences related to Transplant, Oncology and Regenerative Medicine, University of Modena and Reggio Emilia, Modena, Italy
| | - C Pezzini
- Dermatology Unit, Department of Surgical, Medical, Dental and Morphological Sciences related to Transplant, Oncology and Regenerative Medicine, University of Modena and Reggio Emilia, Modena, Italy
| | - C Cantisani
- Dermatology Clinic, Department of Clinical Internal, Anesthesiological and Cardiovascular Sciences, Sapienza University of Rome, Rome, Italy
| | - A Dattola
- Department of Dermatology, University of Rome 'Tor Vergata', Rome, Italy
| | - M Manfredini
- Dermatology Unit, Department of Surgical, Medical, Dental and Morphological Sciences related to Transplant, Oncology and Regenerative Medicine, University of Modena and Reggio Emilia, Modena, Italy
| | - E Dika
- Dermatology, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.,Dermatology, Department of Experimental, Diagnostic and Specialty Medicine (DIMES), University of Bologna, Bologna, Italy
| | - A Patrizi
- Dermatology, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.,Dermatology, Department of Experimental, Diagnostic and Specialty Medicine (DIMES), University of Bologna, Bologna, Italy
| | - G Pellacani
- Dermatology Unit, Department of Surgical, Medical, Dental and Morphological Sciences related to Transplant, Oncology and Regenerative Medicine, University of Modena and Reggio Emilia, Modena, Italy.,Dermatology Clinic, Department of Clinical Internal, Anesthesiological and Cardiovascular Sciences, Sapienza University of Rome, Rome, Italy
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6
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Garbarino F, Pampena R, Lai M, Pereira AR, Piana S, Cesinaro AM, Cinotti E, Fiorani D, Ciardo S, Farnetani F, Chester J, Pellacani G, Guitera P, Longo C. Flat scalp melanoma dermoscopic and reflectance confocal microscopy features correspond to histopathologic type and lesion location. J Eur Acad Dermatol Venereol 2021; 35:1670-1677. [PMID: 33960517 PMCID: PMC8361774 DOI: 10.1111/jdv.17313] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2021] [Accepted: 04/13/2021] [Indexed: 11/29/2022]
Abstract
Background Dermoscopy and Reflectance Confocal Microscopy (RCM) features of scalp melanoma according to lesion location and histopathology have not been fully investigated. Objectives To reveal dermoscopic and RCM features of scalp melanoma according to lesion location and histopathology. Methods We retrospectively retrieved images of suspicious, atypical excised, flat melanocytic lesions of the scalp, assessed on dermoscopy and RCM at five centres, from June 2007 to April 2020. Lesions were classified according to histopathological diagnoses of nevi, lentigo maligna melanoma (LM/LMM) or superficial spreading melanoma (SSM). Clinical, dermoscopic and RCM images were evaluated; LM/LMM and SSM subtypes were compared through multivariate analysis. Results Two hundred forty‐seven lesions were included. In situ melanomas were mostly LM (81.3%), while invasive melanomas were mostly SSM (75.8%). Male sex, baldness and chronic sun‐damaged skin were associated with all types of melanomas and in particular with LM/LMM. LMs were mostly located in the vertex area and SSM in the frontal (OR: 8.8; P < 0.05, CI 95%) and temporal (OR: 16.7; P < 0.005, CI 95%) areas. The dermoscopy presence of pseudo‐network, pigmented rhomboidal structures, obliterated hair follicles and annular–granular pattern were associated with LM diagnoses, whereas bluish‐white veil was more typical of SSM. Observations on RCM of atypical roundish and dendritic cells in the epidermis were associated with SSM (42.4%) and dendritic cells with LM (62.5%) diagnoses. Folliculotropism on RCM was confirmed as a typical sign of LM. Conclusions Flat scalp melanomas reveal specific dermoscopic and RCM features according to histopathologic type and scalp location.
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Affiliation(s)
- F Garbarino
- Department of Dermatology, University of Modena and Reggio Emilia, Modena, Italy
| | - R Pampena
- Azienda Unità Sanitaria Locale - IRCCS di Reggio Emilia, Centro Oncologico ad Alta Tecnologia Diagnostica-Dermatologia, Reggio Emilia, Italy
| | - M Lai
- Azienda Unità Sanitaria Locale - IRCCS di Reggio Emilia, Centro Oncologico ad Alta Tecnologia Diagnostica-Dermatologia, Reggio Emilia, Italy
| | - A R Pereira
- Sydney Melanoma Diagnostic Centre, Royal Prince Alfred Hospital, Sydney, NSW, Australia.,Faculty of Medicine & Health, University of Sydney, Sydney, NSW, Australia
| | - S Piana
- Pathology Unit, Azienda Unità Sanitaria Locale - IRCCS di Reggio Emilia, Reggio Emilia, Italy
| | - A M Cesinaro
- Department of Pathology, Azienda Ospedaliero-Universitaria, Policlinico di Modena, Modena, Italy
| | - E Cinotti
- Department of Medical, Surgical and Neurological Science, Dermatology Section, University of Siena, S. Maria Alle Scotte Hospital, Siena, Italy
| | - D Fiorani
- Department of Medical, Surgical and Neurological Science, Dermatology Section, University of Siena, S. Maria Alle Scotte Hospital, Siena, Italy
| | - S Ciardo
- Department of Dermatology, University of Modena and Reggio Emilia, Modena, Italy
| | - F Farnetani
- Department of Dermatology, University of Modena and Reggio Emilia, Modena, Italy
| | - J Chester
- Department of Dermatology, University of Modena and Reggio Emilia, Modena, Italy
| | - G Pellacani
- Department of Dermatology, University of La Sapienza, Roma, Italy
| | - P Guitera
- Sydney Melanoma Diagnostic Centre, Royal Prince Alfred Hospital, Sydney, NSW, Australia.,Faculty of Medicine & Health, University of Sydney, Sydney, NSW, Australia.,Melanoma Institute Australia, Sydney, NSW, Australia
| | - C Longo
- Department of Dermatology, University of Modena and Reggio Emilia, Modena, Italy.,Azienda Unità Sanitaria Locale - IRCCS di Reggio Emilia, Centro Oncologico ad Alta Tecnologia Diagnostica-Dermatologia, Reggio Emilia, Italy
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7
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Odorici G, Longhitano S, Kaleci S, Chester J, Ciardo S, Pellacani G, Farnetani F. Morphology of congenital nevi in dermoscopy and reflectance confocal microscopy according to age: a pilot study. J Eur Acad Dermatol Venereol 2020; 34:e787-e789. [DOI: 10.1111/jdv.16448] [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: 11/29/2022]
Affiliation(s)
- G. Odorici
- Department of Surgical Medical, Dental and Morphological Sciences with Interest Transplant, Oncological and Regenerative Medicine Dermatology Unit University of Modena and Reggio Emilia Modena Italy
| | - S. Longhitano
- Department of Surgical Medical, Dental and Morphological Sciences with Interest Transplant, Oncological and Regenerative Medicine Dermatology Unit University of Modena and Reggio Emilia Modena Italy
| | - S. Kaleci
- Department of Surgical Medical, Dental and Morphological Sciences with Interest Transplant, Oncological and Regenerative Medicine Dermatology Unit University of Modena and Reggio Emilia Modena Italy
| | - J. Chester
- Department of Surgical Medical, Dental and Morphological Sciences with Interest Transplant, Oncological and Regenerative Medicine Dermatology Unit University of Modena and Reggio Emilia Modena Italy
| | - S. Ciardo
- Department of Surgical Medical, Dental and Morphological Sciences with Interest Transplant, Oncological and Regenerative Medicine Dermatology Unit University of Modena and Reggio Emilia Modena Italy
| | - G. Pellacani
- Department of Surgical Medical, Dental and Morphological Sciences with Interest Transplant, Oncological and Regenerative Medicine Dermatology Unit University of Modena and Reggio Emilia Modena Italy
| | - F. Farnetani
- Department of Surgical Medical, Dental and Morphological Sciences with Interest Transplant, Oncological and Regenerative Medicine Dermatology Unit University of Modena and Reggio Emilia Modena Italy
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8
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Guida S, Farnetani F, De Pace B, Kaleci S, Chester J, Stanganelli I, Ciardo S, De Carvalho N, Longo C, Pellacani G. Flat-pigmented facial lesions without highly specific melanocytic dermoscopy features: the role of dermoscopic globules and dots in differential diagnosis with corresponding reflectance confocal microscopy substrates. J Eur Acad Dermatol Venereol 2019; 34:e153-e156. [PMID: 31729773 DOI: 10.1111/jdv.16079] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- S Guida
- Dermatology Unit, Department of Surgical, Medical, Dental and Morphological Sciences with Interest in Transplant, Oncological and Regenerative Medicine, University of Modena and Reggio Emilia, Modena, Italy
