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Soglia S, Pérez-Anker J, Albero R, Alós L, Berot V, Castillo P, Cinotti E, Del Marmol V, Fakih A, García A, Lenoir C, Monnier J, Perrot JL, Puig S, Rubegni P, Skowron F, Suppa M, Tognetti L, Venturini M, Malvehy J. Understanding the anatomy of dermoscopy of melanocytic skin tumours: Correlation in vivo with line-field optical coherence tomography. J Eur Acad Dermatol Venereol 2024; 38:1191-1201. [PMID: 38131528 DOI: 10.1111/jdv.19771] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2023] [Accepted: 11/21/2023] [Indexed: 12/23/2023]
Abstract
BACKGROUND Early melanoma detection is the main factor affecting prognosis and survival. For that reason, non-invasive technologies have been developed to provide a more accurate diagnosis. Recently, line-field confocal optical coherence tomography (LC-OCT) was developed to provide an in vivo, imaging device, with deep penetration and cellular resolution in three dimensions. Combining the advantages of conventional OCT and reflectance confocal microscopy, this tool seems to be particularly suitable for melanocytic lesions. OBJECTIVES The objective of this study was to identify and describe the correlation between specific dermoscopic criteria and LC-OCT features in three dimensions associated with melanocytic lesions. METHODS Dermoscopic and LC-OCT images of 126 melanocytic lesions were acquired in three different centres. The following dermoscopic criteria have been considered: reticular pattern, dots and globules, structureless areas, blue-whitish veil, regression structures, negative network, homogeneous pattern, streaks and blotches. RESULTS 69 (55%) benign and 57 (45%) malignant lesions were analysed. A regular reticular pattern was found associated in the 75% of the cases with the presence of elongated rete ridges with pigmented cells along the basal layer, while atypical reticular pattern showed an irregular organization of rete ridges with melanocytic hyperplasia, broadened and fused ridges and elongated nests. Both typical and atypical dots and globules were found associated with melanocytic nests in the dermis or at the dermoepidermal junction (DEJ), as well as with keratin cysts/pseudocysts. Grey globules corresponded to the presence of melanin-containing dermal inflammatory cells (melanophages) within the papillae. Structureless brown/black areas correlated with alterations of the DEJ. We observed the same DEJ alterations, but with the presence of dermal melanophages, in 36% of the cases of blue/white/grey structureless areas. A description of each LC-OCT/dermoscopy correlation was made. CONCLUSIONS LC-OCT permitted for the first time to perform an in vivo, 3D correlation between dermoscopic criteria and pathological-like features of melanocytic lesions.
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Affiliation(s)
- S Soglia
- Melanoma Unit, Dermatology Department, Hospital Clínic de Barcelona, Barcelona, Spain
- Department of Dermatology, University of Brescia, Brescia, Italy
| | - J Pérez-Anker
- Melanoma Unit, Dermatology Department, Hospital Clínic de Barcelona, Barcelona, Spain
| | - R Albero
- Pathology Department, Hospital Clinic, University of Barcelona, Barcelona, Spain
| | - L Alós
- Pathology Department, Hospital Clinic, University of Barcelona, Barcelona, Spain
| | - V Berot
- Dermatology Department, University Hospital of Saint-Etienne, Saint-Etienne, France
| | - P Castillo
- Pathology Department, Hospital Clinic, University of Barcelona, Barcelona, Spain
| | - E Cinotti
- Dermatology Unit, Department of Medical, Surgical and Neurological Sciences, University of Siena, Siena, Italy
- Groupe d'Imagerie Cutanée Non Invasive (GICNI) of the Société Française de Dermatologie, Paris, France
| | - V Del Marmol
- Department of Dermatology, Hôpital Erasme, HUB, Université Libre de Bruxelles, Brussels, Belgium
| | - A Fakih
- Dermatology Department, University Hospital of Saint-Etienne, Saint-Etienne, France
| | - A García
- Pathology Department, Hospital Clinic, University of Barcelona, Barcelona, Spain
| | - C Lenoir
- Department of Dermatology, Hôpital Erasme, HUB, Université Libre de Bruxelles, Brussels, Belgium
| | - J Monnier
- Dermatology Department, AP-HM, Aix-Marseille University, Marseille, France
| | - J L Perrot
- Dermatology Department, University Hospital of Saint-Etienne, Saint-Etienne, France
- Groupe d'Imagerie Cutanée Non Invasive (GICNI) of the Société Française de Dermatologie, Paris, France
- Laboratoire de tribologie des systèmes UMR CNRS 5513, Saint-Etienne, France
| | - S Puig
- Melanoma Unit, Dermatology Department, Hospital Clínic de Barcelona, Barcelona, Spain
- Universitat de Barcelona, Barcelona, Spain
- IDIBAPS, Barcelona, Belgium
| | - P Rubegni
- Dermatology Unit, Department of Medical, Surgical and Neurological Sciences, University of Siena, Siena, Italy
| | - F Skowron
- Dermatology Department, University Hospital of Saint-Etienne, Saint-Etienne, France
| | - M Suppa
- Groupe d'Imagerie Cutanée Non Invasive (GICNI) of the Société Française de Dermatologie, Paris, France
- Department of Dermatology, Hôpital Erasme, HUB, Université Libre de Bruxelles, Brussels, Belgium
- Department of Dermato-Oncology, Institut Jules Bordet, HUB, Université Libre de Bruxelles, Brussels, Belgium
| | - L Tognetti
- Dermatology Unit, Department of Medical, Surgical and Neurological Sciences, University of Siena, Siena, Italy
| | - M Venturini
- Department of Dermatology, University of Brescia, Brescia, Italy
| | - J Malvehy
- Melanoma Unit, Dermatology Department, Hospital Clínic de Barcelona, Barcelona, Spain
- Universitat de Barcelona, Barcelona, Spain
- IDIBAPS, Barcelona, Belgium
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2
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Reguiai Z, Becherel PA, Fougerousse AC, Chaby G, Perrot JL, Begon E, Jacobzone-Lévêque C, Boulard C, Badaoui A, Poreaux C, David L, Quiles-Tsimaratos N, Lons-Danic D, Fite C, Liegeon AL, Patchinsky A, Parier J, Garcia C, Estève E, Mohty R, Mery-Bossard L, Maccari F. Janus kinase inhibitors for the treatment of atopic dermatitis: Real-life data on efficacy and safety in light of the Pharmacovigilance Risk Assessment Committee recommended measures. J Eur Acad Dermatol Venereol 2023; 37:e1307-e1309. [PMID: 37415328 DOI: 10.1111/jdv.19302] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2023] [Accepted: 06/26/2023] [Indexed: 07/08/2023]
Affiliation(s)
- Z Reguiai
- Department of Dermatology, Polyclinique Courlancy, Reims-Bezannes, France
| | - P A Becherel
- Dermatology and Clinical Immunology Unit, Antony Hospital, Antony, France
| | - A C Fougerousse
- Department of Dermatology, Hôpital d'Instruction des Armées Begin, Saint Mandé, France
| | - G Chaby
- Department of Dermatology, CHU Amiens-Picardie, Amiens, France
| | - J L Perrot
- Department of Dermatology, CHU Saint Etienne, Saint Etienne, France
| | - E Begon
- Department of Dermatology, Centre Hospitalier René Dubos, Pontoise, France
| | | | - C Boulard
- Department of Dermatology, Centre Hospitalier Le Havre, Le Havre, France
| | | | - C Poreaux
- Centre de Dermatologie Stanislas, Clinique Pasteur, Nancy, France
| | - L David
- Department of Dermatology, Hopital Saint Joseph, Marseille, France
| | | | - D Lons-Danic
- Department of Dermatology, Hôpital Paris Saint Joseph, Paris, France
| | - C Fite
- Department of Dermatology, Hôpital Paris Saint Joseph, Paris, France
| | - A-L Liegeon
- Department of Dermatology, Centre Hospitalier Régional Metz-Thionville, Thionville, France
| | - A Patchinsky
- Department of Dermatology, Centre Hospitalier Régional Metz-Thionville, Thionville, France
| | - J Parier
- Centre de Santé Sabouraud, Hôpital Saint-Louis, Paris, France
- Cabinet Médical, Saint-Maur-des-Fossés, France
| | - C Garcia
- Department of Dermatology, Centre Hospitalier Emile Roux, Le Puy-en-Velay, France
| | - E Estève
- Department of Dermatology, Centre Hospitalier d'Orléans, Orléans, France
| | - R Mohty
- Cabinet Médical, Beauvais, France
| | - L Mery-Bossard
- Department of Dermatology, CHI Poissy Saint Germain, Saint-Germain-en-Laye, France
| | - F Maccari
- Department of Dermatology, Hôpital d'Instruction des Armées Begin, Saint Mandé, France
- Cabinet Médical, Saint-Maur-des-Fossés, France
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3
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Cinotti E, Bertello M, Dragotto M, Cartocci A, Tognetti L, Cappilli S, Peris K, Perrot JL, Del Marmol V, Rubegni P, Suppa M. Comparison of reflectance confocal microscopy and line-field optical coherence tomography for the identification of basal cell carcinoma. J Eur Acad Dermatol Venereol 2023; 37:e1147-e1150. [PMID: 37165928 DOI: 10.1111/jdv.19155] [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] [Received: 02/22/2023] [Accepted: 04/24/2023] [Indexed: 05/12/2023]
Affiliation(s)
- E Cinotti
- Dermatology Unit, Department of Medical, Surgical and Neurological Sciences, University of Siena, Siena, Italy
- Société Française de Dermatologie, Groupe d'Imagerie Non Invasive de la Société Française de Dermatologie, Paris, France
| | - M Bertello
- Dermatology Unit, Department of Medical, Surgical and Neurological Sciences, University of Siena, Siena, Italy
| | - M Dragotto
- Dermatology Unit, Department of Medical, Surgical and Neurological Sciences, University of Siena, Siena, Italy
| | - A Cartocci
- Department of Medical Biotechnologies, University of Siena, Siena, Italy
| | - L Tognetti
- Dermatology Unit, Department of Medical, Surgical and Neurological Sciences, University of Siena, Siena, Italy
| | - S Cappilli
- Dermatology Unit, Department of Medical and Surgical Sciences, A. Gemelli University Hospital Foundation - IRCCS, Rome, Italy
- Dermatologia, Dipartimento di Medicina e Chirurgia Traslazionale, Università Cattolica del Sacro Cuore, Rome, Italy
| | - K Peris
- Dermatology Unit, Department of Medical and Surgical Sciences, A. Gemelli University Hospital Foundation - IRCCS, Rome, Italy
- Dermatologia, Dipartimento di Medicina e Chirurgia Traslazionale, Università Cattolica del Sacro Cuore, Rome, Italy
| | - J L Perrot
- Société Française de Dermatologie, Groupe d'Imagerie Non Invasive de la Société Française de Dermatologie, Paris, France
- Department of Dermatology, University Hospital of Saint-Etienne, Saint-Etienne, France
| | - V Del Marmol
- Department of Dermatology, Hôpital Erasme, Université Libre de Bruxelles, Brussels, Belgium
| | - P Rubegni
- Dermatology Unit, Department of Medical, Surgical and Neurological Sciences, University of Siena, Siena, Italy
| | - M Suppa
- Société Française de Dermatologie, Groupe d'Imagerie Non Invasive de la Société Française de Dermatologie, Paris, France
- Department of Dermatology, Hôpital Erasme, Université Libre de Bruxelles, Brussels, Belgium
- Department of Dermatology, Institut Jules Bordet, Université Libre de Bruxelles, Brussels, Belgium
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4
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Lenoir C, Perez-Anker J, Tognetti L, Cinotti E, Trépant AL, Rubegni P, Puig S, Perrot JL, Malvehy J, Del Marmol V, Suppa M. Line-field confocal optical coherence tomography of seborrheic keratosis: a case series. J Eur Acad Dermatol Venereol 2023. [PMID: 36974591 DOI: 10.1111/jdv.19075] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2022] [Accepted: 03/15/2023] [Indexed: 03/29/2023]
Affiliation(s)
- C Lenoir
- Department of Dermatology, Hôpital Erasme, Université Libre de Bruxelles, Brussels, Belgium
| | - J Perez-Anker
- Melanoma Unit, Hospital Clinic Barcelona, University of Barcelona, Barcelona, Spain
- CIBER de enfermedades raras, Instituto de Salud Carlos III, Barcelona, Spain
| | - L Tognetti
- Dermatology Unit, Department of Medical, Surgical and Neurological Sciences, University of Siena, Siena, Italy
| | - E Cinotti
- Dermatology Unit, Department of Medical, Surgical and Neurological Sciences, University of Siena, Siena, Italy
- Groupe d'Imagerie Cutanée Non Invasive (GICNI) of the Société Française de Dermatologie (SFD), Paris, France
| | - A L Trépant
- Department of Pathology, Hôpital Erasme, Université Libre de Bruxelles, Brussels, Belgium
| | - P Rubegni
- Dermatology Unit, Department of Medical, Surgical and Neurological Sciences, University of Siena, Siena, Italy
| | - S Puig
- Melanoma Unit, Hospital Clinic Barcelona, University of Barcelona, Barcelona, Spain
- CIBER de enfermedades raras, Instituto de Salud Carlos III, Barcelona, Spain
| | - J L Perrot
- Department of Dermatology, University Hospital of Saint-Etienne, Saint-Etienne, France
| | - J Malvehy
- Melanoma Unit, Hospital Clinic Barcelona, University of Barcelona, Barcelona, Spain
- CIBER de enfermedades raras, Instituto de Salud Carlos III, Barcelona, Spain
| | - V Del Marmol
- Department of Dermatology, Hôpital Erasme, Université Libre de Bruxelles, Brussels, Belgium
| | - M Suppa
- Department of Dermatology, Hôpital Erasme, Université Libre de Bruxelles, Brussels, Belgium
- Groupe d'Imagerie Cutanée Non Invasive (GICNI) of the Société Française de Dermatologie (SFD), Paris, France
- Institut Jules Bordet, Université Libre de Bruxelles, Brussels, Belgium
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5
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Cortonesi G, Rubegni P, Tognetti L, Habougit C, Planello J, Perrot JL, Cinotti E. Line-field confocal optical coherence tomography imaging of human cowpox virus skin infection. J Eur Acad Dermatol Venereol 2022; 36:e1066-e1067. [PMID: 35855673 DOI: 10.1111/jdv.18452] [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: 12/01/2022]
Affiliation(s)
- G Cortonesi
- Dermatology Unit, Department of Medical, Surgical, and Neurological Sciences, Santa Maria Alle Scotte Hospital, Siena, Italy
| | - P Rubegni
- Dermatology Unit, Department of Medical, Surgical, and Neurological Sciences, Santa Maria Alle Scotte Hospital, Siena, Italy
| | - L Tognetti
- Dermatology Unit, Department of Medical, Surgical, and Neurological Sciences, Santa Maria Alle Scotte Hospital, Siena, Italy
| | - C Habougit
- Department of Pathology, University Hospital of Saint-Etienne, Saint-Etienne, France
| | - J Planello
- Dermatology Unit, University Hospital of St-Etienne, Saint-Etienne, France
| | - J L Perrot
- Dermatology Unit, University Hospital of St-Etienne, Saint-Etienne, France
| | - E Cinotti
- Dermatology Unit, Department of Medical, Surgical, and Neurological Sciences, Santa Maria Alle Scotte Hospital, Siena, Italy
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6
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Cappilli S, Cinotti E, Lenoir C, Tognetti L, Perez‐Anker J, Rubegni P, Puig S, Malvehy J, Perrot JL, del Marmol V, Peris K, Suppa M. Line‐field confocal optical coherence tomography of basosquamous carcinoma: A case series with histopathological correlation. J Eur Acad Dermatol Venereol 2022; 36:1214-1218. [DOI: 10.1111/jdv.18038] [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: 07/08/2021] [Accepted: 02/15/2022] [Indexed: 11/29/2022]
Affiliation(s)
- S Cappilli
- Università Cattolica del Sacro Cuore, Dermatologia Rome Italy
- Department of Dermatology Hôpital Erasme Université Libre de Bruxelles Brussels Belgium
| | - E Cinotti
- Dermatology Unit Department of Medical Surgical and Neurological Sciences University of Siena Siena Italy
- Groupe d’Imagerie Cutanée Non Invasive (GICNI) of the Société Française de Dermatologie (SFD) Paris France
| | - C Lenoir
- Department of Dermatology Hôpital Erasme Université Libre de Bruxelles Brussels Belgium
| | - L Tognetti
- Dermatology Unit Department of Medical Surgical and Neurological Sciences University of Siena Siena Italy
| | - J Perez‐Anker
- Melanoma Unit Hospital Clinic Barcelona University of Barcelona Barcelona Spain
- CIBER de enfermedades raras Instituto de Salud Carlos III Barcelona Spain
| | - P Rubegni
- Dermatology Unit Department of Medical Surgical and Neurological Sciences University of Siena Siena Italy
| | - S Puig
- Melanoma Unit Hospital Clinic Barcelona University of Barcelona Barcelona Spain
- CIBER de enfermedades raras Instituto de Salud Carlos III Barcelona Spain
| | - J Malvehy
- Melanoma Unit Hospital Clinic Barcelona University of Barcelona Barcelona Spain
- CIBER de enfermedades raras Instituto de Salud Carlos III Barcelona Spain
| | - JL Perrot
