Dermoscopy of Acral Melanoma: A Multicenter Study on Behalf of the International Dermoscopy Society

被引：19

作者：

Braun, Ralph P. ^{[1
]}

Thomas, L. ^{[3
]}

Dusza, S. W. ^{[5
]}

Gaide, O. ^{[2
]}

Menzies, S. ^{[10
,11
]}

Dalle, S. ^{[3
]}

Blum, A. ^{[12
]}

Argenziano, G. ^{[15
]}

Zalaudek, I. ^{[15
,21
]}

Kopf, A. ^{[6
]}

Rabinovitz, H. ^{[7
,8
]}

Oliviero, M. ^{[7
,8
]}

Perrinaud, A. ^{[4
]}

Cabo, H. ^{[23
]}

Pizzichetta, M. ^{[16
]}

Pozo, L. ^{[24
]}

Langford, D. ^{[25
]}

Tanaka, M. ^{[26
]}

Saida, T. ^{[27
]}

Ortiz, A. M. Perusquia ^{[13
]}

Kreusch, J. ^{[14
]}

De Giorgi, V. ^{[17
]}

Piccolo, D. ^{[18
]}

Grichnik, J. M. ^{[9
]}

Kittler, H. ^{[22
]}

Puig, S. ^{[28
]}

Malvehy, J. ^{[28
]}

Seidenari, S. ^{[19
]}

Stanganelli, I. ^{[20
]}

French, L. ^{[1
]}

Marghoob, A. A. ^{[5
]}

机构：

[1] Univ Zurich Hosp, Dept Dermatol, CH-8091 Zurich, Switzerland

[2] CHU Vaudois, Serv Dermatol, Lausanne, Switzerland

[3] Univ Lyon 1, Ctr Hosp Lyon Sud, Dept Dermatol, F-69365 Lyon, France

[4] CHU Trousseau, Serv Dermatol, F-37044 Tours, France

[5] Mem Sloan Kettering Canc Ctr, Dermatol Serv, New York, NY 10021 USA

[6] New York Univ Med, Dept Dermatol, New York, NY USA

[7] Skin & Canc Associates, Plantation, FL USA

[8] Univ Miami, Hosp & Clin, Sylvester Comprehens Canc Ctr, UMHC Melanoma Clin, Miami, FL USA

[9] Univ Miami, Miller Sch Med, Dept Dermatol, Anna Fund Melanoma Program, Miami, FL 33136 USA

[10] Royal Prince Alfred Hosp, Sydney Melanoma Diagnost Ctr, Sydney Canc Ctr, Camperdown, NSW 2050, Australia

[11] Univ Sydney, Sydney Med Sch, Discipline Dermatol, Sydney, NSW 2006, Australia

[12] Private & Teaching Practice Dermatol, Constance, Germany

[13] Univ Munster, Dept Dermatol, D-48149 Munster, Germany

[14] Skin Canc Diagnost Ctr, Lubeck, Germany

[15] Arcispedale Santa Maria Nuova IRCCS, Skin Canc Unit, Reggio Emilia, Italy

[16] Natl Canc Inst, Div Med Oncol Prevent Oncol, Ctr Riferimento Oncol, Aviano, Italy

[17] Univ Florence, Dept Dermatol, Florence, Italy

[18] Univ Aquila, Dept Dermatol, I-67100 Laquila, Italy

[19] Univ Modena & Reggio Emilia, Dept Surg Med Odontoiatr & Morphol Sci, Modena, Italy

[20] Ist Tumori Romagna, Skin Canc Unit, Meldola, Italy

[21] Med Univ Graz, Div Dermatol, Graz, Austria

[22] Univ Vienna, Sch Med, Dept Dermatol, Vienna, Austria

[23] Univ Buenos Aires, Inst Invest Med A Lanari, Buenos Aires, DF, Argentina

[24] Homerton Univ Hosp, Dept Dermatol, London, England

[25] Aikmans Rd Clin, Christchurch, New Zealand

[26] Tokyo Womens Med Univ, Med Ctr East, Dept Dermatol, Tokyo, Japan

[27] Shinshu Univ, Sch Med, Dept Dermatol, Matsumoto, Nagano 390, Japan

[28] Hosp Clin Barcelona, Dept Dermatol, Barcelona, Spain

来源：

DERMATOLOGY | 2013年 / 227卷 / 04期

关键词：

Acral melanoma; Dermoscopy; Caucasian population; PLANTAR MALIGNANT-MELANOMA; LENTIGINOUS MELANOMA; MELANOCYTIC LESIONS; WHITE-POPULATION; VOLAR SKIN; PATTERNS; DIAGNOSIS; NEVUS; DIFFERENTIATION; AGREEMENT;

D O I：

10.1159/000356178

中图分类号：

R75 [皮肤病学与性病学];

学科分类号：

100206 ;

摘要：

Background: Most studies on dermoscopy of acral lesions were conducted in Asian populations. In this study, we analyzed these features in a predominantly Caucasian population. Objective: Estimate the prevalence of dermoscopic features in acral lesions, and assess their level of agreement between observers. Methods: In this retrospective multicenter study, 167 acral lesions (66 melanomas) were evaluated for 13 dermoscopic patterns by 26 physicians, via a secured Internet platform. Results: Parallel furrow pattern, bizarre pattern, and diffuse pigmentation with variable shades of brown had the highest prevalence. The agreement for lesion patterns between physicians was variable. Agreement was dependent on the level of diagnostic difficulty. Conclusion: Lesions with a diameter >1 cm were more likely to be melanoma. We found as well that a benign pattern can be seen in parts of melanomas. For this reason one should evaluate an acral lesion for the presence of malignant patterns first. (C) 2013 S. Karger AG, Basel

引用

页码：373 / 380

页数：8

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