| | - F Farnetani
- Dermatology Unit, Department of Surgical, Medical, Dental and Morphological Sciences with Interest in Transplant, Oncological and Regenerative Medicine, University of Modena and Reggio Emilia, Modena, Italy
| | - B De Pace
- Dermatology Unit, Department of Surgical, Medical, Dental and Morphological Sciences with Interest in Transplant, Oncological and Regenerative Medicine, University of Modena and Reggio Emilia, Modena, Italy
| | - S Kaleci
- Dermatology Unit, Department of Surgical, Medical, Dental and Morphological Sciences with Interest in Transplant, Oncological and Regenerative Medicine, University of Modena and Reggio Emilia, Modena, Italy
| | - J Chester
- Dermatology Unit, Department of Surgical, Medical, Dental and Morphological Sciences with Interest in Transplant, Oncological and Regenerative Medicine, University of Modena and Reggio Emilia, Modena, Italy
| | - I Stanganelli
- Skin Cancer Unit, Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST), Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Meldola, Italy
| | - S Ciardo
- Dermatology Unit, Department of Surgical, Medical, Dental and Morphological Sciences with Interest in Transplant, Oncological and Regenerative Medicine, University of Modena and Reggio Emilia, Modena, Italy
| | - N De Carvalho
- Dermatology Unit, Department of Surgical, Medical, Dental and Morphological Sciences with Interest in Transplant, Oncological and Regenerative Medicine, University of Modena and Reggio Emilia, Modena, Italy
| | - C Longo
- Dermatology Unit, Department of Surgical, Medical, Dental and Morphological Sciences with Interest in Transplant, Oncological and Regenerative Medicine, University of Modena and Reggio Emilia, Modena, Italy.,Centro Oncologico ad Alta Tecnologia Diagnostica, Azienda Unità Sanitaria Locale - IRCCS, Reggio Emilia, Italy
| | - G Pellacani
- Dermatology Unit, Department of Surgical, Medical, Dental and Morphological Sciences with Interest in Transplant, Oncological and Regenerative Medicine, University of Modena and Reggio Emilia, Modena, Italy
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9
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Garbarino F, Migliorati S, Farnetani F, De Pace B, Ciardo S, Manfredini M, Reggiani Bonetti L, Kaleci S, Chester J, Pellacani G. Nodular skin lesions: correlation of reflectance confocal microscopy and optical coherence tomography features. J Eur Acad Dermatol Venereol 2019; 34:101-111. [DOI: 10.1111/jdv.15953] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2019] [Accepted: 08/13/2019] [Indexed: 12/24/2022]
Affiliation(s)
| | | | - F. Farnetani
- Dermatology Unit University of Modena and Reggio Emilia Modena Italy
| | - B. De Pace
- Dermatology Unit University of Modena and Reggio Emilia Modena Italy
| | - S. Ciardo
- Dermatology Unit University of Modena and Reggio Emilia Modena Italy
| | - M. Manfredini
- Dermatology Unit University of Modena and Reggio Emilia Modena Italy
| | | | - S. Kaleci
- Dermatology Unit University of Modena and Reggio Emilia Modena Italy
| | - J. Chester
- Dermatology Unit University of Modena and Reggio Emilia Modena Italy
| | - G. Pellacani
- Dermatology Unit University of Modena and Reggio Emilia Modena Italy
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10
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Paganelli A, Garbarino F, Ciardo S, Pellacani G, Farnetani F. Disguised basal cell carcinomas: how to track them down with reflectance confocal microscopy. J Eur Acad Dermatol Venereol 2019; 34:e68-e70. [PMID: 31465607 DOI: 10.1111/jdv.15916] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [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)
- A Paganelli
- Surgical, Medical and Dental Department of Morphological Sciences related to Transplant, Oncology and Regenerative Medicine, University of Modena and Reggio Emilia, Modena, Italy
| | - F Garbarino
- Surgical, Medical and Dental Department of Morphological Sciences related to Transplant, Oncology and Regenerative Medicine, University of Modena and Reggio Emilia, Modena, Italy
| | - S Ciardo
- Surgical, Medical and Dental Department of Morphological Sciences related to Transplant, Oncology and Regenerative Medicine, University of Modena and Reggio Emilia, Modena, Italy
| | - G Pellacani
- Surgical, Medical and Dental Department of Morphological Sciences related to Transplant, Oncology and Regenerative Medicine, University of Modena and Reggio Emilia, Modena, Italy
| | - F Farnetani
- Surgical, Medical and Dental Department of Morphological Sciences related to Transplant, Oncology and Regenerative Medicine, University of Modena and Reggio Emilia, Modena, Italy
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11
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Farnetani F, Scope A, Mazzoni L, Mandel V, Manfredini M, Magi S, Vaschieri C, Kaleci S, Longo C, Ciardo S, Stanganelli I, Pellacani G. A comparative dermoscopic and reflectance confocal microscopy study of naevi and melanoma with negative pigment network. J Eur Acad Dermatol Venereol 2019; 33:2273-2282. [DOI: 10.1111/jdv.15784] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2019] [Accepted: 05/27/2019] [Indexed: 11/30/2022]
Affiliation(s)
- F. Farnetani
- Dermatology Department University of Modena and Reggio Emilia Modena Italy
| | - A. Scope
- The Kittner Skin Cancer Screening & Research Institute Sheba Medical Center and Sackler School of Medicine Tel Aviv University Tel Aviv Israel
| | - L. Mazzoni
- Skin Cancer Unit, Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST) Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Meldola Italy
| | - V.D. Mandel
- Skin Cancer Unit, Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST) Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Meldola Italy
| | - M. Manfredini
- Dermatology Department University of Modena and Reggio Emilia Modena Italy
| | - S. Magi
- Skin Cancer Unit, Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST) Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Meldola Italy
| | - C. Vaschieri
- Dermatology Department University of Modena and Reggio Emilia Modena Italy
| | - S. Kaleci
- Dermatology Department University of Modena and Reggio Emilia Modena Italy
| | - C. Longo
- Dermatology Department University of Modena and Reggio Emilia Modena Italy
- Centro Oncologico ad Alta Tecnologia Diagnostica Azienda Unità Sanitaria Locale Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Reggio Emilia Italy
| | - S. Ciardo
- Dermatology Department University of Modena and Reggio Emilia Modena Italy
| | - I. Stanganelli
- Skin Cancer Unit, Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST) Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Meldola Italy
- Dermatology Department University of Parma Parma Italy
| | - G. Pellacani
- Dermatology Department University of Modena and Reggio Emilia Modena Italy
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12
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De Pace B, Fiorentini C, Ciardo S, Chester J, Kaleci S, Veltri T, De Luca M, Pellacani G. Inherited epidermolysis bullosa: description of clinical and subclinical morphological features with optical coherence tomography. J Eur Acad Dermatol Venereol 2018; 33:e120-e123. [DOI: 10.1111/jdv.15304] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- B. De Pace
- Dermatology Unit University of Modena and Reggio Emilia Modena Italy
| | - C. Fiorentini
- Dermatology Unit University of Modena and Reggio Emilia Modena Italy
| | - S. Ciardo
- Dermatology Unit University of Modena and Reggio Emilia Modena Italy
| | - J. Chester
- Dermatology Unit University of Modena and Reggio Emilia Modena Italy
| | - S. Kaleci
- Dermatology Unit University of Modena and Reggio Emilia Modena Italy
| | - T. Veltri
- Dermatology Unit University of Modena and Reggio Emilia Modena Italy
| | - M. De Luca
- Department of Life Sciences Center for Regenerative Medicine “Stefano Ferrari” University of Modena and Reggio Emilia Modena Italy
| | - G. Pellacani
- Dermatology Unit University of Modena and Reggio Emilia Modena Italy
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13
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Paganelli A, Bassoli S, Roncati L, Bigi L, Ciardo S, Pellacani G. Pseudo‐Kaposi sarcoma: report of a case investigated by dermoscopy, reflectance confocal microscopy and optical coherence tomography. J Eur Acad Dermatol Venereol 2018; 32:e429-e432. [DOI: 10.1111/jdv.15038] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [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)
- A. Paganelli
- Department of Dermatology University of Modena and Reggio EmiliaModena Italy
| | - S. Bassoli