- Department of Dermatology University Hospital of Saint‐Etienne Saint‐Etienne France
| | - V del Marmol
- Department of Dermatology Hôpital Erasme Université Libre de Bruxelles Brussels Belgium
| | - K Peris
- Università Cattolica del Sacro Cuore, Dermatologia Rome Italy
- Fondazione Policlinico Universitario A. Gemelli IRCCS Rome Italy
| | - M Suppa
- Department of Dermatology Hôpital Erasme Université Libre de Bruxelles Brussels Belgium
- Groupe d’Imagerie Cutanée Non Invasive (GICNI) of the Société Française de Dermatologie (SFD) Paris France
- Department of Dermatology Institut Jules Bordet Université Libre de Bruxelles Brussels Belgium
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7
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Tognetti L, Cinotti E, Coriolani G, Suppa M, Perrot JL, Vascotto M, Grosso S, Rubegni P. Cutaneous lesions of Anderson-Fabry disease examined with a novel technique: Line-field confocal optical coherence tomography. J Eur Acad Dermatol Venereol 2021; 36:e371-e373. [PMID: 34927772 DOI: 10.1111/jdv.17893] [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: 10/22/2021] [Revised: 11/24/2021] [Accepted: 12/16/2021] [Indexed: 11/29/2022]
Affiliation(s)
- L Tognetti
- Dermatology Unit, Department of Medical, Surgical and NeuroSciences, University of Siena, Siena, Italy
| | - E Cinotti
- Dermatology Unit, Department of Medical, Surgical and NeuroSciences, University of Siena, Siena, Italy.,Groupe d'Imagerie Cutanée Non Invasive (GICNI) of the Société Française de Dermatologie (SFD), Paris, France
| | - G Coriolani
- U.O.C. Pediatria, Azienda Ospedaliera Universitaria Senese, Siena, Italia
| | - M Suppa
- Groupe d'Imagerie Cutanée Non Invasive (GICNI) of the Société Française de Dermatologie (SFD), Paris, France.,Department of Dermatology, Hôpital Erasme, Université Libre de Bruxelles, Brussels, Belgium.,Institut Jules Bordet, Université Libre de Bruxelles, Brussels, Belgium
| | - J L Perrot
- Groupe d'Imagerie Cutanée Non Invasive (GICNI) of the Société Française de Dermatologie (SFD), Paris, France.,Department of Dermatology, University Hospital of Saint-Etienne, Saint-Etienne, France
| | - M Vascotto
- U.O.C. Pediatria, Azienda Ospedaliera Universitaria Senese, Siena, Italia
| | - S Grosso
- Department of Molecular Medicine and Development, University of Siena, Siena, Italy
| | - P Rubegni
- Dermatology Unit, Department of Medical, Surgical and NeuroSciences, University of Siena, Siena, Italy
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8
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Cinotti E, Tognetti L, Cartocci A, Lamberti A, Gherbassi S, Orte Cano C, Lenoir C, Dejonckheere G, Diet G, Fontaine M, Miyamoto M, Perez‐Anker J, Solmi V, Malvehy J, del Marmol V, Perrot JL, Rubegni P, Suppa M. Line-field confocal optical coherence tomography for actinic keratosis and squamous cell carcinoma: a descriptive study. Clin Exp Dermatol 2021; 46:1530-1541. [PMID: 34115900 PMCID: PMC9293459 DOI: 10.1111/ced.14801] [Citation(s) in RCA: 22] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/10/2021] [Indexed: 11/28/2022]
Abstract
BACKGROUND Early and accurate diagnosis of cutaneous squamous cell carcinomas (SCCs) and actinic keratoses (AK) is fundamental to reduce their associated morbidity and to select the correct treatment. Line-field confocal optical coherence tomography (LC-OCT) is a new imaging device that can characterize healthy skin and basal cell carcinoma, but no large studies on keratinocyte cell tumours have yet been published. AIM To identify and describe LC-OCT criteria associated with SCC and AK, and to compare LC-OCT findings in these tumours. METHODS A retrospective observational multicentre study was conducted. Lesions were imaged with the LC-OCT device before surgery and examined histologically. LC-OCT criteria for AK/SCC were identified and their presence was evaluated in all study lesions. Univariate and multivariate analyses were performed to compare AK and SCCs, and to investigate differences between in situ and invasive tumours. RESULTS In total, 158 patients with 50 AK and 108 SCCs (62 in situ and 46 invasive) were included. Cytological and architectural alterations were found in most lesions, and differences were found between AK and SCCs. Although the visualization of the dermoepidermal junction (DEJ) was often hampered by hyperkeratosis and acanthosis, an outlined DEJ without broad strands was observed in almost all AK and almost all in situ SCCs, but in only three invasive SCCs (P < 0.001) when the DEJ was detectable. CONCLUSION Our results suggest that LC-OCT can help clinicians in the identification of AK and SCC and their differentiation, providing a real-time and noninvasive examination. Further studies are needed to confirm our data.
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Affiliation(s)
- E. Cinotti
- Dermatology UnitDepartment of MedicalSurgical and Neurological SciencesUniversity of SienaSienaItaly
| | - L. Tognetti
- Dermatology UnitDepartment of MedicalSurgical and Neurological SciencesUniversity of SienaSienaItaly
| | - A. Cartocci
- Department of Medical BiotechnologiesUniversity of SienaSienaItaly
| | - A. Lamberti
- Dermatology UnitDepartment of MedicalSurgical and Neurological SciencesUniversity of SienaSienaItaly
| | - S. Gherbassi
- Dermatology UnitDepartment of MedicalSurgical and Neurological SciencesUniversity of SienaSienaItaly
| | - C. Orte Cano
- Department of DermatologyHôpital ErasmeUniversité Libre de BruxellesBrusselsBelgium
| | - C. Lenoir
- Department of DermatologyHôpital ErasmeUniversité Libre de BruxellesBrusselsBelgium
| | - G. Dejonckheere
- Department of DermatologyHôpital ErasmeUniversité Libre de BruxellesBrusselsBelgium
| | - G. Diet
- Department of DermatologyHôpital ErasmeUniversité Libre de BruxellesBrusselsBelgium
| | - M. Fontaine
- Department of DermatologyHôpital ErasmeUniversité Libre de BruxellesBrusselsBelgium
| | - M. Miyamoto
- Department of DermatologyHôpital ErasmeUniversité Libre de BruxellesBrusselsBelgium
| | - J. Perez‐Anker
- Melanoma UnitHospital Clinic BarcelonaUniversity of BarcelonaBarcelonaSpain
- CIBER de Enfermedades RarasInstituto de Salud Carlos IIIBarcelonaSpain
| | - V. Solmi
- Dermatology UnitDepartment of MedicalSurgical and Neurological SciencesUniversity of SienaSienaItaly
| | - J. Malvehy
- Melanoma UnitHospital Clinic BarcelonaUniversity of BarcelonaBarcelonaSpain
- CIBER de Enfermedades RarasInstituto de Salud Carlos IIIBarcelonaSpain
| | - V. del Marmol
- Department of DermatologyHôpital ErasmeUniversité Libre de BruxellesBrusselsBelgium
| | - J. L. Perrot
- Department of DermatologyUniversity Hospital of Saint‐EtienneSaint‐EtienneFrance
| | - P. Rubegni
- Dermatology UnitDepartment of MedicalSurgical and Neurological SciencesUniversity of SienaSienaItaly
| | - M. Suppa
- Department of DermatologyHôpital ErasmeUniversité Libre de BruxellesBrusselsBelgium
- Department of DermatologyInstitut Jules BordetUniversité Libre de BruxellesBrusselsBelgium
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9
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Flaus A, Habouzit V, De Leiris N, Vuillez JP, Leccia MT, Perrot JL, Prevot N, Cachin F. FDG PET biomarkers for prediction of survival in metastatic melanoma prior to anti-PD1 immunotherapy. Sci Rep 2021; 11:18795. [PMID: 34552135 PMCID: PMC8458464 DOI: 10.1038/s41598-021-98310-3] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [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: 05/17/2021] [Accepted: 08/31/2021] [Indexed: 12/22/2022] Open
Abstract
Our aim was to analyse whether biomarkers extracted from baseline 18F-FDG PET before anti-PD1 treatment contribute to prognostic survival information for early risk stratification in metastatic melanoma. Fifty-six patients, without prior systemic treatment, BRAF wild type, explored using 18F-FDG PET were included retrospectively. Our primary endpoint was overall survival (OS). Total metabolic tumoral volume (MTV) and forty-one IBSI compliant parameters were extracted from PET. Parameters associated with outcome were evaluated by a cox regression model and when significant helped build a prognostic score. Median follow-up was 22.1 months and 21 patients died. Total MTV and long zone emphasis (LZE) correlated with shorter OS and served to define three risk categories for the prognostic score. For low, intermediate and high risk groups, survival rates were respectively 91.1% (IC 95 80–1), 56.1% (IC 95 37.1–85) and 19% (IC 95 0.06–60.2) and hazard ratios were respectively 0.11 (IC 95 0.025–0.46), P = 0.0028, 1.2 (IC 95 0.48–2.8), P = 0.74 and 5.9 (IC 95 2.5–14), P < 0.0001. To conclude, a prognostic score based on total MTV and LZE separated metastatic melanoma patients in 3 categories with dramatically different outcomes. Innovative therapies should be tested in the group with the lowest prognosis score for future clinical trials.
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Affiliation(s)
- A Flaus
- Nuclear Medecine Department, Saint-Etienne University Hospital, University of Saint-Etienne, Saint-Etienne, France. .,Nuclear Medicine Department, East Group Hospital, Hospices Civils de Lyon, Lyon, France. .,Service de Medecine Nucléaire, Hôpital Nord, CHU de Saint-Etienne, 42 055, Saint-Etienne, Cedex 2, France.
| | - V Habouzit
- Nuclear Medecine Department, Saint-Etienne University Hospital, University of Saint-Etienne, Saint-Etienne, France
| | - N De Leiris
- Nuclear Medecine Department, CHU Grenoble Alpes, University Grenoble Alpes, Grenoble, France.,Laboratoire Radiopharmaceutiques Biocliniques, University Grenoble Alpes, INSERM, CHU Grenoble Alpes, 38000, Grenoble, France
| | - J P Vuillez
- Nuclear Medecine Department, CHU Grenoble Alpes, University Grenoble Alpes, Grenoble, France.,Laboratoire Radiopharmaceutiques Biocliniques, University Grenoble Alpes, INSERM, CHU Grenoble Alpes, 38000, Grenoble, France
| | - M T Leccia
- Dermatology Department, CHU Grenoble Alpes, University Grenoble Alpes, Grenoble, France
| | - J L Perrot
- Dermatology Department, Saint-Etienne University Hospital, University of Saint-Etienne, Saint-Etienne, France
| | - N Prevot
- Nuclear Medecine Department, Saint-Etienne University Hospital, University of Saint-Etienne, Saint-Etienne, France
| | - F Cachin
- Nuclear Medicine Department, Jean Perrin Cancer Center of Clermont-Ferrand, Clermont-Ferrand, France
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10
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Cinotti E, Bertello M, Habougit C, Rongioletti F, Cambazard F, Antoine JC, Tognetti L, Rubegni P, Perrot JL. Aicardi-Goutières syndrome: a possible explanation of angiokeratoma of Mibelli. J Eur Acad Dermatol Venereol 2021; 35:e770-e772. [PMID: 34077575 DOI: 10.1111/jdv.17440] [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: 11/27/2022]
Affiliation(s)
- E Cinotti
- Dermatology Unit, Department of Medical, Surgical and Neurological Sciences, University of Siena, Siena, Italy
| | - M Bertello
- Dermatology Unit, Department of Medical, Surgical and Neurological Sciences, University of Siena, Siena, Italy
| | - C Habougit
- Department of Pathology, University Hospital of Saint-Etienne, Saint-Etienne, France
| | - F Rongioletti
- Department of Dermatology, Vita-Salute- S.Raffaele University, Milan, Italy
| | - F Cambazard
- Department of Dermatology, University Hospital of Saint-Etienne, Saint-Etienne, France
| | - J C Antoine
- Department of Neurology, University Hospital of Saint-Etienne, Saint-Etienne, France
| | - L Tognetti
- Dermatology Unit, Department of Medical, Surgical and Neurological Sciences, University of Siena, Siena, Italy
| | - P Rubegni
- Dermatology Unit, Department of Medical, Surgical and Neurological Sciences, University of Siena, Siena, Italy
| | - J L Perrot
- Department of Dermatology, University Hospital of Saint-Etienne, Saint-Etienne, France
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11
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Lenoir C, Perez-Anker J, Diet G, Tognetti L, Cinotti E, Trépant AL, Rubegni P, Puig S, Perrot JL, Malvehy J, Del Marmol V, Suppa M. Line-field confocal optical coherence tomography of benign dermal melanocytic proliferations: a case series. J Eur Acad Dermatol Venereol 2021; 35:e399-e401. [PMID: 33594684 DOI: 10.1111/jdv.17180] [Citation(s) in RCA: 7] [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] [Received: 12/14/2020] [Revised: 01/15/2021] [Accepted: 02/11/2021] [Indexed: 12/13/2022]
Affiliation(s)
- C Lenoir
- Department of Dermatology, Hôpital Erasme, Université Libre de Bruxelles, Brussels, Belgium
| | - J Perez-Anker
- Melanoma Unit, Hospital Clinic Barcelona, University of Barcelona, Barcelona, Spain.,CIBER de enfermedades raras, Instituto de Salud Carlos III, Barcelona, Spain
| | - G Diet
- Department of Dermatology, Hôpital Erasme, Université Libre de Bruxelles, Brussels, Belgium
| | - L Tognetti
- Dermatology Unit, Department of Medical, Surgical and Neurological Sciences, University of Siena, Siena, Italy
| | - E Cinotti
- Dermatology Unit, Department of Medical, Surgical and Neurological Sciences, University of Siena, Siena, Italy
| | - A L Trépant
- Department of Pathology, Hôpital Erasme, Université Libre de Bruxelles, Brussels, Belgium
| | - P Rubegni
- Dermatology Unit, Department of Medical, Surgical and Neurological Sciences, University of Siena, Siena, Italy
| | - S Puig
- Melanoma Unit, Hospital Clinic Barcelona, University of Barcelona, Barcelona, Spain.,CIBER de enfermedades raras, Instituto de Salud Carlos III, Barcelona, Spain
| | - J L Perrot
- Department of Dermatology, University Hospital of Saint-Etienne, Saint-Etienne, France
| | - J Malvehy
- Melanoma Unit, Hospital Clinic Barcelona, University of Barcelona, Barcelona, Spain.,CIBER de enfermedades raras, Instituto de Salud Carlos III, Barcelona, Spain
| | - V Del Marmol
- Department of Dermatology, Hôpital Erasme, Université Libre de Bruxelles, Brussels, Belgium
| | - M Suppa
- Department of Dermatology, Hôpital Erasme, Université Libre de Bruxelles, Brussels, Belgium.,Department of Dermatology, Institut Jules Bordet, Université Libre de Bruxelles, Brussels, Belgium
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12
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Cinotti E, Tognetti L, Campoli M, Liso F, Cicigoi A, Cartocci A, Rossi R, Rubegni P, Perrot JL. Super-high magnification dermoscopy can aid the differential diagnosis between melanoma and atypical naevi. Clin Exp Dermatol 2021; 46:1216-1222. [PMID: 33486758 DOI: 10.1111/ced.14566] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2020] [Accepted: 01/21/2021] [Indexed: 01/01/2023]
Abstract
BACKGROUND Dermoscopy is the most widely used noninvasive imaging technique for the clinical diagnosis of melanoma (MM). Super-high (× 400) magnification dermoscopy (D400) has recently been developed; compared with traditional dermoscopy, it can reveal additional features, down to the identification of single melanocytes in the skin. OBJECTIVES To evaluate which structures are visible at D400 and to compare them in atypical naevi and MMs. METHODS A prospective observational multicentre study was conducted. We enrolled patients who were identified as having atypical melanocytic skin lesions by clinical and/or × 20 magnification dermoscopy (D20) examination, and who were assigned to either excision or follow-up. Lesions were imaged by videodermoscopy at D20 and D400. The presence of pigmented cells and their features were assessed at D400. RESULTS In total, there were 79 patients with 57 naevi and 31 MMs. Of the total 88 lesions, 63 (71.6%) were given a histological diagnosis, while the others were followed up for ≥ 12 months, during which they showed no change and were all diagnosed as naevi. Pigmented cells were identified in > 90% of the lesions at D400. Compared with naevi, MMs had a higher frequency of scattered, large, irregular (in shape and size), dendritic/roundish, violet/blue pigmented cells under D400 (P < 0.001). Moreover, dots (P < 0.01), out-of-focus blue structureless areas (P < 0.01) and vessels (P < 0.001) were also more frequent in MMs than in naevi at D400. CONCLUSIONS This study showed that D400 can reveal many elements not otherwise visible in traditional D20 dermoscopy, such as pigmented cells and their morphology, which could be useful for the diagnosis of MM.
