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Dermoscopy

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1. Dermoscopy, with and without visual inspection, for diagnosing melanoma in adults. (PubMed)

Dermoscopy, with and without visual inspection, for diagnosing melanoma in adults. Melanoma has one of the fastest rising incidence rates of any cancer. It accounts for a small percentage of skin cancer cases but is responsible for the majority of skin cancer deaths. Although history-taking and visual inspection of a suspicious lesion by a clinician are usually the first in a series of 'tests' to diagnose skin cancer, dermoscopy has become an important tool to assist diagnosis by specialist (...) clinicians and is increasingly used in primary care settings. Dermoscopy is a magnification technique using visible light that allows more detailed examination of the skin compared to examination by the naked eye alone. Establishing the additive value of dermoscopy over and above visual inspection alone across a range of observers and settings is critical to understanding its contribution for the diagnosis of melanoma and to future understanding of the potential role of the growing number of other high

2018 Cochrane

2. Computer-assisted diagnosis techniques (dermoscopy and spectroscopy-based) for diagnosing skin cancer in adults. (PubMed)

Computer-assisted diagnosis techniques (dermoscopy and spectroscopy-based) for diagnosing skin cancer in adults. Early accurate detection of all skin cancer types is essential to guide appropriate management and to improve morbidity and survival. Melanoma and cutaneous squamous cell carcinoma (cSCC) are high-risk skin cancers which have the potential to metastasise and ultimately lead to death, whereas basal cell carcinoma (BCC) is usually localised with potential to infiltrate and damage (...) ; Science Citation Index; US National Institutes of Health Ongoing Trials Register; NIHR Clinical Research Network Portfolio Database; and the World Health Organization International Clinical Trials Registry Platform. We studied reference lists and published systematic review articles.Studies of any design that evaluated CAD alone, or in comparison with dermoscopy, in adults with lesions suspicious for melanoma or BCC or cSCC, and compared with a reference standard of either histological confirmation

2018 Cochrane

3. Visual inspection and dermoscopy, alone or in combination, for diagnosing keratinocyte skin cancers in adults. (PubMed)

Visual inspection and dermoscopy, alone or in combination, for diagnosing keratinocyte skin cancers in adults. Early accurate detection of all skin cancer types is important to guide appropriate management, to reduce morbidity and to improve survival. Basal cell carcinoma (BCC) is almost always a localised skin cancer with potential to infiltrate and damage surrounding tissue, whereas a minority of cutaneous squamous cell carcinomas (cSCCs) and invasive melanomas are higher-risk skin cancers (...) with the potential to metastasise and cause death. Dermoscopy has become an important tool to assist specialist clinicians in the diagnosis of melanoma, and is increasingly used in primary-care settings. Dermoscopy is a precision-built handheld illuminated magnifier that allows more detailed examination of the skin down to the level of the superficial dermis. Establishing the value of dermoscopy over and above visual inspection for the diagnosis of BCC or cSCC in primary- and secondary-care settings is critical

2018 Cochrane

4. The role of dermoscopy in the diagnosis of deep mycoses and systemic mycoses with cutaneous involvement Comment on "Dermoscopy in disseminated sporotrichosis". (PubMed)

The role of dermoscopy in the diagnosis of deep mycoses and systemic mycoses with cutaneous involvement Comment on "Dermoscopy in disseminated sporotrichosis". 29953679 2019 01 18 1468-3083 33 1 2019 Jan Journal of the European Academy of Dermatology and Venereology : JEADV J Eur Acad Dermatol Venereol The role of dermoscopy in the diagnosis of deep mycoses and systemic mycoses with cutaneous involvement: Comment on 'Dermoscopy in disseminated sporotrichosis'. e35-e36 10.1111/jdv.15155

2018 Journal of the European Academy of Dermatology and Venereology

5. Dermoscopy features of atypical fibroxanthoma: A multicenter study of the International Dermoscopy Society. (PubMed)

Dermoscopy features of atypical fibroxanthoma: A multicenter study of the International Dermoscopy Society. Little is known about the dermoscopic features of atypical fibroxanthoma.This was a case-control study. Atypical fibroxanthoma lesions were compared with a control group with non-melanoma skin cancer.Altogether 40 atypical fibroxanthoma were collected. Most developed in men (93%), appearing mainly as nodular (63%), amelanotic (93%) and ulcerated (78%) lesions. Most lesions were located

2018 Australasian Journal of Dermatology

6. Update on dermoscopy of Spitz/Reed naevi and management guidelines by the International Dermoscopy Society. (PubMed)

Update on dermoscopy of Spitz/Reed naevi and management guidelines by the International Dermoscopy Society. Spitzoid lesions represent a challenging and controversial group of tumours, in terms of clinical recognition, biological behaviour and management strategies. Although Spitz naevi are considered benign tumours, their clinical and dermoscopic morphological overlap with spitzoid melanoma renders the management of spitzoid lesions particularly difficult. The controversy deepens because (...) of the existence of tumours that cannot be safely histopathologically diagnosed as naevi or melanomas (atypical Spitz tumours). The dual objective of the present study was to provide an updated classification on dermoscopy of Spitz naevi, and management recommendations of spitzoid-looking lesions based on a consensus among experts in the field. After a detailed search of the literature for eligible studies, a data synthesis was performed from 15 studies on dermoscopy of Spitz naevi. Dermoscopically, Spitz