- Department of Dermatology University of Modena and Reggio EmiliaModena Italy
| | - L. Roncati
- Department of Diagnostic and Clinical Medicine and of Public Health Institute of Pathology Policlinico Hospital University of Modena and Reggio Emilia Modena Italy
| | - L. Bigi
- Department of Dermatology University of Modena and Reggio EmiliaModena Italy
| | - S. Ciardo
- Department of Dermatology University of Modena and Reggio EmiliaModena Italy
| | - G. Pellacani
- Department of Dermatology University of Modena and Reggio EmiliaModena Italy
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14
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Pellacani G, De Carvalho N, Ciardo S, Ferrari B, Cesinaro A, Farnetani F, Bassoli S, Guitera P, Star P, Rawson R, Rossi E, Magnoni C, Gualdi G, Longo C, Scope A. The smart approach: feasibility of lentigo maligna superficial margin assessment with hand-held reflectance confocal microscopy technology. J Eur Acad Dermatol Venereol 2018; 32:1687-1694. [DOI: 10.1111/jdv.15033] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2018] [Accepted: 03/28/2018] [Indexed: 11/29/2022]
Affiliation(s)
- G. Pellacani
- Department of Dermatology; University of Modena and Reggio Emilia; Modena Italy
| | - N. De Carvalho
- Department of Dermatology; University of Modena and Reggio Emilia; Modena Italy
| | - S. Ciardo
- Department of Dermatology; University of Modena and Reggio Emilia; Modena Italy
| | - B. Ferrari
- Department of Dermatology; University of Modena and Reggio Emilia; Modena Italy
| | - A.M. Cesinaro
- Department of Pathology; University of Modena and Reggio Emilia; Modena Italy
| | - F. Farnetani
- Department of Dermatology; University of Modena and Reggio Emilia; Modena Italy
| | - S. Bassoli
- Department of Dermatology; University of Modena and Reggio Emilia; Modena Italy
| | - P. Guitera
- Melanoma Institute Australia; Sydney NSW Australia
- The University of Sydney; Sydney NSW Australia
| | - P. Star
- Melanoma Institute Australia; Sydney NSW Australia
- The University of Sydney; Sydney NSW Australia
| | - R. Rawson
- Melanoma Institute Australia; Sydney NSW Australia
- The University of Sydney; Sydney NSW Australia
- Tissue Pathology and Diagnostic Oncology; Royal Prince Alfred Hospital; Camperdown NSW Australia
| | - E. Rossi
- Department of Dermatology; University of Modena and Reggio Emilia; Modena Italy
| | - C. Magnoni
- Department of Dermatology; University of Modena and Reggio Emilia; Modena Italy
| | - G. Gualdi
- Department of Dermatolgy; Spedali Civili di Brescia; Brescia Italy
| | - C. Longo
- Skin Cancer Unit; IRCCS - Santa Maria Nuova; Reggio Emilia Italy
| | - A. Scope
- Medical Screening Institute; Sheba Medical Center and Sackler School of Medicine; Tel Aviv University; Tel Aviv Israel
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15
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Mandel V, Cinotti E, Benati E, Labeille B, Ciardo S, Vaschieri C, Cambazard F, Perrot J, Pellacani G. Reflectance confocal microscopy and optical coherence tomography for the diagnosis of bullous pemphigoid and pemphigus and surrounding subclinical lesions. J Eur Acad Dermatol Venereol 2018; 32:1562-1569. [DOI: 10.1111/jdv.14795] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2017] [Accepted: 12/19/2017] [Indexed: 11/29/2022]
Affiliation(s)
- V.D. Mandel
- Dermatology Unit; Surgical, Medical and Dental Department of Morphological Sciences related to Transplant, Oncology and Regenerative Medicine; University of Modena and Reggio Emilia; Modena Italy
| | - E. Cinotti
- Department of Dermatology; University Hospital of Saint-Étienne; Saint-Étienne France
| | - E. Benati
- Dermatology Unit; Surgical, Medical and Dental Department of Morphological Sciences related to Transplant, Oncology and Regenerative Medicine; University of Modena and Reggio Emilia; Modena Italy
| | - B. Labeille
- Department of Dermatology; University Hospital of Saint-Étienne; Saint-Étienne France
| | - S. Ciardo
- Dermatology Unit; Surgical, Medical and Dental Department of Morphological Sciences related to Transplant, Oncology and Regenerative Medicine; University of Modena and Reggio Emilia; Modena Italy
| | - C. Vaschieri
- Dermatology Unit; Surgical, Medical and Dental Department of Morphological Sciences related to Transplant, Oncology and Regenerative Medicine; University of Modena and Reggio Emilia; Modena Italy
| | - F. Cambazard
- Department of Dermatology; University Hospital of Saint-Étienne; Saint-Étienne France
| | - J.L. Perrot
- Department of Dermatology; University Hospital of Saint-Étienne; Saint-Étienne France
| | - G. Pellacani
- Dermatology Unit; Surgical, Medical and Dental Department of Morphological Sciences related to Transplant, Oncology and Regenerative Medicine; University of Modena and Reggio Emilia; Modena Italy
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16
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Bassoli S, Kyrgidis A, Ciardo S, Casari A, Losi A, De Pace B, Babino G, De Col E, Marchetti Cautela J, Ferrari F, Moscarella E, Lallas A, Argenziano G, Pellacani G, Longo C. Uncovering the diagnostic dermoscopic features of flat melanomas located on the lower limbs. Br J Dermatol 2018; 178:e217-e218. [DOI: 10.1111/bjd.16030] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- S. Bassoli
- Dermatology Department; University of Modena and Reggio Emilia; Modena Italy
| | - A. Kyrgidis
- Skin Cancer Unit; Arcispedale S. Maria Nuova-IRCCS; Reggio Emilia Italy
| | - S. Ciardo
- Dermatology Department; University of Modena and Reggio Emilia; Modena Italy
| | - A. Casari
- Dermatology Department; University of Modena and Reggio Emilia; Modena Italy
| | - A. Losi
- Dermatology Department; University of Modena and Reggio Emilia; Modena Italy
| | - B. De Pace
- Dermatology Department; University of Modena and Reggio Emilia; Modena Italy
| | - G. Babino
- Dermatology Unit; II University of Naples; Naples Italy
| | - E. De Col
- Dermatology Unit; II University of Naples; Naples Italy
| | | | - F. Ferrari
- Dermatology Department; University of Modena and Reggio Emilia; Modena Italy
| | - E. Moscarella
- Skin Cancer Unit; Arcispedale S. Maria Nuova-IRCCS; Reggio Emilia Italy
| | - A. Lallas
- First Department of Dermatology; Aristotle University; Thessaloniki Greece
| | - G. Argenziano
- Dermatology Unit; II University of Naples; Naples Italy
| | - G. Pellacani
- Dermatology Department; University of Modena and Reggio Emilia; Modena Italy
| | - C. Longo
- Skin Cancer Unit; Arcispedale S. Maria Nuova-IRCCS; Reggio Emilia Italy
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17
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Pezzini C, Mandel VD, Persechino F, Ciardo S, Kaleci S, Chester J, De Carvalho N, Persechino S, Pellacani G, Farnetani F. Seborrheic keratoses mimicking melanoma unveiled by in vivo reflectance confocal microscopy. Skin Res Technol 2018; 24:285-293. [PMID: 29363175 DOI: 10.1111/srt.12427] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/01/2018] [Indexed: 11/27/2022]
Abstract
BACKGROUND Seborrheic keratoses (SebK) with atypical dermoscopy presentation are increasingly reported. These lesions do not exhibit typical dermoscopy features of SebK and sometimes mimic melanoma, thus complicating the differential diagnosis. Reflectance confocal microscopy (RCM) is a non-invasive tool, which allows an in vivo imaging of the skin. The study objectives were to evaluate the agreement between RCM classification and histological diagnoses, and the reliability of well-known RCM criteria for SebK in the identification of SebK with atypical dermoscopy presentation. MATERIALS AND METHODS We retrospectively analysed at RCM excised lesions presenting in dermoscopy ≥1 score at revisited 7-point checklist. The study population consisted of cases showing no melanocytic RCM findings. Lesions were investigated for distinct non-melanocytic RCM features, blinded from histopathology diagnoses. Histopathology matching was then performed before statistical analysis. RESULTS The study consisted of 117 cases, classified at RCM as SebK (71 cases), dermatofibroma (18 cases), basal cell carcinoma (13 cases), squamous cell carcinoma (2 cases), and "non-specific" (13 cases). Overall K strength of agreement at histopathology matching proved 0.76. Of the 71 cases classified at RCM with SebK, agreement was achieved in 97%. CONCLUSION Reflectance confocal microscopy classification proved high agreement with histopathology for SebK with atypical dermoscopy presentations, allowing an early differential diagnosis. RCM features in this group of lesions were similar to those described for typical cases of SebK, and may assist clinician therapy decision making, whilst avoiding unnecessary excisions.