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Affiliation(s)
- E Cinotti
- Section of Dermatology, University of Siena, Santa Maria alle Scotte Hospital, Siena, Italy
| | - L Tognetti
- Section of Dermatology, University of Siena, Santa Maria alle Scotte Hospital, Siena, Italy
| | - M Campoli
- Section of Dermatology, University of Siena, Santa Maria alle Scotte Hospital, Siena, Italy
| | - F Liso
- Section of Dermatology, University of Siena, Santa Maria alle Scotte Hospital, Siena, Italy
| | - A Cicigoi
- Section of Dermatology, University of Siena, Santa Maria alle Scotte Hospital, Siena, Italy
| | - A Cartocci
- Department of Medical Biotechnologies, University of Siena, Siena, Italy
| | - R Rossi
- Department of Dermatology, Skin Center Senigallia, Senigallia, Italy
| | - P Rubegni
- Section of Dermatology, University of Siena, Santa Maria alle Scotte Hospital, Siena, Italy
| | - J L Perrot
- Department of Dermatology Department, University Hospital of Saint-Etienne, Saint-Etienne, France
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13
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Suppa M, Fontaine M, Dejonckheere G, Cinotti E, Yélamos O, Diet G, Tognetti L, Miyamoto M, Orte Cano C, Perez-Anker J, Panagiotou V, Trepant AL, Monnier J, Berot V, Puig S, Rubegni P, Malvehy J, Perrot JL, Del Marmol V. Line-field confocal optical coherence tomography of basal cell carcinoma: a descriptive study. J Eur Acad Dermatol Venereol 2020; 35:1099-1110. [PMID: 33398911 DOI: 10.1111/jdv.17078] [Citation(s) in RCA: 42] [Impact Index Per Article: 10.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2020] [Revised: 10/01/2020] [Accepted: 10/28/2020] [Indexed: 12/20/2022]
Abstract
BACKGROUND Early diagnosis and subtype classification of basal cell carcinoma (BCC) are crucial to reduce morbidity and optimize treatment. Good accuracy in differentiating BCC from clinical imitators has been achieved with existing diagnostic strategies but lower performance in discriminating BCC subtypes. Line-field confocal optical coherence tomography (LC-OCT) is a new technology able to combine the technical advantages of reflectance confocal microscopy and OCT. OBJECTIVES To identify and describe LC-OCT criteria associated with BCC and explore their association with BCC subtypes. METHODS Basal cell carcinoma were imaged with a handheld LC-OCT device before surgical excision. LC-OCT images were retrospectively evaluated by three observers for presence/absence of criteria for BCC. Multivariate logistic regression models were used to find independent predictors of BCC subtypes. RESULTS Eighty-nine histopathologically proven BCCs were included, of which 66 (74.2%) were pure subtypes [superficial BCC (sBCC): 19/66 (28.8%); nodular BCC (nBCC): 31/66 (47.0%); infiltrative BCC (iBCC): 16/66 (24.2%)]. Lobules, blood vessels and small bright cells within epidermis/lobules were the most frequent criteria for BCC. LC-OCT criteria independently associated with sBCC were presence of hemispheric lobules, absence of lobule separation from the epidermis, absence of stretching of the stroma; with nBCC were presence of macrolobules, absence of lobule connection to the epidermis; and with iBCC were presence of branched lobules. CONCLUSIONS This was the first study describing the characteristics of BCC under LC-OCT examination. We proposed morphologic criteria, which could be potentially useful for diagnosis and subtype classification of BCC, as well as for its therapeutic management. Future studies are needed to assess these hypotheses.
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Affiliation(s)
- M Suppa
- Department of Dermatology, Hôpital Erasme, Université Libre de Bruxelles, Brussels, Belgium.,Department of Dermatology, Institut Jules Bordet, Université Libre de Bruxelles, Brussels, Belgium
| | - M Fontaine
- Department of Dermatology, Hôpital Erasme, Université Libre de Bruxelles, Brussels, Belgium
| | - G Dejonckheere
- Department of Dermatology, Hôpital Erasme, Université Libre de Bruxelles, Brussels, Belgium
| | - E Cinotti
- Dermatology Unit, Department of Medical, Surgical and Neurological Sciences, University of Siena, Siena, Italy
| | - O Yélamos
- Melanoma Unit, Hospital Clinic Barcelona, University of Barcelona, Barcelona, Spain.,Dermatology Department, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain
| | - G Diet
- Department of Dermatology, Hôpital Erasme, Université Libre de Bruxelles, Brussels, Belgium
| | - L Tognetti
- Dermatology Unit, Department of Medical, Surgical and Neurological Sciences, University of Siena, Siena, Italy
| | - M Miyamoto
- Department of Dermatology, Hôpital Erasme, Université Libre de Bruxelles, Brussels, Belgium
| | - C Orte Cano
- Department of Dermatology, Hôpital Erasme, Université Libre de Bruxelles, Brussels, Belgium
| | - J Perez-Anker
- Melanoma Unit, Hospital Clinic Barcelona, University of Barcelona, Barcelona, Spain.,CIBER de enfermedades raras, Instituto de Salud Carlos III, Barcelona, Spain
| | - V Panagiotou
- Department of Pathology, Hôpital Erasme, Université Libre de Bruxelles, Brussels, Belgium
| | - A L Trepant
- Department of Pathology, Hôpital Erasme, Université Libre de Bruxelles, Brussels, Belgium
| | - J Monnier
- Department of Dermatology, AP-HM, Aix-Marseille University, Marseille, France
| | - V Berot
- Department of Dermatology, University Hospital of Saint-Etienne, Saint-Etienne, France
| | - S Puig
- Melanoma Unit, Hospital Clinic Barcelona, University of Barcelona, Barcelona, Spain.,CIBER de enfermedades raras, Instituto de Salud Carlos III, Barcelona, Spain
| | - P Rubegni
- Dermatology Unit, Department of Medical, Surgical and Neurological Sciences, University of Siena, Siena, Italy
| | - J Malvehy
- Melanoma Unit, Hospital Clinic Barcelona, University of Barcelona, Barcelona, Spain.,CIBER de enfermedades raras, Instituto de Salud Carlos III, Barcelona, Spain
| | - J L Perrot
- Department of Dermatology, University Hospital of Saint-Etienne, Saint-Etienne, France
| | - V Del Marmol
- Department of Dermatology, Hôpital Erasme, Université Libre de Bruxelles, Brussels, Belgium
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14
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Tognetti L, Cartocci A, Cinotti E, Moscarella E, Farnetani F, Lallas A, Tiodorovic D, Carrera C, Longo C, Puig S, Perrot JL, Argenziano G, Pellacani G, Cataldo G, Balistreri A, Cevenini G, Rubegni P. The impact of anatomical location and sun exposure on the dermoscopic recognition of atypical nevi and early melanomas: usefulness of an integrated clinical-dermoscopic method (iDScore). J Eur Acad Dermatol Venereol 2020; 35:650-657. [PMID: 32743829 DOI: 10.1111/jdv.16847] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2020] [Accepted: 07/09/2020] [Indexed: 01/01/2023]
Abstract
BACKGROUND The anatomical location of atypical melanocytic skin lesion (aMSL) was never combined into an algorithm for discriminating early melanomas (EM) from atypical nevi (AN). AIMS To investigate the impact of body location on the intuitive diagnosis performed in teledermoscopy by dermatologists of different skill levels. A further aim was to evaluate how the integration of the body location could improve an algorithm-aided diagnosis. METHODS We retrospectively collected 980 standardized dermoscopic images of aMSL cases (663 AN, 317 EM): data on the anatomical location were collected according to 15 body sites classified into 4 macro-areas of chronically/frequently/seldom/rarely exposure. Through a teledermatology web platform, 111 variously skilled dermoscopists performed either the intuitive diagnosis and 3 algorithm-assisted diagnostic tests (i.e. iDScore, 7-point checklist, ABCD rule) on each case, for a total of 3330 examinations. RESULTS In the rarely photoexposed area (side, bottom, abdomen), AN were the most tricky (i.e. highest quote of false positives), due to a frequent recognition of dermoscopic features usually considered as suggestive for melanoma in these lesions; the EM at these sites received the highest quote of false negatives, being generally interpreted as 'featureless' according to these traditional parameters, that were more frequently displayed on the chronically photoexposed area. In rarely and seldom photoexposed area, intuitive diagnosis fails to achieve adequate accuracy for all aMSLs, as the ABCD rule and the 7-point checklist; by applying the iDScore algorithm the diagnostic performance was increased by 15% in young and 17% in experts. CONCLUSIONS The body location of an aMSL can affect the quality of intuitive dermoscopic diagnosis, especially in sun-protected areas. Accuracy can be improved by using the iDScore algorithm that assigns a different partial score of each body site.
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Affiliation(s)
- L Tognetti
- Dermatology Unit, Department of Medical, Surgical and Neurosciences, University of Siena, Siena, Italy
| | - A Cartocci
- Bioengineering & Biomedical Data Science Lab, Department of Medical Biotechnology, University of Siena, Siena, Italy
| | - E Cinotti
- Dermatology Unit, Department of Medical, Surgical and Neurosciences, University of Siena, Siena, Italy
| | - E Moscarella
- Dermatology Unit, University of Campania Luigi Vanvitelli, Naples, Italy
| | - F Farnetani
- Department of Dermatology, University of Modena and Reggio Emilia, Modena, Italy
| | - A Lallas
- First Department of Dermatology, Aristotle University, Thessaloniki, Greece
| | - D Tiodorovic
- Dermatology Clinic, Medical Faculty, Nis University, Nis, Serbia
| | - C Carrera
- Melanoma Unit, Department of Dermatology, University of Barcelona, Barcelona, Spain
| | - C Longo
- Centro Oncologico ad Alta Tecnologia Diagnostica, Azienda Unità Sanitaria Locale - IRCCS di Reggio Emilia, Reggio Emilia, Italy
| | - S Puig
- Melanoma Unit, Department of Dermatology, University of Barcelona, Barcelona, Spain
| | - J L Perrot
- Dermatology Unit, University Hospital of St-Etienne, Saint Etienne, France
| | - G Argenziano
- Dermatology Unit, University of Campania Luigi Vanvitelli, Naples, Italy
| | - G Pellacani
- Department of Dermatology, University of Modena and Reggio Emilia, Modena, Italy
| | - G Cataldo
- Bioengineering & Biomedical Data Science Lab, Department of Medical Biotechnology, University of Siena, Siena, Italy
| | - A Balistreri
- Bioengineering & Biomedical Data Science Lab, Department of Medical Biotechnology, University of Siena, Siena, Italy
| | - G Cevenini
- Bioengineering & Biomedical Data Science Lab, Department of Medical Biotechnology, University of Siena, Siena, Italy
| | - P Rubegni
- Dermatology Unit, Department of Medical, Surgical and Neurosciences, University of Siena, Siena, Italy
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15
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Cinotti E, Bovi C, Tonini G, Labeille B, Heusèle C, Nizard C, Schnebert S, Aubailly S, Barthélémy JC, Cambazard F, Cevenini G, Tognetti L, Cartocci A, Rubegni P, Perrot JL. Structural skin changes in elderly people investigated by reflectance confocal microscopy. J Eur Acad Dermatol Venereol 2020; 34:2652-2658. [PMID: 32294278 DOI: 10.1111/jdv.16466] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2019] [Revised: 03/17/2020] [Accepted: 03/25/2020] [Indexed: 12/11/2022]
Abstract
BACKGROUND Reflectance confocal microscopy (RCM) is particularly suitable for the study of skin ageing because it provides nearly histological information in vivo and non-invasively. However, there are no studies that evaluated RCM skin features of a large population older than 70 years. OBJECTIVES The aim of our investigation was to study age-related skin changes in an elderly population by RCM and to evaluate their topographical and gender differences. METHODS We obtained RCM images of photoprotected (volar arm) and chronic (face) and intermittently photoexposed (dorsal forearm) body sites of 209 volunteers (105 women and 104 men, mean age: 77.5, range 74-81 years). 15 previously reported and new RCM parameters related to skin ageing were assessed. RESULTS Photoexposed sites had thicker suprapapillary epidermis, more linear, distant and thin furrows, higher presence of mottled pigmentation, polycyclic papillae and coarse and huddled collagen and lower presence of dermal papillae than the photoprotected site. Irregular honeycomb pattern was not higher in photoexposed sites, indicating that it is probably more dependent on intrinsic ageing. Two ageing scores defined for facial skin ageing (epidermal disarray score and epidermal hyperplasia score) were found useful for the identification of photoageing. Gender differences only concerned some RCM parameters (i.e. thickness of different layers of the epidermis, furrows and collagen score) and some body sites, in line with the fact that women and men of our cohort had no major differences in clinically visible skin ageing. CONCLUSIONS Our study confirmed that RCM is a powerful non-invasive technique to microscopically quantify ageing signs and our observations contribute to highlight the differences between intrinsic and extrinsic ageing.
