Article ; Online: Dendritic cells in reflectance confocal microscopy are a clue for early melanoma diagnosis in extrafacial flat pigmented melanocytic lesions.
2022 Volume 31, Issue 7, Page(s) 1048–1055
Abstract: Differential diagnosis of extrafacial flat pigmented lesions with dermoscopic reticular and/or homogeneous pattern is challenging. Dendritic cells upon reflectance confocal microscopy (RCM) still represent a pitfall. This study aims to determine the role ...
Abstract | Differential diagnosis of extrafacial flat pigmented lesions with dermoscopic reticular and/or homogeneous pattern is challenging. Dendritic cells upon reflectance confocal microscopy (RCM) still represent a pitfall. This study aims to determine the role of dendritic cells upon RCM in the epidermis and dermo-epidermal junction (DEJ), together with common RCM features for melanoma and nevi, in dermoscopically equivocal extrafacial flat pigmented lesions. A retrospective evaluation of RCM images of melanocytic extrafacial flat pigmented lesions with reticular and/or homogeneous dermoscopic pattern and with histopathological diagnosis, was performed. A multivariate model of RCM features was used to obtain a score of independent risk factors. A total of 698 lesions were included. Increasing patient age, epidermal dendritic cells, many dendritic cells in the DEJ (>30%) and many (>5/mm |
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MeSH term(s) | Dendritic Cells ; Dermoscopy/methods ; Diagnosis, Differential ; Humans ; Melanoma/pathology ; Microscopy, Confocal/methods ; Nevus/diagnosis ; Retrospective Studies ; Skin Neoplasms/pathology |
Language | English |
Publishing date | 2022-03-04 |
Publishing country | Denmark |
Document type | Journal Article |
ZDB-ID | 1130936-2 |
ISSN | 1600-0625 ; 0906-6705 |
ISSN (online) | 1600-0625 |
ISSN | 0906-6705 |
DOI | 10.1111/exd.14553 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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