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Affiliation(s)
- C Pezzini
- Dermatology Unit, Department of Surgical, Medical, Dental and Morphological Sciences with Interest in Transplant, Oncological and Regenerative Medicine, University of Modena and Reggio Emilia, Modena, Italy
| | - V D Mandel
- Dermatology Unit, Department of Surgical, Medical, Dental and Morphological Sciences with Interest in Transplant, Oncological and Regenerative Medicine, University of Modena and Reggio Emilia, Modena, Italy
| | - F Persechino
- Dermatology Unit, Department of Surgical, Medical, Dental and Morphological Sciences with Interest in Transplant, Oncological and Regenerative Medicine, University of Modena and Reggio Emilia, Modena, Italy
| | - S Ciardo
- Dermatology Unit, Department of Surgical, Medical, Dental and Morphological Sciences with Interest in Transplant, Oncological and Regenerative Medicine, University of Modena and Reggio Emilia, Modena, Italy
| | - S Kaleci
- Dermatology Unit, Department of Surgical, Medical, Dental and Morphological Sciences with Interest in Transplant, Oncological and Regenerative Medicine, University of Modena and Reggio Emilia, Modena, Italy
| | - J Chester
- Dermatology Unit, Department of Surgical, Medical, Dental and Morphological Sciences with Interest in Transplant, Oncological and Regenerative Medicine, University of Modena and Reggio Emilia, Modena, Italy
| | - N De Carvalho
- Dermatology Unit, Department of Surgical, Medical, Dental and Morphological Sciences with Interest in Transplant, Oncological and Regenerative Medicine, University of Modena and Reggio Emilia, Modena, Italy
| | - S Persechino
- Dermatology Unit, NESMOS Department, S. Andrea Hospital, University of Rome "Sapienza", Rome, Italy
| | - G Pellacani
- Dermatology Unit, Department of Surgical, Medical, Dental and Morphological Sciences with Interest in Transplant, Oncological and Regenerative Medicine, University of Modena and Reggio Emilia, Modena, Italy
| | - F Farnetani
- Dermatology Unit, Department of Surgical, Medical, Dental and Morphological Sciences with Interest in Transplant, Oncological and Regenerative Medicine, University of Modena and Reggio Emilia, Modena, Italy
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18
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De Pace B, Farnetani F, Losi A, Ciardo S, De Carvalho N, Cesinaro A, Reggiani Bonetti L, Chester J, Kaleci S, Del Duca E, Nisticò S, Longo C, Pellacani G. Reinterpreting dermoscopic pigment network with reflectance confocal microscopy for identification of melanoma-specific features. J Eur Acad Dermatol Venereol 2017; 32:947-955. [DOI: 10.1111/jdv.14675] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2017] [Accepted: 10/16/2017] [Indexed: 11/28/2022]
Affiliation(s)
- B. De Pace
- Dermatology Unit; University of Modena and Reggio Emilia; Modena Italy
| | - F. Farnetani
- Dermatology Unit; University of Modena and Reggio Emilia; Modena Italy
| | - A. Losi
- Dermatology Unit; University of Modena and Reggio Emilia; Modena Italy
| | - S. Ciardo
- Dermatology Unit; University of Modena and Reggio Emilia; Modena Italy
| | - N. De Carvalho
- Dermatology Unit; University of Modena and Reggio Emilia; Modena Italy
| | - A.M. Cesinaro
- Department of Pathology; University of Modena and Reggio Emilia; Modena Italy
| | - L. Reggiani Bonetti
- Department of Pathology; University of Modena and Reggio Emilia; Modena Italy
| | - J. Chester
- Dermatology Unit; University of Modena and Reggio Emilia; Modena Italy
| | - S. Kaleci
- Dermatology Unit; University of Modena and Reggio Emilia; Modena Italy
| | - E. Del Duca
- Division of Dermatology; Department of Systems medicine; University of Rome Tor Vergata; Rome Italy
| | - S.P. Nisticò
- Dermatology Department of Health Sciences; ‘Magna Graecia’ University of Catanzaro; Catanzaro Italy
| | - C. Longo
- Dermatology Unit; University of Modena and Reggio Emilia; Modena Italy
- Skin Cancer Unit; Arcispedale Santa Maria Nuova - IRCCS; Reggio Emilia Italy
| | - G. Pellacani
- Dermatology Unit; University of Modena and Reggio Emilia; Modena Italy
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19
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Odorici G, Losi A, Ciardo S, Pellacani G, Conti A. Non-invasive evaluation of Secukinumab efficacy in severe plaque psoriasis with confocal microscopy and optical coherence tomography: A case report. Skin Res Technol 2017; 24:160-162. [PMID: 29067742 DOI: 10.1111/srt.12409] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/10/2017] [Indexed: 11/29/2022]
Affiliation(s)
- G Odorici
- Department of Dermatology, University of Modena and Reggio Emilia, Modena, Italy
| | - A Losi
- Department of Dermatology, University of Modena and Reggio Emilia, Modena, Italy
| | - S Ciardo
- Department of Dermatology, University of Modena and Reggio Emilia, Modena, Italy
| | - G Pellacani
- Department of Dermatology, University of Modena and Reggio Emilia, Modena, Italy
| | - A Conti
- Department of Dermatology, University of Modena and Reggio Emilia, Modena, Italy
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20
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Ulrich M, Themstrup L, de Carvalho N, Ciardo S, Holmes J, Whitehead R, Welzel J, Jemec G, Pellacani G. Dynamic optical coherence tomography of skin blood vessels - proposed terminology and practical guidelines. J Eur Acad Dermatol Venereol 2017; 32:152-155. [DOI: 10.1111/jdv.14508] [Citation(s) in RCA: 32] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2017] [Accepted: 07/12/2017] [Indexed: 12/01/2022]
Affiliation(s)
- M. Ulrich
- CMB Collegium Medicum Berlin; Berlin Germany
| | - L. Themstrup
- Department of Dermatology; University of Copenhagen; Roskilde Hospital; Roskilde Denmark
| | - N. de Carvalho
- Department of Dermatology; University of Modena and Reggio Emilia; Modena Italy
| | - S. Ciardo
- Department of Dermatology; University of Modena and Reggio Emilia; Modena Italy
| | | | | | - J. Welzel
- Department of Dermatology; Klinikum Augsburg; Augsburg Germany
| | - G.B.E. Jemec
- Department of Dermatology; University of Copenhagen; Roskilde Hospital; Roskilde Denmark
| | - G. Pellacani
- Department of Dermatology; University of Modena and Reggio Emilia; Modena Italy
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21
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Manfredini M, Greco M, Farnetani F, Ciardo S, De Carvalho N, Mandel VD, Starace M, Pellacani G. Acne: morphologic and vascular study of lesions and surrounding skin by means of optical coherence tomography. J Eur Acad Dermatol Venereol 2017; 31:1541-1546. [PMID: 28556980 DOI: 10.1111/jdv.14369] [Citation(s) in RCA: 34] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2017] [Accepted: 04/28/2017] [Indexed: 11/29/2022]
Abstract
BACKGROUND Acne vulgaris is a disease of the pilosebaceous unit, characterized by hyper-keratinization process, comedos formation and inflammatory reactions. OBJECTIVE The definition of the morphology and the vascularization of acne lesions by means of dynamic optical coherence tomography (D-OCT), to non-invasively define the alterations occurring during the acne development and patient therapeutic management. METHODS A set of standardized clinical pictures and D-OCT images were acquired from 114 acne lesions of 31 volunteers, presenting mild to moderate acne and evaluated by experts. Fifteen patients treated with oral antibiotics were followed during time at 0, 20, 40, and 60 days. RESULTS Optical coherence tomography enabled to identify vascular and morphological aspects characterizing different types of acne lesions. Oral antibiotic treatment improved the morphologic features and decreased the digitally reconstructed vascular signal during time. CONCLUSION The characterization of acne lesions and the identification of vascular pattern in acne lesions through D-OCT, corresponding to blood vessel dilation and inflammatory associated hyper-vascularization, may have important clinical consequences in the assessment of acne severity, therapeutic decisions and treatment efficacy monitoring.