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Affiliation(s)
- E Cinotti
- Dermatology Unit, Department of Medical, Surgical and Neuro-Sciences, University of Siena, Siena, Italy
| | - C Bovi
- Dermatology Unit, Department of Medical, Surgical and Neuro-Sciences, University of Siena, Siena, Italy
| | - G Tonini
- Dermatology Unit, Department of Medical, Surgical and Neuro-Sciences, University of Siena, Siena, Italy
| | - B Labeille
- Department of Dermatology, University Hospital of Saint-Etienne, Saint-Etienne, France
| | - C Heusèle
- LVMH Research, Saint-Jean-de-Braye, France
| | - C Nizard
- LVMH Research, Saint-Jean-de-Braye, France
| | | | - S Aubailly
- LVMH Research, Saint-Jean-de-Braye, France
| | - J C Barthélémy
- Clinical and Exercise Physiology Laboratory, University Hospital of Saint-Etienne, Saint-Etienne, France
| | - F Cambazard
- Department of Dermatology, University Hospital of Saint-Etienne, Saint-Etienne, France
| | - G Cevenini
- Department of Medical Biotechnologies, University of Siena, Siena, Italy
| | - L Tognetti
- Dermatology Unit, Department of Medical, Surgical and Neuro-Sciences, University of Siena, Siena, Italy
| | - A Cartocci
- Department of Medical Biotechnologies, University of Siena, Siena, Italy
| | - P Rubegni
- Dermatology Unit, Department of Medical, Surgical and Neuro-Sciences, University of Siena, Siena, Italy
| | - J L Perrot
- Department of Dermatology, University Hospital of Saint-Etienne, Saint-Etienne, France
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16
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Cinotti E, Bruzziches F, Habougit C, Berot V, Tognetti L, Rubegni P, Perrot JL. Fulguration-induced tattoo. Clin Exp Dermatol 2020; 45:911-912. [PMID: 32415991 DOI: 10.1111/ced.14288] [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] [Accepted: 05/11/2020] [Indexed: 11/27/2022]
Affiliation(s)
- E Cinotti
- Department of Medical, Surgical and Neurological Science, Dermatology Section, University of Siena, S. Maria alle Scotte Hospital, Siena, Italy
| | - F Bruzziches
- Department of Medical, Surgical and Neurological Science, Dermatology Section, University of Siena, S. Maria alle Scotte Hospital, Siena, Italy
| | - C Habougit
- Department of, Pathology, University Hospital of Saint-Etienne, Saint-Etienne, France
| | - V Berot
- Departments of, Dermatology, University Hospital of Saint-Etienne, Saint-Etienne, France
| | - L Tognetti
- Department of Medical, Surgical and Neurological Science, Dermatology Section, University of Siena, S. Maria alle Scotte Hospital, Siena, Italy
| | - P Rubegni
- Department of Medical, Surgical and Neurological Science, Dermatology Section, University of Siena, S. Maria alle Scotte Hospital, Siena, Italy
| | - J L Perrot
- Departments of, Dermatology, University Hospital of Saint-Etienne, Saint-Etienne, France
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17
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Cinotti E, Rossi R, Ferrara G, Tognetti L, Rubegni P, Perrot JL. Image Gallery: Super-high magnification dermoscopy can identify pigmented cells: correlation with reflectance confocal microscopy. Br J Dermatol 2019; 181:e1. [PMID: 31259403 DOI: 10.1111/bjd.17781] [Citation(s) in RCA: 4] [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: 11/29/2022]
Affiliation(s)
- E Cinotti
- Department of Medical, Surgical and Neurological Science, Dermatology Section, University of Siena, S. Maria alle Scotte Hospital, Viale Bracci 16, 53100, Siena, Italy
| | - R Rossi
- Department of Dermatology, Skin Center Senigallia, 60019, Senigallia, Italy
| | - G Ferrara
- Department of Anatomic Pathology, Macerata Hospital, 62100, Macerata, Italy
| | - L Tognetti
- Department of Medical, Surgical and Neurological Science, Dermatology Section, University of Siena, S. Maria alle Scotte Hospital, Viale Bracci 16, 53100, Siena, Italy
| | - P Rubegni
- Department of Medical, Surgical and Neurological Science, Dermatology Section, University of Siena, S. Maria alle Scotte Hospital, Viale Bracci 16, 53100, Siena, Italy
| | - J L Perrot
- Department of Dermatology, University Hospital of Saint-Etienne, 42055, Saint-Etienne, France
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18
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Cinotti E, Fiorani D, Labeille B, Gonzalez S, Debarbieux S, Agozzino M, Ardigò M, Lacarrubba F, Farnetani F, Carrera C, Cevenini G, Le Duff F, Tognetti L, Pellacani G, Rubegni P, Perrot JL. The integration of dermoscopy and reflectance confocal microscopy improves the diagnosis of lentigo maligna. J Eur Acad Dermatol Venereol 2019; 33:e372-e374. [PMID: 31074539 DOI: 10.1111/jdv.15669] [Citation(s) in RCA: 22] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Affiliation(s)
- E Cinotti
- Dermatology Section, Department of Medical, Surgical and Neurological Science, S. Maria alle Scotte Hospital, University of Siena, Siena, Italy
| | - D Fiorani
- Dermatology Section, Department of Medical, Surgical and Neurological Science, S. Maria alle Scotte Hospital, University of Siena, Siena, Italy
| | - B Labeille
- Department of Dermatology, University Hospital of St-Etienne, Saint-Etienne, France
| | - S Gonzalez
- Medicine and Medical Specialities Department, Alcalá University, Madrid, Spain
| | - S Debarbieux
- Departments of Dermatology, Centre Hospitalier Lyon Sud, Pierre Benite, France
| | - M Agozzino
- Dermatology Unit, University of Campania Luigi Vanvitelli, Naples, Italy
| | - M Ardigò
- Clinical Dermatology, San Gallicano Dermatological Institute, Rome, Italy
| | - F Lacarrubba
- Dermatology Clinic, University of Catania, Catania, Italy
| | - F Farnetani
- Department of Dermatology, University of Modena and Reggio Emilia, Modena, Italy
| | - C Carrera
- Melanoma Unit, Department of Dermatology, Hospital Clínic de Barcelona, IDIBAPS, Centro de Investigación Biomédica en Red de Enfermedades Raras (CIBERER), Barcelona University, Barcelona, Spain
| | - G Cevenini
- Department of Medical Biotechnologies, University of Siena, Siena, Italy
| | - F Le Duff
- Department of Dermatology, Clinical Research Center, Hopital Archet 2, Nice, France
| | - L Tognetti
- Dermatology Section, Department of Medical, Surgical and Neurological Science, S. Maria alle Scotte Hospital, University of Siena, Siena, Italy.,Department of Medical Biotechnologies, University of Siena, Siena, Italy
| | - G Pellacani
- Department of Dermatology, University of Modena and Reggio Emilia, Modena, Italy
| | - P Rubegni
- Dermatology Section, Department of Medical, Surgical and Neurological Science, S. Maria alle Scotte Hospital, University of Siena, Siena, Italy
| | - J L Perrot
- Department of Dermatology, University Hospital of St-Etienne, Saint-Etienne, France
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19
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Perrot JL, Habougit C, Biron Schneider AC, Couzan C, Tognetti L, Rubegni P, Cinotti E. [Role of reflectance confocal microscopy and HD ultrasound in the diagnosis of cutaneous angiosarcoma of the breast]. Ann Dermatol Venereol 2019; 146:410-413. [PMID: 30833039 DOI: 10.1016/j.annder.2018.12.008] [Citation(s) in RCA: 3] [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] [Received: 11/03/2018] [Revised: 12/01/2018] [Accepted: 12/21/2018] [Indexed: 11/28/2022]
Affiliation(s)
- J L Perrot
- Service de dermatologie, hôpital universitaire de Saint-Étienne, 42055 Saint-Étienne cedex 2, France
| | - C Habougit
- Service d'anatomopathologie, hôpital Universitaire de Saint-Étienne, 42055 Saint-Étienne cedex 2, France
| | - A C Biron Schneider
- Service de dermatologie, hôpital universitaire de Saint-Étienne, 42055 Saint-Étienne cedex 2, France
| | - C Couzan
- Service de dermatologie, hôpital universitaire de Saint-Étienne, 42055 Saint-Étienne cedex 2, France
| | - L Tognetti
- Service de dermatologie, département de science médicale, chirurgicale et neurologique, université de Sienne, hôpital S. Maria alle Scotte, Viale Mario Bracci 16, 53100 Sienne, Italie; Département des biotechnologies médicales, université de Sienne, Sienne, Italie
| | - P Rubegni
- Service de dermatologie, département de science médicale, chirurgicale et neurologique, université de Sienne, hôpital S. Maria alle Scotte, Viale Mario Bracci 16, 53100 Sienne, Italie
| | - E Cinotti
- Service de dermatologie, département de science médicale, chirurgicale et neurologique, université de Sienne, hôpital S. Maria alle Scotte, Viale Mario Bracci 16, 53100 Sienne, Italie.
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- Service de dermatologie, hôpital universitaire de Saint-Étienne, 42055 Saint-Étienne cedex 2, France; Service de dermatologie, département de science médicale, chirurgicale et neurologique, université de Sienne, hôpital S. Maria alle Scotte, Viale Mario Bracci 16, 53100 Sienne, Italie
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20
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Huppert L, Cinotti E, Habougit C, Grivet D, Tognetti L, Gâillot A, Cambazard F, Rubegni P, Perrot JL. [The role of reflectance confocal microscopy and OCT in the diagnosis of nodular kystic BCC]. Ann Dermatol Venereol 2019; 146:168-171. [PMID: 30661642 DOI: 10.1016/j.annder.2018.11.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2018] [Revised: 11/11/2018] [Accepted: 11/21/2018] [Indexed: 11/27/2022]
Affiliation(s)
- L Huppert
- Service de dermatologie, hôpital universitaire de Saint-Étienne, 42055 Saint-Étienne cedex 2, France
| | - E Cinotti
- Département de dermatologie, division de médecine chirurgie et neurosciences, université de Sienne, 53100 Sienne, Italie
| | - C Habougit
- Service d'anatomopathologie, hôpital universitaire de Saint-Étienne, 42055 Saint-Étienne cedex 2, France
| | - D Grivet
- Service d'ophtalmologie, hôpital universitaire de Saint-Étienne, 42055 Saint-Étienne cedex 2, France
| | - L Tognetti
- Département de dermatologie, division de médecine chirurgie et neurosciences, université de Sienne, 53100 Sienne, Italie; Département des biotechnologies médicales, université de Sienne, 53100 Sienne, Italie.
| | - A Gâillot
- Anatomopathologien, centre république, 63000 Clermond-Ferrand cedex 2, France
| | - F Cambazard
- Service de dermatologie, hôpital universitaire de Saint-Étienne, 42055 Saint-Étienne cedex 2, France
| | - P Rubegni
- Département de dermatologie, division de médecine chirurgie et neurosciences, université de Sienne, 53100 Sienne, Italie
| | - J L Perrot
- Service de dermatologie, hôpital universitaire de Saint-Étienne, 42055 Saint-Étienne cedex 2, France
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21
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Farnetani F, Manfredini M, Longhitano S, Chester J, Shaniko K, Cinotti E, Mazzoni L, Venturini M, Manganoni A, Longo C, Reggiani-Bonetti L, Giannetti L, Rubegni P, Calzavara-Pinton P, Stanganelli I, Perrot JL, Pellacani G. Morphological classification of melanoma metastasis with reflectance confocal microscopy. J Eur Acad Dermatol Venereol 2018; 33:676-685. [PMID: 30394598 DOI: 10.1111/jdv.15329] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2018] [Accepted: 10/12/2018] [Indexed: 11/28/2022]
Abstract
BACKGROUND Cutaneous malignant melanoma metastases differential diagnosis is challenging, as clinical and dermoscopic features can simulate primary melanoma or other benign or malignant skin neoplasms, and in-vivo reflectance confocal microscopy could assist. Our aim was to identify specific reflectance confocal microscopy features for cutaneous malignant melanoma metastases, and epidermal and dermal involvement. METHODS A retrospective, multicentre observational study of lesions with proven cutaneous malignant melanoma metastases diagnosis between January 2005 and December 2016. Lesions were retrospectively assessed according to morphological features observed at reflectance confocal microscopy. Potential homogeneous subgroups of epidermal or dermal involvement were investigated with cluster analysis. RESULTS Cutaneous malignant melanoma metastases (51 lesions in 29 patients) exhibited different frequencies of features according to metastasis dermoscopy patterns. Lesions classified at dermoscopy with nevus-like globular and non-globular patterns were more likely to be epidermotropic, showing characteristics of epidermal and dermal involvement at reflectance confocal microscopy. Other dermoscopy pattern classifications were more likely to be dermotropic, showing characteristics od dermal involvement at reflectance confocal microscopy. Distinguishing features at reflectance confocal microscopy included irregular (78%) and altered (63%) epidermis, pagetoid infiltration (51%), disarranged junctional architecture (63%), non-edged papillae (76%), dense and sparse, and cerebriform nests in the upper dermis (74%), and vascularity (51%). Cluster analysis identified three groups, which were retrospectively correlated with histopathological diagnoses of dermotropic and epidermotropic diagnoses (P < 0.001). The third cluster represents lesions with deep dermis morphological changes, which were too deep for evaluation with reflectance confocal microscopy. CONCLUSIONS Specific reflectance confocal microscopy features of cutaneous malignant melanoma metastases for correct diagnosis, and subtype diagnosis, seem achievable in most cases where morphological alterations are located above the deep dermis.