2017 British Journal of Dermatology

7. Dermoscopy, Digital Dermoscopy and Other Diagnostic Tools in the Early Detection of Melanoma and Follow-up of High-risk Skin Cancer Patients. (PubMed)

Dermoscopy, Digital Dermoscopy and Other Diagnostic Tools in the Early Detection of Melanoma and Follow-up of High-risk Skin Cancer Patients. Early detection is a key strategy for reducing the mortality and economic burden associated with melanoma. Dermoscopy is a non-invasive and cost-effective tool for melanoma diagnosis, which has been shown to be a reliable and sensitive method for detecting early-stage skin cancer and reducing the number of unnecessary excisions. Patients at high risk (...) of developing melanoma require long-term surveillance. Use of digital dermoscopy follow-up of these patients has led to improved outcomes. Combined follow-up programmes using total-body photography and digital dermoscopy have led to further improvements in early diagnosis and diagnostic accuracy. Dermoscopy is now widely used by dermatologists, but the public health impact of this tool is yet to be evaluated. Despite the clear advantages of dermoscopy and digital follow-up meth-ods, dermoscopy training

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2017 Acta Dermato-Venereologica

8. Standardization of terminology in dermoscopy/dermatoscopy: Results of the third consensus conference of the International Society of Dermoscopy. (PubMed)

Standardization of terminology in dermoscopy/dermatoscopy: Results of the third consensus conference of the International Society of Dermoscopy. Evolving dermoscopic terminology motivated us to initiate a new consensus.We sought to establish a dictionary of standardized terms.We reviewed the medical literature, conducted a survey, and convened a discussion among experts.Two competitive terminologies exist, a more metaphoric terminology that includes numerous terms and a descriptive terminology (...) based on 5 basic terms. In a survey among members of the International Society of Dermoscopy (IDS) 23.5% (n = 201) participants preferentially use descriptive terminology, 20.1% (n = 172) use metaphoric terminology, and 484 (56.5%) use both. More participants who had been initially trained by metaphoric terminology prefer using descriptive terminology than vice versa (9.7% vs 2.6%, P < .001). Most new terms that were published since the last consensus conference in 2003 were unknown to the majority

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2016 Journal of American Academy of Dermatology

9. Acral melanoma detection using a convolutional neural network for dermoscopy images. (PubMed)

Acral melanoma detection using a convolutional neural network for dermoscopy images. Acral melanoma is the most common type of melanoma in Asians, and usually results in a poor prognosis due to late diagnosis. We applied a convolutional neural network to dermoscopy images of acral melanoma and benign nevi on the hands and feet and evaluated its usefulness for the early diagnosis of these conditions.A total of 724 dermoscopy images comprising acral melanoma (350 images from 81 patients (...) neural network was 83.51% and 80.23%, which was higher than the non-expert's evaluation (67.84%, 62.71%) and close to that of the expert (81.08%, 81.64%). Moreover, the convolutional neural network showed area-under-the-curve values like 0.8, 0.84 and Youden's index like 0.6795, 0.6073, which were similar score with the expert.Although further data analysis is necessary to improve their accuracy, convolutional neural networks would be helpful to detect acral melanoma from dermoscopy images

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2018 PLoS ONE

10. Digitally reconstructed top-down view images provides intuitive understanding of correlation between dermoscopy and histopathology: A good educational tool. (PubMed)

Digitally reconstructed top-down view images provides intuitive understanding of correlation between dermoscopy and histopathology: A good educational tool. Dermoscopy is an optical technique, which enables us to observe the fine structures especially in melanocytic skin lesions. In the dermoscopic structures of melanocytic lesions, including nevocellular nevus and melanoma, 1) pigment network, 2) dots and globules, and 3) streaks are main components. The irregularity of these structures helps

2019 British Journal of Dermatology

11. 'Eternal sunshine of the spotless islands': how dermoscopy may influence confocal microscopy when dealing with squamous cells carcinoma simulating basal cell carcinoma. (PubMed)

'Eternal sunshine of the spotless islands': how dermoscopy may influence confocal microscopy when dealing with squamous cells carcinoma simulating basal cell carcinoma. Basal cell carcinoma (BCC) represents one of the best indications for the use of in-vivo reflectance confocal microscopy (RCM). High levels of diagnostic accuracy is reached with the combined use of dermoscopy and RCM for BCC diagnosis that is based on a set of distinct confocal features. Furthermore, new handled devices allowed

2019 Journal of the European Academy of Dermatology and Venereology

12. Dermoscopy of venous lake on the lips: A comparative study with labial melanotic macule. (PubMed)

Dermoscopy of venous lake on the lips: A comparative study with labial melanotic macule. Venous lake (VL) is a common vascular tumor occurring on the lips in the elderly. VL is sometimes difficult to distinguish from melanotic lesions such as labial melanotic macule (LMM) or oral malignant melanoma. However, the dermoscopic features of VL have not been sufficiently established in the literature.This study was aimed at investigating the dermoscopic features of VL on the lips, and to compare (...) , lines (p = 0.000) and dots (p = 0.044) as patterns, and brown (p = 0.000) and gray (p = 0.044) colors were significantly more frequent in LMM. White structures were more common in VL than in LMM (p = 0.001).Structureless patterns or globules/clods with purple, red, or blue coloration can be useful findings when differentiating VLs from LMM on dermoscopy. Therefore, dermoscopic evaluation is a helpful noninvasive ancillary tool in the diagnosis of VL.