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Affiliation(s)
- M Manfredini
- Department of Dermatology, University of Modena and Reggio Emilia, Modena, Italy
| | - M Greco
- Department of Dermatology, University of Modena and Reggio Emilia, Modena, Italy
| | - F Farnetani
- Department of Dermatology, University of Modena and Reggio Emilia, Modena, Italy
| | - S Ciardo
- Department of Dermatology, University of Modena and Reggio Emilia, Modena, Italy
| | - N De Carvalho
- Department of Dermatology, University of Modena and Reggio Emilia, Modena, Italy
| | - V D Mandel
- Department of Dermatology, University of Modena and Reggio Emilia, Modena, Italy
| | - M Starace
- Division of Dermatology, Department of Specialized, Clinical, and Experimental Medicine, University of Bologna, Bologna, Italy
| | - G Pellacani
- Department of Dermatology, University of Modena and Reggio Emilia, Modena, Italy
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22
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Mandel V, Ciardo S, Cinotti E, Labeille B, Benati E, Perrot JL, Pellacani G. Rôle de la microscopie confocale de réflectance et de tomographie par cohérence optique pour le diagnostic de la pemphigoïde bulleuse et du pemphigus. Ann Dermatol Venereol 2016. [DOI: 10.1016/j.annder.2016.09.291] [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: 10/20/2022]
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23
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Paganelli A, Ciardo S, Odorici G, Pellacani G, Conti A. Efficacy of ustekinumab after failure of infliximab CT-P13 in a HLA-Cw6-positive patient affected by pityriasis rubra pilaris: monitoring with reflectance confocal microscopy (RCM) and optical coherence tomography (OCT). J Eur Acad Dermatol Venereol 2016; 31:e249-e251. [PMID: 27739122 DOI: 10.1111/jdv.14009] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [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)
- A Paganelli
- Department of Dermatology, University of Modena and Reggio Emilia, Italy
| | - S Ciardo
- Department of Dermatology, University of Modena and Reggio Emilia, Italy
| | - G Odorici
- Department of Dermatology, University of Modena and Reggio Emilia, Italy
| | - G Pellacani
- Department of Dermatology, University of Modena and Reggio Emilia, Italy
| | - A Conti
- Department of Dermatology, University of Modena and Reggio Emilia, Italy
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24
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Themstrup L, Welzel J, Ciardo S, Kaestle R, Ulrich M, Holmes J, Whitehead R, Sattler E, Kindermann N, Pellacani G, Jemec G. Validation of Dynamic optical coherence tomography for non-invasive, in vivo microcirculation imaging of the skin. Microvasc Res 2016; 107:97-105. [DOI: 10.1016/j.mvr.2016.05.004] [Citation(s) in RCA: 43] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2016] [Revised: 05/13/2016] [Accepted: 05/23/2016] [Indexed: 11/15/2022]
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25
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Mandel V, Ferrari F, Ciardo S, Giusti F, Pellacani G. Bowen's disease of the upper eyelid successfully treated with photodynamic therapy. J Eur Acad Dermatol Venereol 2016; 31:e127-e129. [DOI: 10.1111/jdv.13875] [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: 11/29/2022]
Affiliation(s)
- V.D. Mandel
- Dermatology Unit; Department of Surgical, Medical, Dental and Morphological Sciences with Interest Transplant; Oncological and Regenerative Medicine; University of Modena and Reggio Emilia; Modena Italy
| | - F. Ferrari
- Dermatology Unit; Department of Surgical, Medical, Dental and Morphological Sciences with Interest Transplant; Oncological and Regenerative Medicine; University of Modena and Reggio Emilia; Modena Italy
| | - S. Ciardo
- Dermatology Unit; Department of Surgical, Medical, Dental and Morphological Sciences with Interest Transplant; Oncological and Regenerative Medicine; University of Modena and Reggio Emilia; Modena Italy
| | - F. Giusti
- Dermatology Unit; Department of Surgical, Medical, Dental and Morphological Sciences with Interest Transplant; Oncological and Regenerative Medicine; University of Modena and Reggio Emilia; Modena Italy
| | - G. Pellacani
- Dermatology Unit; Department of Surgical, Medical, Dental and Morphological Sciences with Interest Transplant; Oncological and Regenerative Medicine; University of Modena and Reggio Emilia; Modena Italy
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26
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Manfredini M, Greco M, Farnetani F, Mazzaglia G, Ciardo S, Bettoli V, Virgili A, Pellacani G. In vivomonitoring of topical therapy for acne with reflectance confocal microscopy. Skin Res Technol 2016; 23:36-40. [DOI: 10.1111/srt.12298] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/20/2016] [Indexed: 11/28/2022]
Affiliation(s)
- M. Manfredini
- Department of Dermatology; University of Modena and Reggio Emilia; Modena Italy
| | - M. Greco
- Department of Dermatology; University of Modena and Reggio Emilia; Modena Italy
| | - F. Farnetani
- Department of Dermatology; University of Modena and Reggio Emilia; Modena Italy
| | - G. Mazzaglia
- Department of Dermatology; University of Modena and Reggio Emilia; Modena Italy
| | - S. Ciardo
- Department of Dermatology; University of Modena and Reggio Emilia; Modena Italy
| | - V. Bettoli
- Department of Dermatology; University of Ferrara; Ferrara Italy
| | - A. Virgili
- Department of Dermatology; University of Ferrara; Ferrara Italy
| | - G. Pellacani
- Department of Dermatology; University of Modena and Reggio Emilia; Modena Italy
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Figueroa-Silva O, Cinotti E, de Almeida Silva T, Moscarella E, Lallas A, Ciardo S, Argenziano G, Pellacani G, Piana S, Longo C. Diagnostic accuracy of reflectance confocal microscopy for lesions typified by dermoscopic island. J Eur Acad Dermatol Venereol 2016; 30:1594-8. [PMID: 27109574 DOI: 10.1111/jdv.13632] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2015] [Accepted: 01/25/2016] [Indexed: 01/01/2023]
Abstract
INTRODUCTION Dermoscopic island (DI) is a dermoscopic clue for the diagnosis of thin melanoma (MM). However, its positive predictive value is about 50% and several naevi with DI are unnecessarily excised. Reflectance confocal microscopy (RCM) is a second level non-invasive imaging tool that increases diagnostic accuracy for MM. OBJECTIVE To evaluate diagnostic RCM features of pigmented lesions typified by the presence of DI and calculate RCM diagnostic accuracy for MM diagnosis. METHODS All lesions with DI were retrieved from a database of 1964 cases. RCM diagnoses were given without being aware of the histopathological diagnoses. The number of MMs among lesions presenting with DI and the sensitivity and specificity of RCM for MM were assessed. The frequencies of dermoscopic and RCM features were calculated to evaluate significant differences in naevi and MMs showing DI (Chi-square test). Independently significant RCM criteria for MM were identified by discriminant analysis. RESULTS Sixty-three (3.2%) out of 1964 lesions presented DI. Among them, 30.2% were in situ MMs and 12.7% invasive MMs. Sensitivity and specificity of RCM for the diagnosis of MM in case of DI was 88.9%. Pagetoid cells (Wilks' lambda .804, P < 0.001) and atypical cells at dermo-epidermal junction (Wilks' lambda .762, P < 0.001) were identified to differentiate MM from naevi. CONCLUSION Our study confirmed that DI could be a sign of early MMs and underlined that RCM could be a good tool to discriminate MMs and naevi in the presence of DI because it can identify the presence of cytological atypia.