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Affiliation(s)
- F Farnetani
- Division of Dermatology, Department of Surgical, Medical, Dental and Morphological Sciences with Interest transplant, Oncological and Regenerative Medicine, University of Modena and Reggio Emilia, Modena, Italy
| | - M Manfredini
- Division of Dermatology, Department of Surgical, Medical, Dental and Morphological Sciences with Interest transplant, Oncological and Regenerative Medicine, University of Modena and Reggio Emilia, Modena, Italy.,Division of Dermatology, University of Ferrara, Ferrara, Italy
| | - S Longhitano
- Division of Dermatology, Department of Surgical, Medical, Dental and Morphological Sciences with Interest transplant, Oncological and Regenerative Medicine, University of Modena and Reggio Emilia, Modena, Italy
| | - J Chester
- Division of Dermatology, Department of Surgical, Medical, Dental and Morphological Sciences with Interest transplant, Oncological and Regenerative Medicine, University of Modena and Reggio Emilia, Modena, Italy
| | - K Shaniko
- Division of Dermatology, Department of Surgical, Medical, Dental and Morphological Sciences with Interest transplant, Oncological and Regenerative Medicine, University of Modena and Reggio Emilia, Modena, Italy
| | - E Cinotti
- Department of Medical, Surgical, and Neurological Science, Dermatology Section, University of Siena, S Maria alle Scotte Hospital, Siena, Italy
| | - L Mazzoni
- Skin Cancer Unit, IstitutoTumori Romagna (IRST), Meldola, Italy
| | - M Venturini
- Division of Dermatology, SpedaliCivili University Hospital, Brescia, Italy
| | - A Manganoni
- Division of Dermatology, SpedaliCivili University Hospital, Brescia, Italy
| | - C Longo
- Division of Dermatology, Department of Surgical, Medical, Dental and Morphological Sciences with Interest transplant, Oncological and Regenerative Medicine, University of Modena and Reggio Emilia, Modena, Italy.,Skin Cancer Unit, Arcispedale Santa Maria Nuova-IRCCS, Reggio Emilia, Italy
| | - L Reggiani-Bonetti
- Department of Pathology, University of Modena and Reggio Emilia, Modena, Italy
| | - L Giannetti
- Department of Surgical, Medical, Dental and Morphological Sciences with Interest Transplant, Oncological and Regenerative Medicine, University of Modena and Reggio Emilia, Modena, Italy
| | - P Rubegni
- Department of Medical, Surgical, and Neurological Science, Dermatology Section, University of Siena, S Maria alle Scotte Hospital, Siena, Italy
| | - P Calzavara-Pinton
- Division of Dermatology, SpedaliCivili University Hospital, Brescia, Italy
| | - I Stanganelli
- Skin Cancer Unit, IstitutoTumori Romagna (IRST), Meldola, Italy.,Division of Dermatology, Department of Clinical and Experimental Medicine, University of Parma, Parma, Italy
| | - J L Perrot
- Department of Dermatology, University Hospital of Saint-Etienne, Saint-Etienne, France
| | - G Pellacani
- Division of Dermatology, Department of Surgical, Medical, Dental and Morphological Sciences with Interest transplant, Oncological and Regenerative Medicine, University of Modena and Reggio Emilia, Modena, Italy
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22
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Tognetti L, Cinotti E, Habougit C, Fiorani D, Cambazard F, Perrot JL, Rubegni P. Ecthyma contagiosum (Orf): Reflectance confocal microscopy and histopathological correlates. Skin Res Technol 2018; 25:234-237. [PMID: 30019407 DOI: 10.1111/srt.12618] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/23/2018] [Indexed: 11/26/2022]
Affiliation(s)
- L Tognetti
- Dermatology Division, Department of Medical, Surgical and NeuroSciences, University of Siena, Siena, Italy.,Department of Medical Biotechnologies, University of Siena, Siena, Italy
| | - E Cinotti
- Dermatology Division, Department of Medical, Surgical and NeuroSciences, University of Siena, Siena, Italy
| | - C Habougit
- Anatomopathology Unit, Department of Pathology, University Hospital of St-Etienne, Saint Etienne, France
| | - D Fiorani
- Dermatology Division, Department of Medical, Surgical and NeuroSciences, University of Siena, Siena, Italy
| | - F Cambazard
- Dermatology Unit, University Hospital of St-Etienne, Saint Etienne, France
| | - J L Perrot
- Dermatology Unit, University Hospital of St-Etienne, Saint Etienne, France
| | - P Rubegni
- Dermatology Division, Department of Medical, Surgical and NeuroSciences, University of Siena, Siena, Italy
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23
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Theillac C, Cinotti E, Malvehy J, Ronger Savle S, Balme B, Robinson P, Perrot JL, Douchet C, Biron Schneider AC, Alos L, Garcia A, Barreiro A, Labeille B, Duru G, Dalle S, Thomas L, Debarbieux S. Evaluation of large clinically atypical vulvar pigmentation with RCM: atypical melanosis or early melanoma? J Eur Acad Dermatol Venereol 2018; 33:84-92. [PMID: 29920797 DOI: 10.1111/jdv.15141] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2018] [Accepted: 05/22/2018] [Indexed: 11/26/2022]
Abstract
BACKGROUND Vulvar melanosis can occasionally be clinically challenging by mimicking an early melanoma. OBJECTIVE To report our experience of initial evaluation and follow-up in this peculiar subset of vulvar melanosis using reflectance confocal microscopy (RCM). METHODS We retrospectively evaluated 18 consecutive cases referred for atypical vulvar pigmentation or for which melanoma was considered and that underwent both RCM examination and histopathological assessment. In 13 cases with available dermoscopic pictures, RCM classification was compared to dermoscopic diagnosis, and in all cases, the density of melanocytes was evaluated on biopsies using MelanA immunostaining. RESULTS Among the 18 atypical pigmented lesions, 17 vulvar melanosis and one melanoma were histologically determined. RCM concluded a benign vulvar melanosis in 10 of 17 cases, whereas dermoscopy did so in three of 12 cases. RCM identified the only early malignant lentiginous melanoma. In several cases of vulvar melanosis, RCM could identify foci of melanocytic hyperplasia in an otherwise benign pattern. CONCLUSIONS In this clinically and dermoscopically challenging subset of vulvar pigmentations, RCM appears relevant for initial extensive evaluation, especially to target initial biopsy sampling, and to perform non-invasive monitoring of foci of melanocytic hyperplasia.
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Affiliation(s)
- C Theillac
- Dermatology Department, Centre Hospitalier de Lyon Sud, Hospices civils de Lyon, Université Claude Bernard Lyon 1, Pierre Bénite, France
| | - E Cinotti
- Dermatology Department, University Hospital of Saint-Etienne, Saint-Etienne, France.,Pour le Groupe Imagerie Cutanée Non Invasive de la Société Française de Dermatologie, Paris, France
| | - J Malvehy
- Dermatology Department, Hospital Clinic of Barcelona, University of Barcelona, IDIBAPS, Barcelona, Spain
| | - S Ronger Savle
- Dermatology Department, Centre Hospitalier de Lyon Sud, Hospices civils de Lyon, Université Claude Bernard Lyon 1, Pierre Bénite, France
| | - B Balme
- Pathology Department, Centre Hospitalier de Lyon Sud, Lyon, France
| | - P Robinson
- DRCI, Hospices Civils de Lyon, Lyon, France
| | - J L Perrot
- Dermatology Department, University Hospital of Saint-Etienne, Saint-Etienne, France.,Pour le Groupe Imagerie Cutanée Non Invasive de la Société Française de Dermatologie, Paris, France
| | - C Douchet
- Pathology Department, University Hospital of Saint-Etienne, Saint-Etienne, France
| | - A C Biron Schneider
- Dermatology Department, University Hospital of Saint-Etienne, Saint-Etienne, France
| | - L Alos
- Pathology Department, Hospital Clinic of Barcelona, Barcelona, Spain
| | - A Garcia
- Pathology Department, Hospital Clinic of Barcelona, Barcelona, Spain
| | - A Barreiro
- Dermatology Department, Hospital Clinic of Barcelona, University of Barcelona, IDIBAPS, Barcelona, Spain
| | - B Labeille
- Dermatology Department, University Hospital of Saint-Etienne, Saint-Etienne, France.,Pour le Groupe Imagerie Cutanée Non Invasive de la Société Française de Dermatologie, Paris, France
| | - G Duru
- Department of Biostatistics, Université Claude Bernard Lyon 1, Villeurbanne, France
| | - S Dalle
- Dermatology Department, Centre Hospitalier de Lyon Sud, Hospices civils de Lyon, Université Claude Bernard Lyon 1, Pierre Bénite, France
| | - L Thomas
- Dermatology Department, Centre Hospitalier de Lyon Sud, Hospices civils de Lyon, Université Claude Bernard Lyon 1, Pierre Bénite, France
| | - S Debarbieux
- Dermatology Department, Centre Hospitalier de Lyon Sud, Hospices civils de Lyon, Université Claude Bernard Lyon 1, Pierre Bénite, France.,Pour le Groupe Imagerie Cutanée Non Invasive de la Société Française de Dermatologie, Paris, France
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24
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Begon E, Beneton N, Poiraud C, Droitcourt C, Jacobzone C, Vermersch-Langlin A, Descamps V, Perrot JL, Khemis A, Pallure V, Fougerousse AC, Sigal-Grinberg M, Schmutz JL, Goujon C, Reguiai Z. Safety and efficacy of biological therapies in patients with psoriasis with alcoholic cirrhosis: a French retrospective study of 23 cases. Br J Dermatol 2018; 179:512-513. [PMID: 29480522 DOI: 10.1111/bjd.16490] [Citation(s) in RCA: 2] [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: 11/30/2022]
Affiliation(s)
- E Begon
- Hôpital René Dubos - Dermatology, 6 Avenue de l'Ile de France, Pontoise, 95300, France
| | - N Beneton
- Department of Dermatology, Le Mans Hospital, Le Mans, France
| | - C Poiraud
- Centre Hospitalier Départemental Vendée - Dermatologie, La Roche-sur-Yon, France
| | - C Droitcourt
- Department of Dermatology, Rennes-1 University Hospital, Rennes, France
| | - C Jacobzone
- Centre Hospitalier de Bretagne Sud, Lorient, France
| | | | - V Descamps
- Department of Dermatology, Hôpital Bichat - Claude-Bernard, Paris, France
| | - J L Perrot
- Department of Dermatology, University Hospital of Saint-Etienne, Saint-Priest-en-Jarez, France
| | - A Khemis
- Department of Dermatology, Centre Hospitalier Universitaire de Nice, Nice, France
| | - V Pallure
- Department of Dermatology, University Hospital Montpellier, Montpellier, France
| | - A C Fougerousse
- Department of Dermatology, Hôpital d'Instruction des Armées Begin, Saint Mande, France
| | - M Sigal-Grinberg
- Department of Dermatology, Hôpital Victor Dupouy, 95100, Argenteuil, France
| | - J-L Schmutz
- Department of Dermatology, Fournier Hospital, 36 Quai de la Bataille, Nancy, 54000, France
| | - C Goujon
- Hospices Civils de Lyon - Allergology and Clinical Immunology, Centre Hospitalier Lyon Sud Bâtiment 1K, Pierre-Bénite 69495, France
| | - Z Reguiai
- Department of Dermatology, Polyclinique de Courlancy, Reims, France
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25
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Couty E, Tognetti L, Labeille B, Douchet C, Habougit C, Couzan C, Biron-Schneider AC, Cambazard F, Prade V, Rubegni P, Cinotti E, Perrot JL. In vivo reflectance confocal microscopy combined with the 'spaghetti technique' for the identification of surgical margins of lentigo maligna: experience in 70 patients. J Eur Acad Dermatol Venereol 2018; 32:e366-e368. [PMID: 29573292 DOI: 10.1111/jdv.14947] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [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)
- E Couty
- Department of Dermatology, University Hospital of Saint-Etienne, Saint-Etienne, France
| | - L Tognetti
- Department of Dermatology - Division of Medical, Surgical and Neuro-Sciences, University of Siena, Siena, Italy.,Department of Medical Biotechnologies, University of Siena, Siena, Italy
| | - B Labeille
- Department of Dermatology, University Hospital of Saint-Etienne, Saint-Etienne, France
| | - C Douchet
- Department of Pathology, University Hospital of Saint Etienne, Saint-Etienne, France
| | - C Habougit
- Department of Pathology, University Hospital of Saint Etienne, Saint-Etienne, France
| | - C Couzan
- Department of Dermatology, University Hospital of Saint-Etienne, Saint-Etienne, France
| | - A C Biron-Schneider
- Department of Dermatology, University Hospital of Saint-Etienne, Saint-Etienne, France
| | - F Cambazard
- Department of Dermatology, University Hospital of Saint-Etienne, Saint-Etienne, France
| | - V Prade
- Department of Maxillofacial and Plastic Surgery, University Hospital of Saint Etienne, Saint-Etienne, France
| | - P Rubegni
- Department of Dermatology - Division of Medical, Surgical and Neuro-Sciences, University of Siena, Siena, Italy
| | - E Cinotti
- Department of Dermatology - Division of Medical, Surgical and Neuro-Sciences, University of Siena, Siena, Italy
| | - J L Perrot
- Department of Dermatology, University Hospital of Saint-Etienne, Saint-Etienne, France
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26
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Tognetti L, Cinotti E, Tonini G, Habougit C, Cambazard F, Rubegni P, Perrot JL. New findings in non-invasive imaging of cutaneous endometriosis: Dermoscopy, high-frequency ultrasound and reflectance confocal microscopy. Skin Res Technol 2018; 24:309-312. [PMID: 29388271 DOI: 10.1111/srt.12431] [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: 11/29/2022]
Abstract
BACKGROUND Cutaneous endometriosis (CE) is rare and its dermoscopic features were reported only in 3 patients. The aim of this study was to examine a case of pigmented CE with multiple non-invasive imaging techniques, to compare the obtained images with histopathology and to define their utility in an early diagnosis of the disease. CASE REPORT We performed dermoscopy, high-frequency ultrasound (HFUS), in vivo and ex vivo reflectance confocal microscopy (RCM) of a pigmented CE arising on the caesarean scar of a phototype IV patient, along with histologic studies. Dermoscopy showed a greyish background and a brownish pigmentation. HFUS shows well-demarcated anechoic areas corresponding to ectopic endometrial tissue at histopathologic examination. RCM and OCT only showed the alterations of the epidermis. CONCLUSION High-frequency ultrasound could represent a very useful tool for an early diagnosis of CE and its usefulness could be tested in patients with unusual cyclical pain, even before skin lesion appearance. RCM allowed the visualization of skin surface modification due to underlying endometriosic tissue. Dermoscopy showed a new aspect that was probably related to the mix of blood extravasation (ie, greyish background) and epidermal pigmentation (ie, brown pigmentation).
