Dermoscopic Characteristics of Melanoma According to the Criteria 'Ulceration' and 'Mitotic Rate' of the AJCC 2009 Staging System for Melanoma
| Autor: | André G. Oliveira, Cesare Massone, Rainer Hofmann-Wellenhof, Edith Arzberger, Teresa Deinlein, Iris Zalaudek, Günter Schulter, Juan Garcias-Ladaria |
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| Přispěvatelé: | Deinlein, Teresa, Arzberger, Edith, Zalaudek, Iri, Massone, Cesare, Garcias-Ladaria, Juan, Oliveira, Andrã©, Schulter, Gã¼nter, Hofmann-Wellenhof, Rainer |
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Melanomas
Male Skin Neoplasms Biopsy lcsh:Medicine Pathology and Laboratory Medicine 030207 dermatology & venereal diseases 0302 clinical medicine Medicine and Health Sciences Neoplasm Metastasis lcsh:Science Melanoma Skin Multidisciplinary medicine.diagnostic_test Mitotic rate Middle Aged melanoma ulceration Oncology 030220 oncology & carcinogenesis HCC DER Engineering and Technology Female Anatomy Research Article medicine.medical_specialty Histology Imaging Techniques Histopathology Mitosis Surgical and Invasive Medical Procedures Dermoscopy Dermatology Digital Imaging Research and Analysis Methods Retrospective data 03 medical and health sciences Signs and Symptoms Diagnostic Medicine medicine Humans Staging system Ulcer Aged Neoplasm Staging Retrospective Studies business.industry lcsh:R Cancers and Neoplasms Biology and Life Sciences Retrospective cohort study medicine.disease Anatomical Pathology Lesions lcsh:Q business Follow-Up Studies |
| Zdroj: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) Agência para a Sociedade do Conhecimento (UMIC)-FCT-Sociedade da Informação instacron:RCAAP BASE-Bielefeld Academic Search Engine PLoS ONE, Vol 12, Iss 4, p e0174871 (2017) PLoS ONE |
| Popis: | OBJECTIVE: The present study was conducted to identify possible dermoscopic patterns, associated with mitotic rate > 1/mm2, histological ulceration in melanoma and metastatic disease. METHODS: For this retrospective data analysis all clinical and dermoscopic digital images of primary malignant melanomas between 2008 and 2013 documented at the Department of Dermatology Graz were included, using the internal image data-base. 550 patients with 559 melanomas were included. RESULTS: While clinical or dermoscopic analysis considered ulceration to be present in 120 (21.5%) and 117 (20.9%) of all lesions, respectively, histopathology reported ulceration in only 96 cases (17.2%). The presence of milky-red areas, shiny-white streaks, a blue-white veil and blue-grey areas in dermoscopy is highly correlated with histological ulceration and a mitotic rate > 1/mm2. The dermoscopic patterns shiny-white streaks, milky-red areas and blue-white veil were also significantly associated with development of distant metastases. CONCLUSION: Our study proves a significant correlation between the dermoscopic patterns "blue white veil", "milky-red areas"and "shiny-white streaks"and the histological findings "ulceration"and "mitotic rate > 1/mm2". Furthermore these dermoscopic patterns are highly related to distant metastases. Thus, dermoscopy renders earlier prognostic statements possible. info:eu-repo/semantics/publishedVersion |
| Databáze: | OpenAIRE |
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