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Affiliation(s)
- O Figueroa-Silva
- Department of Dermatology, Faculty of Medicine, University Hospital Complex, Santiago de Compostela, Spain
| | - E Cinotti
- Department of Dermatology, University Hospital of Saint Etienne, Saint Etienne, France
| | - T de Almeida Silva
- Department of Dermatology, Regional Hospital of Asa Norte, Brasilia, Brazil
| | - E Moscarella
- Skin Cancer Unit, Arcispedale S. Maria Nuova, IRCCS, Reggio Emilia, Italy
| | - A Lallas
- Skin Cancer Unit, Arcispedale S. Maria Nuova, IRCCS, Reggio Emilia, Italy
| | - S Ciardo
- Department of Dermatology, University of Modena and Reggio Emilia, Modena, Italy
| | - G Argenziano
- Skin Cancer Unit, Arcispedale S. Maria Nuova, IRCCS, Reggio Emilia, Italy
| | - G Pellacani
- Department of Dermatology, University of Modena and Reggio Emilia, Modena, Italy
| | - S Piana
- Pathology Unit, Arcispedale S. Maria Nuova, IRCCS, Reggio Emilia, Italy
| | - C Longo
- Skin Cancer Unit, Arcispedale S. Maria Nuova, IRCCS, Reggio Emilia, Italy
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Themstrup L, Ciardo S, Manfredi M, Ulrich M, Pellacani G, Welzel J, Jemec G. In vivo
, micro-morphological vascular changes induced by topical brimonidine studied by Dynamic optical coherence tomography. J Eur Acad Dermatol Venereol 2016; 30:974-9. [DOI: 10.1111/jdv.13596] [Citation(s) in RCA: 40] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2015] [Revised: 11/14/2015] [Accepted: 12/10/2015] [Indexed: 11/29/2022]
Affiliation(s)
- L. Themstrup
- Department of Dermatology; Roskilde Hospital; University of Copenhagen; Roskilde Denmark
| | - S. Ciardo
- Department of Dermatology; University of Modena and Reggio Emilia; Modena Italy
| | - M. Manfredi
- Department of Engineering “Enzo Ferrari”; University of Modena and Reggio Emilia; Modena Italy
| | - M. Ulrich
- CMB/Collegium Medicum Berlin; Berlin Germany
| | - G. Pellacani
- Department of Dermatology; University of Modena and Reggio Emilia; Modena Italy
| | - J. Welzel
- Department of Dermatology and Allergology; General Hospital Augsburg; Augsburg Germany
| | - G.B.E. Jemec
- Department of Dermatology; Roskilde Hospital; University of Copenhagen; Roskilde Denmark
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Persechino F, Longo C, Cesinaro AM, Cinotti E, Ciardo S, Pellacani G, Bassoli S. [Dermoscopic and reflectance confocal microscopic features of clonal seborrhoeic keratosis]. Ann Dermatol Venereol 2015; 143:164-6. [PMID: 26708205 DOI: 10.1016/j.annder.2015.10.590] [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: 08/31/2015] [Revised: 10/10/2015] [Accepted: 10/30/2015] [Indexed: 10/22/2022]
Affiliation(s)
- F Persechino
- Service de dermatologie, université de Modène-et-Reggio-Emilia, via università, 4, 41121 Modena MO, Italie
| | - C Longo
- Unité de cancérologie cutanée, Arcispedale Santa-Maria Nuova - IRCCS, Reggio-Emilia, Viale Risorgimento, 80, Reggio-Emilia RE, Italie
| | - A M Cesinaro
- Service d'anatomopathologie, université de Modène-et-Reggio-Emilia, via Università, 4, 41121 Modena MO, Italie
| | - E Cinotti
- Service de dermatologie, hôpital Nord Saint-Étienne, 42055 Saint-Étienne cedex 2, France.
| | - S Ciardo
- Service de dermatologie, université de Modène-et-Reggio-Emilia, via università, 4, 41121 Modena MO, Italie
| | - G Pellacani
- Service de dermatologie, université de Modène-et-Reggio-Emilia, via università, 4, 41121 Modena MO, Italie
| | - S Bassoli
- Service de dermatologie, université de Modène-et-Reggio-Emilia, via università, 4, 41121 Modena MO, Italie
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Longo C, Ciardo S, Pellacani G. Non-invasive, investigative methods in skin aging. GIORN ITAL DERMAT V 2015; 150:675-686. [PMID: 26184796] [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: 06/04/2023]
Abstract
A precise and noninvasive quantification of aging is of outmost importance for in vivo assessment of the skin aging "stage", and thus acts to minimize it. Several bioengineering methods have been proposed to objectively, precisely, and non-invasively measure skin aging, and to detect early skin damage, that is sub-clinically observable. In this review we have described the most relevant methods that have emerged from recently introduced technologies, aiming at quantitatively assessing the effects of aging on the skin.
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Affiliation(s)
- C Longo
- Skin Cancer Unit, Arcispedale Santa Maria Nuova‑IRCCS, Reggio Emilia, Italy -
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31
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Benati E, Argenziano G, Kyrgidis A, Moscarella E, Ciardo S, Bassoli S, Farnetani F, Piana S, Cesinaro A, Lallas A, Borsari S, Pellacani G, Longo C. Melanoma and naevi with a globular pattern: confocal microscopy as an aid for diagnostic differentiation. Br J Dermatol 2015. [DOI: 10.1111/bjd.14049] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.1] [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)
- E. Benati
- Skin Cancer Unit; Arcispedale S. Maria Nuova-IRCCS; Reggio Emilia Italy
| | - G. Argenziano
- Dermatology Unit; Second University of Naples; Naples Italy
| | - A. Kyrgidis
- Skin Cancer Unit; Arcispedale S. Maria Nuova-IRCCS; Reggio Emilia Italy
| | - E. Moscarella
- Skin Cancer Unit; Arcispedale S. Maria Nuova-IRCCS; Reggio Emilia Italy
| | - S. Ciardo
- Dermatology Unit; University of Modena and Reggio Emilia; Modena Italy
| | - S. Bassoli
- Dermatology Unit; University of Modena and Reggio Emilia; Modena Italy
| | - F. Farnetani
- Dermatology Unit; University of Modena and Reggio Emilia; Modena Italy
| | - S. Piana
- Pathology Unit; Arcispedale S. Maria Nuova-IRCCS; Reggio Emilia Italy
| | - A.M. Cesinaro
- Pathology Unit; University of Modena and Reggio Emilia; Modena Italy
| | - A. Lallas
- Skin Cancer Unit; Arcispedale S. Maria Nuova-IRCCS; Reggio Emilia Italy
| | - S. Borsari
- Skin Cancer Unit; Arcispedale S. Maria Nuova-IRCCS; Reggio Emilia Italy
| | - G. Pellacani
- Dermatology Unit; University of Modena and Reggio Emilia; Modena Italy
| | - C. Longo
- Skin Cancer Unit; Arcispedale S. Maria Nuova-IRCCS; Reggio Emilia Italy
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Guida S, Longo C, Casari A, Ciardo S, Manfredini M, Reggiani C, Pellacani G, Farnetani F. Update on the use of confocal microscopy in melanoma and non-melanoma skin cancer. GIORN ITAL DERMAT V 2015; 150:547-563. [PMID: 26140397] [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: 06/04/2023]
Abstract
Reflectance confocal microscopy (RCM) is a new technique enabling the visualization of the skin at a quasi-histological resolution, allowing the identification of clues for the diagnosis of skin diseases. The aim of this analysis was to provide new insights into the role of RCM in the diagnosis of skin cancers. Data comes from the most recent literature, taking into account previous essential reported information in this field. The study eligibility criteria were: studies providing update information, focusing on RCM findings in melanoma and non-melanoma skin cancers (NMSC), without restrictions for age, sex, ethnicity. Duplicated studies and single case report were excluded from this study. A search concerning the role of RCM in melanoma and NMSC was performed on the Medline. RCM clues were analyzed for different skin cancers, in particular melanoma and NMSC, in association with clinical, dermoscopic and histopathologic findings. Diagnostic accuracy, sensibility and specificity of the technique were reviewed. Furthermore, some new findings have been described and recent applications have been discussed. The selection of articles was limited in order to provide an up-to-date revision. In conclusion, several RCM features were implemented for the diagnosis of melanoma and NMSC, leading to a confocal-based classification in most cases.