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Affiliation(s)
- L Tognetti
- Dermatology Unit, Department of Medical, Surgical and Neuro Sciences, University of Siena, Siena, Italy.,Department of Medical Biotechnologies, University of Siena, Siena, Italy
| | - E Cinotti
- Dermatology Unit, Department of Medical, Surgical and Neuro Sciences, University of Siena, Siena, Italy
| | - G Tonini
- Dermatology Unit, Department of Medical, Surgical and Neuro Sciences, University of Siena, Siena, Italy
| | - C Habougit
- Anatomopathology Unit, Department of Pathology, University Hospital of St-Etienne, Saint Etienne, France
| | - F Cambazard
- Dermatology Unit, University Hospital of St-Etienne, Saint Etienne, France
| | - P Rubegni
- Dermatology Unit, Department of Medical, Surgical and Neuro Sciences, University of Siena, Siena, Italy
| | - J L Perrot
- Dermatology Unit, University Hospital of St-Etienne, Saint Etienne, France
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27
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Tognetti L, Cinotti E, Perrot JL, Campoli M, Fimiani M, Rubegni P. Benign and malignant collision tumors of melanocytic skin lesions with hemangioma: Dermoscopic and reflectance confocal microscopy features. Skin Res Technol 2018; 24:313-317. [PMID: 29388348 DOI: 10.1111/srt.12432] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [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: 01/01/2018] [Indexed: 12/01/2022]
Abstract
BACKGROUND Though the combination/collision of nevi or lentigo simplex and hemangiomas is frequent, the malignant collision tumor melanoma-hemangioma is exceptional and can sometime clinically simulate a benign collision. To date, a series of collision tumors of hemangiomas associated with either benign or malignant melanocytic skin lesions (MSL) has yet to be studied by non-invasive imaging and clinico-pathologic correlates. METHODS We present 10 cases of patients with collision tumors of hemangioma with different MSL including: 2 in situ lentigo-maligna melanoma, 1 invasive melanoma, 5 melanocytic nevi, and 2 lentigo simplex. The clinical aspect along with the dermoscopic and reflectance confocal microscopy (RCM) features is described and compared with histopathologic findings. RESULTS Dermoscopic examination allows to recognize a dark ring in malignant collision melanoma-hemangioma and a jelly ring sign in benign collision of nevi/lentigo simplex-hemangioma. These peculiar features were confirmed by RCM and histopathologic findings. CONCLUSION Two simple dermoscopic clues confirmed by RCM features can be proposed to help distinguish between benign and malignant collisions tumors.
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Affiliation(s)
- L Tognetti
- Division of Dermatology - Department of Medical, Surgical and Neuro Sciences, University of Siena, Siena, Italy.,Department of Medical Biotechnologies, University of Siena, Siena, Italy
| | - E Cinotti
- Division of Dermatology - Department of Medical, Surgical and Neuro Sciences, University of Siena, Siena, Italy
| | - J L Perrot
- Dermatology Unit, University of St. Etienne, Saint Etienne, France
| | - M Campoli
- Division of Dermatology - Department of Medical, Surgical and Neuro Sciences, University of Siena, Siena, Italy
| | - M Fimiani
- Division of Dermatology - Department of Medical, Surgical and Neuro Sciences, University of Siena, Siena, Italy
| | - P Rubegni
- Division of Dermatology - Department of Medical, Surgical and Neuro Sciences, University of Siena, Siena, Italy
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28
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Grechenig C, Cinotti E, Labeille B, Langmann G, Perrot JL, Schatz O, Tarmann L, Wedrich A, Wackernagel W, Zalaudek I, Haybaeck J, Schwab C. Examination of the melanocytes of the Nevus of Ota with in vivo reflectance confocal microscopy: 15 cases. J Eur Acad Dermatol Venereol 2018; 32:e241-e242. [PMID: 29314292 DOI: 10.1111/jdv.14783] [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)
- C Grechenig
- Department of Ophthalmology, Medical University of Graz, Graz, Styria, Austria
| | - E Cinotti
- Department of Medical, Surgical and Neurological Science, Dermatology Section, S. Maria alle Scotte Hospital, University of Siena, Siena, Italy
| | - B Labeille
- Department of Dermatology, University Hospital of Saint-Etienne, Saint-Etienne, France
| | - G Langmann
- Department of Ophthalmology, Medical University of Graz, Graz, Styria, Austria
| | - J L Perrot
- Department of Dermatology, University Hospital of Saint-Etienne, Saint-Etienne, France
| | - O Schatz
- Department of Ophthalmology, Medical University of Graz, Graz, Styria, Austria
| | - L Tarmann
- Department of Ophthalmology, Medical University of Graz, Graz, Styria, Austria
| | - A Wedrich
- Department of Ophthalmology, Medical University of Graz, Graz, Styria, Austria
| | - W Wackernagel
- Department of Ophthalmology, Medical University of Graz, Graz, Styria, Austria
| | - I Zalaudek
- Department of Dermatology, Hospital Maggiore, University of Triest, Triest, Italy
| | - J Haybaeck
- Institute of Pathology, Medical University of Graz, Graz, Styria, Austria.,Department of Pathology, Medical Faculty, Otto-von-Guericke-University Magdeburg, Magdeburg, Germany
| | - C Schwab
- Department of Ophthalmology, Medical University of Graz, Graz, Styria, Austria
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Couzan C, Cinotti E, Labeille B, Vercherin P, Rubegni P, Cambazard F, Perrot JL. Reflectance confocal microscopy identification of subclinical basal cell carcinomas during and after vismodegib treatment. J Eur Acad Dermatol Venereol 2017; 32:763-767. [PMID: 29055164 DOI: 10.1111/jdv.14650] [Citation(s) in RCA: 9] [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: 07/26/2017] [Accepted: 10/09/2017] [Indexed: 12/27/2022]
Abstract
BACKGROUND Recently, it has been shown that reflectance confocal microscopy (RCM) could identify subclinical basal cell carcinoma (BCC) during vismodegib treatment of locally advanced BCC. OBJECTIVES To evaluate specificity and sensitivity of clinical, dermoscopic and RCM examination for BCC in patients with multiple BCCs treated by vismodegib. METHODS Ninety four BCCs had 710 clinical, dermoscopic and RCM examinations during 72 weeks of vismodegib treatment. Thirty-eight were biopsied at the end of the treatment. Sensitivity and specificity for these 38 lesions were calculated. BCC diagnoses of clinical, dermoscopic and RCM examination on all the 710 investigations were compared using chi-square test. RESULTS Reflectance confocal microscopy was extremely more sensitive than dermoscopy and clinical examination and slightly less specific (sensitivity of 95%, 35% and 33% and specificity of 81%, 88% and 86% for RCM, dermoscopy and clinical examination, respectively) for the identification of residual BCC in the 38 biopsied cases. Considering all the 710 observations, RCM correctly diagnosed more BCCs than dermoscopy and clinical examination. CONCLUSION Reflectance confocal microscopy is a non-invasive technique that can detect subclinical residual BCC during and after vismodegib treatment helping the clinician to identify incomplete tumour regression.
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Affiliation(s)
- C Couzan
- Department of Dermatology, University Hospital of Saint-Etienne, Saint-Etienne, France
| | - E Cinotti
- Department of Medical, Surgical and Neurological Science, Dermatology Section, University of Siena, S. Maria alle Scotte Hospital, Siena, Italy
| | - B Labeille
- Department of Dermatology, University Hospital of Saint-Etienne, Saint-Etienne, France
| | - P Vercherin
- Service de Santé Publique et de l'Information Médicale, University Hospital of Saint-Etienne, Saint-Etienne, France
| | - P Rubegni
- Department of Medical, Surgical and Neurological Science, Dermatology Section, University of Siena, S. Maria alle Scotte Hospital, Siena, Italy
| | - F Cambazard
- Department of Dermatology, University Hospital of Saint-Etienne, Saint-Etienne, France
| | - J L Perrot
- Department of Dermatology, University Hospital of Saint-Etienne, Saint-Etienne, France
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Monpeurt C, Cinotti E, Razafindrakoto J, Rubegni P, Fimiani M, Perrot JL, Hebert M. Prediction of a nail polish colour applied on a nail. Int J Cosmet Sci 2017; 40:75-80. [PMID: 29057486 DOI: 10.1111/ics.12436] [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] [Subscribe] [Scholar Register] [Received: 07/13/2017] [Accepted: 10/11/2017] [Indexed: 11/29/2022]
Abstract
OBJECTIVE The colour of a nail polish varies according to the nail on which it is applied. The objective of this study was to predict the colour of the nail polish on a given nail and to study how the colour varies depending on the nail polish thickness. METHODS Six nail polishes were applied in one, two and three layers on the nails of one subject, thus forming eighteen samples. The spectral reflectances of the eighteen nail polishes applied on the nails with different thicknesses were obtained by spectrophotometry. The spectral reflectances of the nails without polish were also measured using the same technique. The thicknesses of nail polishes were measured by high-definition optical coherence tomography (HD-OCT). Then, to determine the physical parameters of the nail polish itself, we applied the six nail polishes on an opacity drawdown chart and we measured the spectral reflectance and the thickness of each patch using spectrophotometry and HD-OCT, respectively. The Kubelka-Munk theory was used to get the predicted spectral reflectance of the nail polish applied on the nail according to the polish thickness by knowing the parameter of the polish itself and the spectral reflectance of the nail. The predicted spectral reflectances were finally compared with those measured directly on the nails. RESULTS The predicted spectral reflectances were rather close to measured ones. Consequently, knowing the colour of the nail without polish and the optical parameters of the nail polish itself, we can estimate the colour of the nail polish applied on the nail depending on its thickness. CONCLUSION Our study showed that the Kubelka-Munk theory can be used to predict the nail polish colour. The ability to predict the real colour of a nail polish applied on a nail could help a nail polish manufacturer to improve his polish formulae in order to obtain a precise colour.
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Affiliation(s)
- C Monpeurt
- Institut d'Optique Graduate School Rhône-Alpes, Saint-Etienne, 42000, France
| | - E Cinotti
- Department of Medical, Surgical and Neurological Science, Dermatology Section, University of Siena, S.Maria alle Scotte Hospital, Viale Bracci, 16, 53100, Siena, Italy
| | - J Razafindrakoto
- Institut d'Optique Graduate School Rhône-Alpes, Saint-Etienne, 42000, France
| | - P Rubegni
- Department of Medical, Surgical and Neurological Science, Dermatology Section, University of Siena, S.Maria alle Scotte Hospital, Viale Bracci, 16, 53100, Siena, Italy
| | - M Fimiani
- Department of Medical, Surgical and Neurological Science, Dermatology Section, University of Siena, S.Maria alle Scotte Hospital, Viale Bracci, 16, 53100, Siena, Italy
| | - J L Perrot
- Department of Dermatology, University Hospital of Saint Etienne, Saint-Etienne, 42000, France
| | - M Hebert
- Institut d'Optique Graduate School Rhône-Alpes, Saint-Etienne, 42000, France.,Univ Lyon, UJM-Saint-Etienne, CNRS, Institut d'Optique Graduate School, Laboratoire Hubert Curien, UMR 5516, Saint-Etienne, F-42023, France
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31
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Monpeurt C, Cinotti E, Hebert M, Razafindrakoto J, Rubegni P, Fimiani M, Perrot JL. Thickness and morphology assessment of nail polishes applied on nails by high-definition optical coherence tomography. Skin Res Technol 2017; 24:156-157. [PMID: 29057553 DOI: 10.1111/srt.12406] [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] [Accepted: 09/10/2017] [Indexed: 11/28/2022]
Affiliation(s)
- C Monpeurt
- Institut d'Optique Graduate School Rhône-Alpes, Saint-Etienne, France
| | - E Cinotti
- Department of Medical, Surgical and Neurological Science, Dermatology Section, University of Siena, S.Maria alle Scotte Hospital, Siena, Italy
| | - M Hebert
- Institut d'Optique Graduate School Rhône-Alpes, Saint-Etienne, France.,Laboratoire Hubert Curienm, Institut d'Optique Graduate School, Univ Lyon, UJM-Saint-Etienne, CNRS, UMR 5516, Saint-Etienne, France
| | - J Razafindrakoto
- Institut d'Optique Graduate School Rhône-Alpes, Saint-Etienne, France
| | - P Rubegni
- Department of Medical, Surgical and Neurological Science, Dermatology Section, University of Siena, S.Maria alle Scotte Hospital, Siena, Italy
| | - M Fimiani
- Department of Medical, Surgical and Neurological Science, Dermatology Section, University of Siena, S.Maria alle Scotte Hospital, Siena, Italy
| | - J L Perrot
- Department of Dermatology, University Hospital of Saint Etienne, Saint-Etienne, France
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Perrot JL, Labeille B, Richard Coulet E, Cochin S, Biron Schneider AC, Rubegni P, Cambazard F, Cinotti E. [Contribution of reflectance confocal microscopy in the diagnosis of uterine cervix melanoma: First case report]. Ann Dermatol Venereol 2017; 144:567-569. [PMID: 28668262 DOI: 10.1016/j.annder.2017.03.023] [Citation(s) in RCA: 3] [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] [Received: 02/14/2017] [Accepted: 03/31/2017] [Indexed: 11/27/2022]
Affiliation(s)
- J L Perrot
- Service de dermatologie, hôpital universitaire de Saint-Étienne, 42055 Saint-Étienne cedex 2, France
| | - B Labeille
- Service de dermatologie, hôpital universitaire de Saint-Étienne, 42055 Saint-Étienne cedex 2, France
| | - E Richard Coulet
- SIPATH-anatomie et cytopathologie pathologique, 73, rue Général-Giraud, 42300 Roanne, France
| | - S Cochin
- Clinique du Renaison, 75, rue Général-Giraud, 42300 Roanne, France
| | - A-C Biron Schneider
- Service de dermatologie, hôpital universitaire de Saint-Étienne, 42055 Saint-Étienne cedex 2, France
| | - P Rubegni
- Service de dermatologie, hôpital universitaire S. Maria alle Scotte, 16, viale Bracci, 53100 Siena, Italie
| | - F Cambazard
- Service de dermatologie, hôpital universitaire de Saint-Étienne, 42055 Saint-Étienne cedex 2, France
| | - E Cinotti
- Service de dermatologie, hôpital universitaire S. Maria alle Scotte, 16, viale Bracci, 53100 Siena, Italie.
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Cinotti E, Chevallier J, Labeille B, Cambazard F, Thomas L, Balme B, Leccia MT, D'Incan M, Vercherin P, Douchet C, Rubegni P, Perrot JL. Mucosal melanoma: clinical, histological and c-kit gene mutational profile of 86 French cases. J Eur Acad Dermatol Venereol 2017; 31:1834-1840. [PMID: 28543798 DOI: 10.1111/jdv.14353] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2017] [Accepted: 04/24/2017] [Indexed: 02/06/2023]
Abstract
BACKGROUND Mucosal melanomas are rare and highly aggressive tumours. Few studies evaluated mucosal melanomas of locations other than the head and neck region, and other than those of the Asian population. OBJECTIVES The objective of this study was to analyse the clinical and histological features, as well as the mutational status of c-kit and b-raf gene of mucosal melanoma in any localization in a French series. METHODS We investigated clinical (sex, age, performance status, survival, treatment of the patients and lack of pigmentation of the tumours) and histopathological features (ulceration, Breslow's index, mitotic rate), as well as the mutational status of c-kit and b-raf of 86 mucosal melanomas diagnosed in 15 years in four French University Hospitals. RESULTS Most melanomas affected women (72%) and the genital region (46.5%). A fifth of melanomas were amelanotic. 81% of melanomas had a Breslow's index ≥1, whereas all glans melanomas, and most vulvar melanomas had a Breslow index ≤1 mm. Overall survival was 54% at 3 years; 11.6% of the 43 tested mucosal melanomas were c-kit-mutated while the 15 tested genital melanomas were not. The c-kit gene mutation did not influence the overall survival. Age ≥ 50, amelanotic type and performance status ≥1 were not poor prognostic factors in our series. CONCLUSION This study confirmed that mucosal melanomas are rare and could be difficult to diagnose being often amelanotic and in hidden sites. Most melanomas were thick at the diagnosis, but glans and vulvar melanomas were thinner probably because of their greater visibility. The frequency of the c-kit mutation varied depending on the initial tumour site. In our series, the prognosis was poor, independently from c-kit mutations and the patient's general health and age. The presence of metastasis at diagnosis was associated with a worse prognosis indicating the importance of an early diagnosis.