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Affiliation(s)
- S Guida
- Department of Dermatology, University of Modena and Reggio Emilia, Modena, Italy -
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33
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De Carvalho N, Ciardo S, Cesinaro AM, Jemec GBE, Ulrich M, Welzel J, Holmes J, Pellacani G. In vivo
micro-angiography by means of speckle-variance optical coherence tomography (SV-OCT) is able to detect microscopic vascular changes in naevus to melanoma transition. J Eur Acad Dermatol Venereol 2015; 30:e67-e68. [DOI: 10.1111/jdv.13311] [Citation(s) in RCA: 33] [Impact Index Per Article: 3.7] [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)
- N. De Carvalho
- Department of Dermatology; University of Modena and Reggio Emilia; Modena Italy
| | - S. Ciardo
- Department of Dermatology; University of Modena and Reggio Emilia; Modena Italy
| | - AM. Cesinaro
- Department of Pathology; University of Modena and Reggio Emilia; Modena Italy
| | - GBE. Jemec
- Department of Dermatology; Roskilde Hospital; Health Sciences Faculty; University of Copenhagen; Copenhagen Denmark
| | - M. Ulrich
- Dermatologie am Regierungsviertel; Berlin Germany
| | - J. Welzel
- Department of Dermatology; General Hospital Augsburg; Augsburg Germany
| | - J. Holmes
- Michelson Diagnostics Ltd, Maidstone; Kent UK
| | - G. Pellacani
- Department of Dermatology; University of Modena and Reggio Emilia; Modena Italy
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Witkowski AM, Łudzik J, DeCarvalho N, Ciardo S, Longo C, DiNardo A, Pellacani G. Non-invasive diagnosis of pink basal cell carcinoma: how much can we rely on dermoscopy and reflectance confocal microscopy? Skin Res Technol 2015; 22:230-7. [PMID: 26338448 DOI: 10.1111/srt.12254] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/29/2015] [Indexed: 11/29/2022]
Abstract
BACKGROUND Non-pigmented 'pink' cutaneous lesions in differential diagnosis with basal cell carcinoma may present a challenge for clinicians. Our objective was to determine the potential improvement of diagnostic accuracy using combined dermoscopy-reflectance confocal microscopy (RCM) image evaluation. METHODS Two hundred and sixty clinically equivocal 'pink' cutaneous lesions were evaluated retrospectively. Reader accuracy was tested with dermoscopy images only vs. RCM and combined dermoscopy-RCM images. RESULTS Out of 260 equivocal 'pink' cutaneous lesions, there were 114 basal cell carcinomas within a total of 140 malignancies that included 12 melanomas, 13 squamous cell carcinomas, and 1 other malignancy type. Dermoscopy only evaluation resulted in an overall sensitivity of 85.1% and specificity of 92.4%, resulting in a positive predictive value (PPV) of 89.8%, with 1 of 12 melanomas misdiagnosed. RCM evaluation resulted in an overall sensitivity of 85.1% and specificity of 93.8%, resulting in a PPV of 91.5%, with no melanomas misdiagnosed. Combined dermoscopy-RCM evaluation resulted in an overall sensitivity of 77.2% and specificity of 96.6%, resulting in a PPV of 94.6%. CONCLUSION The combination of dermoscopy-RCM evaluation significantly improves the accuracy and safety threshold in equivocal 'pink' cutaneous lesions in the differential diagnosis of basal cell carcinoma.
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Affiliation(s)
- A M Witkowski
- Department of Dermatology, University of Modena and Reggio Emilia, Modena, Italy
| | - J Łudzik
- Department of Dermatology, University of Modena and Reggio Emilia, Modena, Italy.,Department of Biostatistics and Telemedicine, Jagiellonian University Medical College, Krakow, Poland
| | - N DeCarvalho
- Department of Dermatology, University of Modena and Reggio Emilia, Modena, Italy
| | - S Ciardo
- Department of Dermatology, University of Modena and Reggio Emilia, Modena, Italy
| | - C Longo
- Skin Cancer Unit Arcispedale S. Maria Nuova, IRCCS, Reggio Emilia, Italy
| | - A DiNardo
- Division of Dermatology, Department of Medicine, University of California, San Diego, La Jolla, CA, USA
| | - G Pellacani
- Department of Dermatology, University of Modena and Reggio Emilia, Modena, Italy
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35
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Reggiani C, Manfredini M, Mandel VD, Farnetani F, Ciardo S, Bassoli S, Casari A, Guida S, Argenziano G, Lallas A, Ulrich M, Pellacani G, Longo C. Update on non-invasive imaging techniques in early diagnosis of non-melanoma skin cancer. GIORN ITAL DERMAT V 2015; 150:393-405. [PMID: 26184797] [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: 06/04/2023]
Abstract
UNLABELLED Non-melanoma skin cancer (NMSC) is the most common malignancy in fair skinned populations. Dermoscopy, reflectance confocal microscopy (RCM) and optical coherence tomography (OCT) are non-invasive imaging techniques that play an important role in diagnosis of skin tumors. The aim of this study was to provide new insights into the role of non-invasive tecniques in the diagnosis of non-melanoma skin cancers, concentrating especially on dermoscopy, RCM and OCT. The analysis of the studies obtained from the most recent literature, taking into account previous essential reported information in this field. A search concerning the role of dermoscopy, RCM and OCT in the diagnosis of NMSC was performed on PubMed. EXCLUSION CRITERIA duplicated studies, single case report, and papers with language other than English New and old literature about early diagnosis of NMSC through non-invasive imaging techniques were analyzed. The role and the diagnostic accuracy of dermoscopy, RCM and OCT for the diagnosis of NMSC were reported according to the data given by literature. The development of non-invasive diagnostic devices (especially dermoscopy, RCM and OCT) allows tissue imaging in-vivo contributing to a more accurate diagnosis of skin cancer, sparing time for the patient and costs for the public health system.