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Affiliation(s)
- E Cinotti
- Department of Dermatology, University Hospital of Saint Etienne, Saint Etienne, France.,Department of Medical, Surgical and Neurological Science, Dermatology Section, University of Siena, S. Maria alle Scotte Hospital, Siena, Italy
| | - J Chevallier
- Department of Dermatology, University Hospital of Saint Etienne, Saint Etienne, France
| | - B Labeille
- Department of Dermatology, University Hospital of Saint Etienne, Saint Etienne, France
| | - F Cambazard
- Department of Dermatology, University Hospital of Saint Etienne, Saint Etienne, France
| | - L Thomas
- Dermatology Department, University Hospital of Lyon Sud, Pierre Bénite, France
| | - B Balme
- Dermatopathology Department, University Hospital of Lyon Sud, Pierre Bénite, France
| | - M T Leccia
- Department of Dermatology, University Hospital of Grenoble, Grenoble, France
| | - M D'Incan
- Dermatology Department, University Hospital of Clermont-Ferrand, Clermont-Ferrand, France
| | - P Vercherin
- Department of Public Health and Medical Information, University Hospital of Saint Etienne, Saint Etienne, France
| | - C Douchet
- Department of Pathology, University Hospital of Saint Etienne, Saint Etienne, France
| | - P Rubegni
- Department of Medical, Surgical and Neurological Science, Dermatology Section, University of Siena, S. Maria alle Scotte Hospital, Siena, Italy
| | - J L Perrot
- Department of Dermatology, University Hospital of Saint Etienne, Saint Etienne, France
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Cinotti E, Labeille B, Cambazard F, Perrot JL. [Dermoscopy and reflectance confocal microscopy examination of pigmented fungiform papillae of the tongue]. Ann Dermatol Venereol 2016; 144:323-325. [PMID: 27939645 DOI: 10.1016/j.annder.2016.10.013] [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: 08/18/2016] [Revised: 10/04/2016] [Accepted: 10/13/2016] [Indexed: 11/17/2022]
Affiliation(s)
- E Cinotti
- Service de dermatologie, hôpital universitaire de Saint-Étienne, 42055 Saint-Étienne cedex 2, France.
| | - B Labeille
- Service de dermatologie, hôpital universitaire de Saint-Étienne, 42055 Saint-Étienne cedex 2, France
| | - F Cambazard
- Service de dermatologie, hôpital universitaire de Saint-Étienne, 42055 Saint-Étienne cedex 2, France
| | - J L Perrot
- Service de dermatologie, hôpital universitaire de Saint-Étienne, 42055 Saint-Étienne cedex 2, France
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35
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Cinotti E, Labeille B, Cambazard F, Flori P, Raberin H, Perrot JL. Unusual reflectance confocal microscopy findings during the examination of a perianal nevus: pinworms. J Eur Acad Dermatol Venereol 2016; 30:e86-e87. [PMID: 26374669 DOI: 10.1111/jdv.13333] [Citation(s) in RCA: 3] [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: 11/28/2022]
Affiliation(s)
- E Cinotti
- Department of Dermatology, University Hospital of Saint-Etienne, 42055, Saint Etienne, France.
| | - B Labeille
- Department of Dermatology, University Hospital of Saint-Etienne, 42055, Saint Etienne, France
| | - F Cambazard
- Department of Dermatology, University Hospital of Saint-Etienne, 42055, Saint Etienne, France
| | - P Flori
- Department of Parasitology, University Hospital of Saint-Etienne, 42055, Saint Etienne, France
| | - H Raberin
- Department of Parasitology, University Hospital of Saint-Etienne, 42055, Saint Etienne, France
| | - J L Perrot
- Department of Dermatology, University Hospital of Saint-Etienne, 42055, Saint Etienne, France
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36
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Cinotti E, Espinasse M, Labeille B, Cambazard F, Perrot JL. Dermoscopy, confocal microscopy and optical coherence tomography for the diagnosis of bedbug infestation. J Eur Acad Dermatol Venereol 2016; 31:e203-e204. [PMID: 27579708 DOI: 10.1111/jdv.13956] [Citation(s) in RCA: 2] [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: 11/30/2022]
Affiliation(s)
- E Cinotti
- Department of Dermatology, University Hospital of St-Etienne, Saint-Etienne, France
| | - M Espinasse
- Department of Ophthalmology, University Hospital of St-Etienne, Saint-Etienne, France
| | - B Labeille
- Department of Dermatology, University Hospital of St-Etienne, Saint-Etienne, France
| | - F Cambazard
- Department of Dermatology, University Hospital of St-Etienne, Saint-Etienne, France
| | - J L Perrot
- Department of Dermatology, University Hospital of St-Etienne, Saint-Etienne, France
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Leclercq A, Cinotti E, Labeille B, Cribier B, Biron AC, Vermersch C, Montlouis J, Cambazard F, Perrot JL. [The role of reflectance confocal microscopy in the diagnosis of secondary syphilis of the vulva and anus: A first case report]. Ann Dermatol Venereol 2016; 143:687-690. [PMID: 27567281 DOI: 10.1016/j.annder.2016.07.010] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [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: 06/27/2016] [Accepted: 07/12/2016] [Indexed: 11/27/2022]
Abstract
PATIENTS AND METHODS Herein we report the case of an 18-year-old pregnant patient presenting with plantar and ano-genital lesions of syphilis, pharyngitis, erythematosus and scalynasolabial intertrigo and angular cheilitis. REFLECTANCE CONFOCAL MICROSCOPY In vivo reflectance confocal microscopy examination (Vivascope 3000®; Caliber Inc, Rochester, NY, USA, distributed in France by Mavig, Munich) of ano-genital lesions enabled us to identify hyper-reflective elongated rods in the papillary dermis suggesting spirochetes. The diagnosis was confirmed by TPHA and VDRL as well as immunohistological examination. COMMENTS We identified for the first time rod shaped structures in ano-genital lesions of secondary syphilis, regularly alternating hyper-reflective and non-reflective areas corresponding to helix-shaped treponemes visualized by darkfield microscopy, which may not be confused with other cell structures.
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Affiliation(s)
- A Leclercq
- Service de dermatologie, hôpital universitaire de Saint-Etienne, 42055 Saint-Etienne cedex 2, France
| | - E Cinotti
- Service de dermatologie, hôpital universitaire de Saint-Etienne, 42055 Saint-Etienne cedex 2, France.
| | - B Labeille
- Service de dermatologie, hôpital universitaire de Saint-Etienne, 42055 Saint-Etienne cedex 2, France
| | - B Cribier
- Service de dermatologie et laboratoire de dermatopathologie, hôpitaux universitaires de Strasbourg, 67091 Strasbourg cedex, France
| | - A C Biron
- Service de dermatologie, hôpital universitaire de Saint-Etienne, 42055 Saint-Etienne cedex 2, France
| | - C Vermersch
- Service de gynécologie, hôpital universitaire de Saint-Etienne, 42055 Saint-Etienne cedex 2, France
| | - J Montlouis
- Service de gynécologie, hôpital universitaire de Saint-Etienne, 42055 Saint-Etienne cedex 2, France
| | - F Cambazard
- Service de dermatologie, hôpital universitaire de Saint-Etienne, 42055 Saint-Etienne cedex 2, France
| | - J L Perrot
- Service de dermatologie, hôpital universitaire de Saint-Etienne, 42055 Saint-Etienne cedex 2, France
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Debarbieux S, Perrot JL, Cinotti E, Labeille B, Fontaine J, Douchet C, Balme B, Thomas L. Reflectance confocal microscopy of Pigmented Bowen's disease: misleading dendritic cells. Skin Res Technol 2016; 23:126-128. [DOI: 10.1111/srt.12304] [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] [Accepted: 06/21/2016] [Indexed: 11/30/2022]
Affiliation(s)
- S. Debarbieux
- Dermatology Department; Centre Hospitalier Lyon Sud; Pierre-Bénite France
| | - J. L. Perrot
- Dermatology Department; Hôpital Nord; Saint Etienne France
| | - E. Cinotti
- Dermatology Department; Hôpital Nord; Saint Etienne France
| | - B. Labeille
- Dermatology Department; Hôpital Nord; Saint Etienne France
| | - J. Fontaine
- Pathology Department; Centre Hospitalier Lyon Sud; Pierre-Bénite France
| | - C. Douchet
- Pathology Department; Hôpital Nord; Saint Etienne France
| | - B. Balme
- Pathology Department; Centre Hospitalier Lyon Sud; Pierre-Bénite France
| | - L. Thomas
- Dermatology Department; Centre Hospitalier Lyon Sud; Pierre-Bénite France
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Kaspi M, Habougit C, Grivet D, Dumollard JM, Douchet C, Singer A, Thuret G, Gain P, Labeille B, Cinotti E, Perrot JL. [The role of reflectance confocal microscopy and optical coherence tomography in the diagnosis of epithelial-cystic conjunctival nevus]. Ann Dermatol Venereol 2016; 143:653-656. [PMID: 27364899 DOI: 10.1016/j.annder.2016.05.001] [Citation(s) in RCA: 4] [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] [Received: 03/24/2016] [Revised: 04/17/2016] [Accepted: 05/03/2016] [Indexed: 11/28/2022]
Affiliation(s)
- M Kaspi
- Service d'ophtalmologie, hôpital universitaire de Saint-Etienne, 42055 Saint-Etienne cedex 2, France
| | - C Habougit
- Service d'anatomopathologie, hôpital universitaire de Saint-Etienne, 42055 Saint-Etienne cedex 2, France
| | - D Grivet
- Service d'ophtalmologie, hôpital universitaire de Saint-Etienne, 42055 Saint-Etienne cedex 2, France
| | - J M Dumollard
- Service d'anatomopathologie, hôpital universitaire de Saint-Etienne, 42055 Saint-Etienne cedex 2, France
| | - C Douchet
- Service d'anatomopathologie, hôpital universitaire de Saint-Etienne, 42055 Saint-Etienne cedex 2, France
| | - A Singer
- Service d'ophtalmologie, hôpital universitaire de Saint-Etienne, 42055 Saint-Etienne cedex 2, France
| | - G Thuret
- Service d'ophtalmologie, hôpital universitaire de Saint-Etienne, 42055 Saint-Etienne cedex 2, France
| | - P Gain
- Service d'ophtalmologie, hôpital universitaire de Saint-Etienne, 42055 Saint-Etienne cedex 2, France
| | - B Labeille
- Service de dermatologie, hôpital universitaire de Saint-Etienne, 42055 Saint-Etienne cedex 2, France
| | - E Cinotti
- Service de dermatologie, hôpital universitaire de Saint-Etienne, 42055 Saint-Etienne cedex 2, France.
| | - J L Perrot
- Service de dermatologie, hôpital universitaire de Saint-Etienne, 42055 Saint-Etienne cedex 2, France
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Méry-Bossard L, Bagny K, Chaby G, Khemis A, Maccari F, Marotte H, Perrot JL, Reguiai Z, Sigal ML, Avenel-Audran M, Boyé T, Grasland A, Gillard J, Jullien D, Toussirot E. New-onset vitiligo and progression of pre-existing vitiligo during treatment with biological agents in chronic inflammatory diseases. J Eur Acad Dermatol Venereol 2016; 31:181-186. [PMID: 27291924 DOI: 10.1111/jdv.13759] [Citation(s) in RCA: 50] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2015] [Accepted: 04/06/2016] [Indexed: 02/06/2023]
Abstract
BACKGROUND The development of vitiligo during treatment with biological agents is an unusual event and only a few isolated cases have been reported. OBJECTIVES To describe the clinical characteristics and evolution of patients developing new-onset vitiligo following initiation of a biological agent for chronic inflammatory disease; and also to report the clinical course of pre-existing vitiligo under biological therapy. METHODS This nationwide multicentre, retrospective study, carried out between July 2013 and January 2015, describes the characteristics of a large series of 18 patients (psoriasis N = 8, inflammatory rheumatic diseases N = 8, ulcerative colitis N = 1, uveitis N = 1) who developed new-onset vitiligo while receiving a biological agent. RESULTS TNFα inhibitors were the most common biological agent involved (13/18) while anti-IL-12/23 and anti-IL-17 agents or abatacept were less common (4/18 and 1/18 respectively). Mean duration of biological agent exposure before vitiligo onset was 13.9 ± 16.5 months. Outcome was favourable for most patients (15/17) while maintaining the biological agent. Data were also collected for 18 patients (psoriasis N = 5, inflammatory rheumatic diseases N = 10, inflammatory bowel diseases N = 2, SAPHO N = 1) who had pre-existing vitiligo when treatment with a biological agent started (TNFα inhibitors N = 15, ustekinumab N = 1, rituximab N = 1, tocilizumab N = 1). Vitiligo progressed in seven patients and was stable or improved in eight cases. CONCLUSION Vitiligo may thus emerge and/or progress during treatment with various biological agents, mainly TNFα inhibitors and could be a new paradoxical skin reaction. De novo vitiligo displays a favourable outcome when maintaining the biological agent, whereas the prognosis seems worse in cases of pre-existing vitiligo.
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Affiliation(s)
- L Méry-Bossard
- Département de dermatologie, CH François Quesnay, Mantes-la-Jolie, France
| | - K Bagny
- Département de médecine interne et dermatologie, CHU Felix Guyon, Saint-Denis, France
| | - G Chaby
- Département de dermatologie, CHU Amiens Picardie Site Nord, Amiens, France
| | - A Khemis
- Département de dermatologie, CHU Archet 2, Nice, France
| | - F Maccari
- Département de dermatologie, HIA Bégin, Saint-Mandé, France
| | - H Marotte
- Département de rhumatologie, CHU Saint-Etienne Hôpital Nord, Saint Etienne, France
| | - J L Perrot
- Département de dermatologie, CHU Saint Etienne Hôpital Nord, Saint-Etienne, France
| | - Z Reguiai
- Département de dermatologie, CHU Reims, Reims, France
| | - M L Sigal
- Département de dermatologie, CH Victor Dupouy, Argenteuil, France
| | | | - T Boyé
- Département de dermatologie, HIA Sainte-Anne, Toulon, France
| | - A Grasland
- Département de médecine interne, AP-HP Hôpital Louis Mourier, Colombes, France
| | - J Gillard
- Département de rhumatologie, CHT Jura Sud, Lons le Saulnier, France
| | - D Jullien
- Département de Dermatologie, CHU Edouard Herriot, Lyon, France
| | - E Toussirot
- Centre d'investigation clinique biothérapie INSERM CIC-1431, FHU INCREASE, Rhumatologie, CHRU, Besançon, France
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Cinotti E, Grivet D, Labeille B, Solazzi M, Bernard A, Forest F, Espinasse M, Cambazard F, Thuret G, Gain P, Perrot JL. The ‘tissue press’: a new device to flatten fresh tissue duringex vivoconfocal microscopy examination. Skin Res Technol 2016; 23:121-124. [DOI: 10.1111/srt.12293] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [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: 11/26/2022]
Affiliation(s)
- E. Cinotti
- Department of Dermatology; University Hospital of St-Etienne; Saint Etienne Cedex 2 France
| | - D. Grivet
- Department of Ophthalmology; University Hospital of St-Etienne; Saint Etienne Cedex 2 France
- Biology, Engineering and Imaging of Corneal Graft Laboratory; Institute of Research in Sciences and Health Engineering, EA2512; Jean Monnet University; Saint-Etienne France
| | - B. Labeille
- Department of Dermatology; University Hospital of St-Etienne; Saint Etienne Cedex 2 France
| | - M. Solazzi
- PERCRO Laboratory; Scuola Superiore Sant'Anna; Pisa Italy
| | - A. Bernard
- Biology, Engineering and Imaging of Corneal Graft Laboratory; Institute of Research in Sciences and Health Engineering, EA2512; Jean Monnet University; Saint-Etienne France
| | - F. Forest
- Department of Pathology; University Hospital of St-Etienne; Saint Etienne Cedex 2 France
| | - M. Espinasse
- Department of Ophthalmology; University Hospital of St-Etienne; Saint Etienne Cedex 2 France
- Biology, Engineering and Imaging of Corneal Graft Laboratory; Institute of Research in Sciences and Health Engineering, EA2512; Jean Monnet University; Saint-Etienne France
| | - F. Cambazard
- Department of Dermatology; University Hospital of St-Etienne; Saint Etienne Cedex 2 France
| | - G. Thuret
- Department of Ophthalmology; University Hospital of St-Etienne; Saint Etienne Cedex 2 France
- Biology, Engineering and Imaging of Corneal Graft Laboratory; Institute of Research in Sciences and Health Engineering, EA2512; Jean Monnet University; Saint-Etienne France
- Institut Universitaire de France; Paris France
| | - P. Gain
- Department of Ophthalmology; University Hospital of St-Etienne; Saint Etienne Cedex 2 France
- Biology, Engineering and Imaging of Corneal Graft Laboratory; Institute of Research in Sciences and Health Engineering, EA2512; Jean Monnet University; Saint-Etienne France
| | - J. L. Perrot
- Department of Dermatology; University Hospital of St-Etienne; Saint Etienne Cedex 2 France
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Debarbieux S, Perrot JL, Erfan N, Ronger-Savlé S, Labeille B, Cinotti E, Depaepe L, Cardot-Leccia N, Lacour JP, Thomas L, Bahadoran P. Reflectance confocal microscopy of mucosal pigmented macules: a review of 56 cases including 10 macular melanomas. Br J Dermatol 2016; 170:1276-84. [PMID: 24359328 DOI: 10.1111/bjd.12803] [Citation(s) in RCA: 45] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/16/2013] [Indexed: 12/23/2022]
Abstract
BACKGROUND Although most mucosal pigmented macules are benign, it can be clinically challenging to rule out an early melanoma. Reflectance confocal microscopy (RCM) is a noninvasive imaging technique useful in discriminating between benign and malignant skin lesions. OBJECTIVES To describe the confocal aspects of benign and malignant mucosal pigmented macules with histopathological correlations. METHODS We retrospectively reviewed the confocal images of 56 labial or genital pigmented macules including 10 macular melanomas. According to the retrospective nature of the study, we evaluated the recorded images chosen by the physicians that performed the RCM examination for each case. RESULTS In benign macules, the most frequently observed pattern was a ringed pattern characterized by round or polycyclic papillae, with a hyper-reflective basal layer; another pattern was characterized by sparse bright dendritic cells in the basal layer, the basal epithelial cells being otherwise less reflective. Roundish cells, a high density of dendritic cells with atypias and intraepithelial bright cells were clues to the presence of malignancy. CONCLUSIONS Reflectance confocal microscopy seems to be a valuable tool to noninvasively differentiate benign from malignant mucosal pigmented macules and target biopsies in cases of equivocal features.
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Affiliation(s)
- S Debarbieux
- Department of Dermatology, Centre Hospitalier Lyon Sud, Pierre Bénite, France
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Leclercq A, Cinotti E, Labeille B, Perrot JL, Cambazard F. Ex vivoconfocal microscopy: a new diagnostic technique for mucormycosis. Skin Res Technol 2015; 22:203-7. [DOI: 10.1111/srt.12251] [Citation(s) in RCA: 14] [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: 05/17/2015] [Indexed: 11/29/2022]
Affiliation(s)
- A. Leclercq
- Department of Dermatology; University Hospital of Saint Etienne; Saint-Etienne France
| | - E. Cinotti
- Department of Dermatology; University Hospital of Saint Etienne; Saint-Etienne France
| | - B. Labeille
- Department of Dermatology; University Hospital of Saint Etienne; Saint-Etienne France
| | - J. L. Perrot
- Department of Dermatology; University Hospital of Saint Etienne; Saint-Etienne France
| | - F. Cambazard
- Department of Dermatology; University Hospital of Saint Etienne; Saint-Etienne France
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Cinotti E, Labeille B, Cambazard F, Thuret G, Gain P, Perrot JL. Reflectance confocal microscopy for mucosal diseases. GIORN ITAL DERMAT V 2015; 150:585-593. [PMID: 26099354] [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
Non-invasive, real-time microscopic imaging using in vivo reflectance confocal microscopy (RCM) has been demonstrated to be a useful tool for the evaluation of skin diseases and in particular for skin neoplasms. Recently, the RCM devices dedicated to the skin have also been applied to perform "virtual biopsies" of the oral, genital and ocular mucosa. In fact, mucosa is a sensitive area where non invasive imaging techniques are of high interest in order to spare biopsies and excisions. Mucosa is particularly suitable for RCM because of its thin or absent cornified layer and its thin epithelium that allows a deeper penetration of the laser with the consequent possibility of exploring deeper tissue levels. Besides, being useful for the diagnosis, RCM may be helpful to identify the area to be biopsied in case of large or multifocal lesions and may be regarded as a complementary technique for non invasive assessment of treatment efficacy. The RCM features of healthy mucosa are described and a revision of the literature of the mucosal diseases that can be diagnosed by RCM has been performed.
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Affiliation(s)
- E Cinotti
- Dermatology Department, University Hospital of Saint‑Etienne, Saint Etienne, France -
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45
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Cinotti E, Labeille B, Cambazard F, Perrot JL. Reflectance confocal microscopy in infectious diseases. GIORN ITAL DERMAT V 2015; 150:575-583. [PMID: 26129682] [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
In vivo reflectance confocal microscope (RCM) is a high-resolution non-invasive imaging technique that was initially focused on the diagnosis of skin cancers. A rising number of other indications have been later described for the diagnosis and management of inflammatory and infectious dermatological disorders. RCM can identify cutaneous parasites that are not visible to naked eye such as Sarcoptes scabiei and Demodex folliculorum and it allows to better identify the different body parts of bigger parasites such as ticks. Fungal filaments can also be identified as elongated bright structures in the cutaneous upper layers. RCM cannot observe virus directly. However, the cytopathic effect associated with some virus can be recognized. In addition of being helpful for the diagnosis and follow-up after treatment, thanks to its non-invasiveness, RCM allows pathophysiological studies.
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Affiliation(s)
- E Cinotti
- Dermatology Department University Hospital of Saint‑Etienne Cedex 2, Saint Etienne, France -
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Cinotti E, Debarbieux S, Perrot JL, Labeille B, Long-Mira E, Habougit C, Douchet C, Depaepe L, Hammami-Ghorbel H, Lacour JP, Thomas L, Cambazard F, Bahadoran P. Reflectance confocal microscopy features of acral lentiginous melanoma: a comparative study with acral nevi. J Eur Acad Dermatol Venereol 2015; 30:1125-8. [PMID: 26428577 DOI: 10.1111/jdv.13399] [Citation(s) in RCA: 10] [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] [Subscribe] [Scholar Register] [Received: 05/01/2015] [Accepted: 08/05/2015] [Indexed: 11/29/2022]
Abstract
BACKGROUND Acral lentiginous melanoma (ALM) can be difficult to differentiate from acral nevus. Reflectance confocal microscopy (RCM) is widely used for the diagnosis of melanocytic tumours, but the RCM features of ALM and acral nevus have not been described yet. OBJECTIVE To determine the RCM features of ALM and acral nevus, and their correlation with clinical and histological characteristics. METHODS Retrospective study of 17 cases of ALM and 26 acral nevi. RESULTS Pagetoid cells were present in all ALMs with a visible epidermis and in three nevi. A proliferation of atypical melanocytes at the dermal-epidermal junction (DEJ) and/or in the dermis was visible in nine ALMs but not in nevi. The histopathological examination of initial skin biopsies was unable to diagnose ALM in four cases, differing from RCM that could identify malignant tumour cells by exploring the whole lesions. CONCLUSION Reflectance confocal microscopy can help in the differentiation of ALM and acral nevus, and to guide the biopsy.
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Affiliation(s)
- E Cinotti
- Dermatology Department, CHU of Saint-Etienne, Saint Etienne, France
| | - S Debarbieux
- Dermatology Department, Hospices Civils of Lyon, Lyon, France
| | - J L Perrot
- Dermatology Department, CHU of Saint-Etienne, Saint Etienne, France
| | - B Labeille
- Dermatology Department, CHU of Saint-Etienne, Saint Etienne, France
| | - E Long-Mira
- Pathology Department, LPCE, CHU of Nice, Nice, France
| | - C Habougit
- Pathology Department, CHU of Saint-Etienne, Saint-Etienne, France
| | - C Douchet
- Pathology Department, CHU of Saint-Etienne, Saint-Etienne, France
| | - L Depaepe
- Pathology Department, Hospices Civils of Lyon, Lyon, France
| | | | - J P Lacour
- Pathology Department, LPCE, CHU of Nice, Nice, France
| | - L Thomas
- Dermatology Department, Hospices Civils of Lyon, Lyon, France
| | - F Cambazard
- Dermatology Department, CHU of Saint-Etienne, Saint Etienne, France
| | - P Bahadoran
- Pathology Department, LPCE, CHU of Nice, Nice, France.,Centre de Recherche Clinique, INSERM U 1065 Equipe 1 CHU of Nice, Nice, France
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Cinotti E, Couzan C, Perrot JL, Habougit C, Labeille B, Cambazard F, Moscarella E, Kyrgidis A, Argenziano G, Pellacani G, Longo C. In vivo confocal microscopic substrate of grey colour in melanosis. J Eur Acad Dermatol Venereol 2015; 29:2458-62. [PMID: 26403597 DOI: 10.1111/jdv.13394] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2015] [Accepted: 07/27/2015] [Indexed: 11/29/2022]
Abstract
BACKGROUND Melanosis is the most common cause of mucosal pigmentation and can be clinically difficult to differentiate from early melanoma (MM). Dermoscopy can help in the distinction between melanosis and MM, but in some instances, melanoses may exhibit overlapping features with MM such as the presence of grey colour. OBJECTIVE We sought to evaluate whether reflectance confocal microscopy (RCM) can help to better understand the dermoscopic features of melanoses in order to assist clinicians in their diagnosis. METHODS All melanoses diagnosed between June 2011 and December 2014 in the Departments of Dermatology of the University of Saint-Etienne (France) and of Modena and Reggio Emilia (Italy), for which dermoscopic and RCM images were available, were included. Twenty-two lesions were biopsied to confirm the clinical diagnosis, whereas the others did not present any change at a follow-up of at least 6 months. The correlation between dermoscopic and RCM features were evaluated by the Spearman's rho correlation coefficient. RESULTS 55 melanoses were studied: 31 of the oral mucosa and 24 of the genital mucosa. 49% (n = 27) of melanoses exhibited a grey colour under dermoscopy. The grey colour correlated with the presence of melanophages under RCM (ρ = 0.424, P = 0.002). CONCLUSION Our findings highlight that the presence of the grey colour on dermoscopy, considered as an alerting feature, is common in melanoses and it is related to the presence of melanin-laden inflammatory cells in the papillary dermis on RCM. When it is present as a 'pure' feature not associated to other colours than brown or to atypical dermoscopical structures, it could be related to the diagnosis of melanosis.
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Affiliation(s)
- E Cinotti
- Department of Dermatology, University Hospital of Saint Etienne, Saint Etienne, France
| | - C Couzan
- Department of Dermatology, University Hospital of Saint Etienne, Saint Etienne, France
| | - J L Perrot
- Department of Dermatology, University Hospital of Saint Etienne, Saint Etienne, France
| | - C Habougit
- Department of Pathology, University Hospital of Saint Etienne, Saint Etienne, France
| | - B Labeille
- Department of Dermatology, University Hospital of Saint Etienne, Saint Etienne, France
| | - F Cambazard
- Department of Dermatology, University Hospital of Saint Etienne, Saint Etienne, France
| | - E Moscarella
- Skin Cancer Unit, Arcispedale S. Maria Nuova-IRCCS, Reggio Emilia, Italy
| | - A Kyrgidis
- Skin Cancer Unit, Arcispedale S. Maria Nuova-IRCCS, Reggio Emilia, 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
| | - C Longo
- Skin Cancer Unit, Arcispedale S. Maria Nuova-IRCCS, Reggio Emilia, Italy
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Cinotti E, Labeille B, Habougit C, Douchet C, Cambazard F, Perrot JL. [Contribution of reflectance confocal microscopy for the diagnosis of junctional naevus]. Ann Dermatol Venereol 2015; 142:595-7. [PMID: 25934213 DOI: 10.1016/j.annder.2015.03.023] [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: 01/26/2015] [Accepted: 03/17/2015] [Indexed: 10/23/2022]
Affiliation(s)
- E Cinotti
- Service de dermatologie, hôpital universitaire de Saint-Étienne, 42055 Saint-Étienne cedex 2, France.
| | - B Labeille
- Service de dermatologie, hôpital universitaire de Saint-Étienne, 42055 Saint-Étienne cedex 2, France
| | - C Habougit
- Service d'anatomopathologie, hôpital universitaire de Saint-Étienne, 42055 Saint-Étienne cedex 2, France
| | - C Douchet
- Service d'anatomopathologie, hôpital universitaire de Saint-Étienne, 42055 Saint-Étienne cedex 2, France
| | - F Cambazard
- Service de dermatologie, hôpital universitaire de Saint-Étienne, 42055 Saint-Étienne cedex 2, France
| | - J L Perrot
- Service de dermatologie, hôpital universitaire de Saint-Étienne, 42055 Saint-Étienne cedex 2, France
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Cinotti E, Labeille B, Boukenter A, Ouerdane Y, Cambazard F, Perrot JL. Characterization of coal tattoos by Raman spectroscopy. Skin Res Technol 2015; 21:511-2. [DOI: 10.1111/srt.12221] [Citation(s) in RCA: 4] [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] [Accepted: 02/14/2015] [Indexed: 11/28/2022]
Affiliation(s)
- E. Cinotti
- Department of Dermatology; University Hospital of Saint Etienne; Saint-Etienne France
| | - B. Labeille
- Department of Dermatology; University Hospital of Saint Etienne; Saint-Etienne France
| | - A. Boukenter
- Laboratoire Hubert Curien; CNRS UMR-5516 F; University of St-Etienne; Saint-Etienne France
| | - Y. Ouerdane
- Laboratoire Hubert Curien; CNRS UMR-5516 F; University of St-Etienne; Saint-Etienne France
| | - F. Cambazard
- Department of Dermatology; University Hospital of Saint Etienne; Saint-Etienne France
| | - J. L. Perrot
- Department of Dermatology; University Hospital of Saint Etienne; Saint-Etienne France
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Cinotti E, Perrot JL, Labeille B, Thuret G, Espinasse M, Grivet D, Gain P, Douchet C, Campolmi N, Cambazard F. In vivo confocal microscopy for eyelids and ocular surface: a new horizon for dermatologists. GIORN ITAL DERMAT V 2015; 150:127-129. [PMID: 25686288] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Affiliation(s)
- E Cinotti
- Department of Dermatology, University Hospital of Saint Etienne, Saint Etienne, France -
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