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Affiliation(s)
- C Reggiani
- Dermatology Unit, University of Modena and Reggio Emilia, Modena, Italy
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de Carvalho N, Farnetani F, Ciardo S, Ruini C, Witkowski AM, Longo C, Argenziano G, Pellacani G. Reflectance confocal microscopy correlates of dermoscopic patterns of facial lesions help to discriminate lentigo maligna from pigmented nonmelanocytic macules. Br J Dermatol 2015; 173:128-33. [PMID: 25413382 DOI: 10.1111/bjd.13546] [Citation(s) in RCA: 56] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/15/2014] [Indexed: 11/27/2022]
Abstract
BACKGROUND The clinical recognition of lentigo maligna (LM) and LM melanoma can be very challenging due to the overlapping features it shares with other pigmented macules of the skin. Noninvasive diagnostic techniques can assist in the differential diagnosis. OBJECTIVES To identify reflectance confocal microscopy (RCM) indicators for LM through the identification of in vivo microscopic substrates of the main dermoscopic features seen in flat pigmented lesions of the face. METHODS Retrospective analysis of 60 pigmented lesions (LM, invasive melanoma, solar lentigo/flat seborrhoeic keratosis, lichen planus-like keratosis, pigmented actinic keratosis) was carried out. The main dermoscopic patterns and RCM features were described. A new method for correlating RCM with dermoscopic patterns was developed. RESULTS Pseudonetwork (37 of 60 lesions) and annular granular structures (37 of 60 lesions) were the most frequent dermoscopic patterns, followed by pigmented blotches (27 of 60 lesions). Upon RCM examination, pseudonetwork and blotches differed in melanomas and other nonmelanocytic lesions. These differences included the intraepidermal proliferation of atypical cells (predominantly dendritic-shaped with adnexal tropism) and the presence of a meshwork pattern at the junction. Also, annular granular structures exhibited dendritic cells almost exclusively in melanoma, with no difference between melanomas and nonmelanocytic lesions for the junctional and upper dermal pattern (characterized by dermal inflammation). Fingerprinting was mostly present in nonmelanocytic lesions or corresponded to an overlap with solar lentigo in melanomas. CONCLUSIONS RCM is useful for identifying the histological substrate of dermoscopic features in pigmented lesions of the face. It can provide a better definition of the lesion areas, enabling an improved diagnostic approach.
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Affiliation(s)
- N de Carvalho
- Department of Dermatology, University of Modena and Reggio Emilia, Modena, Italy
| | - F Farnetani
- Department of Dermatology, University of Modena and Reggio Emilia, Modena, Italy
| | - S Ciardo
- Department of Dermatology, University of Modena and Reggio Emilia, Modena, Italy
| | - C Ruini
- Department of Dermatology, University of Modena and Reggio Emilia, Modena, Italy
| | - A M Witkowski
- Department of Dermatology, University of Modena and Reggio Emilia, Modena, Italy
| | - C Longo
- Dermatology and Skin Cancer Unit, Arcispedale Santa Maria Nuova, Istituto di Ricovero e Cura a Carattere Scientifico-IRCCS, Reggio Emilia, Italy
| | - G Argenziano
- Dermatology and Skin Cancer Unit, Arcispedale Santa Maria Nuova, Istituto di Ricovero e Cura a Carattere Scientifico-IRCCS, Reggio Emilia, Italy
| | - G Pellacani
- Department of Dermatology, University of Modena and Reggio Emilia, Modena, Italy
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de Carvalho N, Guida S, Cesinaro A, Abraham L, Ciardo S, Longo C, Farnetani F, Pellacani G. Pigmented globules in dermoscopy as a clue for lentigomaligna mimicking non-melanocytic skin neoplasms: a lesson from reflectance confocal microscopy. J Eur Acad Dermatol Venereol 2015; 30:878-80. [DOI: 10.1111/jdv.13043] [Citation(s) in RCA: 5] [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] [Indexed: 11/30/2022]
Affiliation(s)
- N. de Carvalho
- Department of Dermatology; University of Modena and Reggio Emilia; Modena Italy
| | - S. Guida
- Department of Biomedical Science and Human Oncology; Dermatology Unit; University of Bari; Bari Italy
| | - A.M. Cesinaro
- Department of Anatomic Pathology; University of Modena and Reggio Emilia; Modena Italy
| | - L.S. Abraham
- Department of Dermatology; Hospital Universitario de Brasilia; Brasilia Brasil
| | - S. Ciardo
- Department of Dermatology; University of Modena and Reggio Emilia; Modena Italy
| | - C. Longo
- Dermatology and Skin Cancer Unit; Arcispedale Santa Maria Nuova-IRCCS; Viale Risorgimento 80 42100 Reggio Emilia Italy
| | - F. Farnetani
- Department of Dermatology; University of Modena and Reggio Emilia; Modena Italy
| | - G. Pellacani
- Department of Dermatology; University of Modena and Reggio Emilia; Modena Italy
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Manfredini M, Mazzaglia G, Ciardo S, Farnetani F, Mandel VD, Longo C, Zauli S, Bettoli V, Virgili A, Pellacani G. Acne: in vivo
morphologic study of lesions and surrounding skin by means of reflectance confocal microscopy. J Eur Acad Dermatol Venereol 2014; 29:933-9. [DOI: 10.1111/jdv.12730] [Citation(s) in RCA: 32] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2014] [Accepted: 08/04/2014] [Indexed: 11/29/2022]
Affiliation(s)
- M. Manfredini
- Department of Dermatology; University of Modena and Reggio Emilia; Modena Italy
| | - G. Mazzaglia
- Department of Dermatology; University of Modena and Reggio Emilia; Modena Italy
| | - S. Ciardo
- Department of Dermatology; University of Modena and Reggio Emilia; Modena Italy
| | - F. Farnetani
- Department of Dermatology; University of Modena and Reggio Emilia; Modena Italy
| | - V. D. Mandel
- Department of Dermatology; University of Modena and Reggio Emilia; Modena Italy
| | - C. Longo
- Skin Cancer Unit; Arcispedale Santa Maria Nuova; Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS); Reggio Emilia Italy
| | - S. Zauli
- Department of Dermatology; University of Ferrara; Ferrara Italy
| | - V. Bettoli
- Department of Dermatology; University of Ferrara; Ferrara Italy
| | - A. Virgili
- Department of Dermatology; University of Ferrara; Ferrara Italy
| | - G. Pellacani
- Department of Dermatology; University of Modena and Reggio Emilia; Modena Italy
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Longo C, Farnetani F, Ciardo S, Cesinaro A, Moscarella E, Ponti G, Zalaudek I, Argenziano G, Pellacani G. Is confocal microscopy a valuable tool in diagnosing nodular lesions? A study of 140 cases. Br J Dermatol 2013; 169:58-67. [PMID: 23374159 DOI: 10.1111/bjd.12259] [Citation(s) in RCA: 89] [Impact Index Per Article: 8.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/29/2013] [Indexed: 12/01/2022]
Affiliation(s)
- C. Longo
- Dermatology and Skin Cancer Unit; Arcispedale Santa Maria Nuova (Istituto di Ricovero e Cura a Carattere Scientifico-IRCCS); Reggio Emilia Italy
| | - F. Farnetani
- Departments of Dermatology; University of Modena and Reggio Emilia; Modena Italy
| | - S. Ciardo
- Departments of Dermatology; University of Modena and Reggio Emilia; Modena Italy
| | - A.M. Cesinaro
- Pathology; University of Modena and Reggio Emilia; Modena Italy
| | - E. Moscarella
- Dermatology and Skin Cancer Unit; Arcispedale Santa Maria Nuova (Istituto di Ricovero e Cura a Carattere Scientifico-IRCCS); Reggio Emilia Italy
- Departments of Dermatology; University of Modena and Reggio Emilia; Modena Italy
| | - G. Ponti
- Clinical and Diagnostic Medicine and Public Health; University of Modena and Reggio Emilia; Modena Italy
| | - I. Zalaudek
- Dermatology and Skin Cancer Unit; Arcispedale Santa Maria Nuova (Istituto di Ricovero e Cura a Carattere Scientifico-IRCCS); Reggio Emilia Italy
- Department of Dermatology; Medical University of Graz; Graz Austria
| | - G. Argenziano
- Dermatology and Skin Cancer Unit; Arcispedale Santa Maria Nuova (Istituto di Ricovero e Cura a Carattere Scientifico-IRCCS); Reggio Emilia Italy
| | - G. Pellacani
- Departments of Dermatology; University of Modena and Reggio Emilia; Modena Italy
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