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2018 PLoS ONE

13. Dermoscopy for the diagnosis of eyelid margin tumours. (PubMed)

Dermoscopy for the diagnosis of eyelid margin tumours. There are only case reports concerning dermoscopy of eyelid margin tumours. We evaluated the clinical and dermoscopic features of 165 eyelid margin tumours of 145 consecutive patients (77 females, 68 males, mean age 64·3 years, standard deviation - SD 17·94, range 10 - 95 years) recruited at the Dermatology Department of the University Hospital of Saint-Etienne, France, between September 1st, 2013 and January 30th, 2017 to exclude malignant

2019 British Journal of Dermatology

14. Smartphone wallpapers for dermoscopy training in medical students and residents. (PubMed)

Smartphone wallpapers for dermoscopy training in medical students and residents. Several dermoscopy training programs have found the accuracy of dermoscopy examination depends on adequate training of practitioners. Smartphones are readily available and time-efficient tools for dermoscopy training.To evaluate the learning efficacy of utilizing dermoscopy smartphone wallpapers to train medical students, PGY (postgraduate year)-1 trainees, and junior dermatological residents without prior (...) dermoscopy training.We designed smartphone wallpapers with dermoscopy pictures and features of several common melanocytic and nonmelanocytic conditions. Pretests and posttests were performed before and after a 10-day-long smartphone wallpaper training program to evaluate their diagnostic accuracy using dermoscopy images.Significant progressions were noted between the pretest and posttest scores both in the nonmelanocytic (P < 0.001) and the melanocytic (P = 0.003) sections. Medical students and PGY-1

2019 International Journal of Dermatology

15. Dermoscopy of naevi in patients with oculocutaneous albinism. (PubMed)

Dermoscopy of naevi in patients with oculocutaneous albinism. Oculocutaneous albinism (OCA) increases predisposition to skin malignancies. Nevertheless, the differential diagnosis between melanoma and naevi in patients with OCA is still challenging, because pigmentary lesions have rarely been described in this population. We aimed to describe the dermoscopic patterns of naevi in patients with OCA. We prospectively evaluated 83 naevi from 37 patients with OCA in a single centre in Brazil (...) . Lesions were analysed by eye and by dermoscopy and were grouped by dermoscopic pattern. Eight main patterns were identified: homogeneous structureless pattern (n = 28; 33.7%), globular pattern (n = 27; 32.5%), reticular pattern (n = 8; 9.6%), peripheral reticular pattern with central hypopigmentation (n = 8; 9.6%), peripheral globules (n = 8; 9.6%), irregular brown globules with pink background (n = 2; 2.4%), reticular globular disorganized pattern (n = 1; 1.2%) and peripheral reticular globular

2019 Clinical & Experimental Dermatology

16. High accuracy of recognition of common forms of folliculitis by dermoscopy: an observational study. (PubMed)

High accuracy of recognition of common forms of folliculitis by dermoscopy: an observational study. Clinical differentiation of folliculitis types is challenging. Dermoscopy supports the recognition of folliculitis etiology but its diagnostic accuracy is not known.To assess the diagnostic accuracy of dermoscopy for folliculitis.This observational study included patients (n=240) with folliculitis determined based on clinical and dermoscopic assessments. Dermoscopic image of the most (...) was caused by parasites (n=71), fungi (n=81), bacteria (n=57), or 7 viruses (n=7). Noninfectious folliculitis included pseudofolliculitis (n=14), folliculitis decalvans (n=7), and eosinophilic folliculitis (n=3). The overall accuracy of dermoscopy was 73.7%. Dermoscopy showed good diagnostic accuracy for Demodex (88.1%), scabietic (89.7%), dermatophytic folliculitis (100%), and pseudofolliculitis (92.8%).The diagnostic value of dermoscopy was calculated only for common folliculitis. Diagnostic

2019 Journal of American Academy of Dermatology

17. Dermoscopy use in UK primary care: a survey of GPs with a special interest in dermatology. (PubMed)

Dermoscopy use in UK primary care: a survey of GPs with a special interest in dermatology. Melanoma accounts for 90% of skin cancer mortality and typically presents in primary care, where it can be challenging to distinguish from benign lesions. Dermoscopy is a tool for skin visualisation that is routinely used for melanoma diagnosis in secondary care. However, the role of dermoscopy in primary care remains unclear.To determine views on, and use of, dermoscopy by dermatology-interested general (...) practitioners (GPs).An online questionnaire was emailed to the UK Primary Care Dermatology Society members in February 2018, and responses collected over the following four weeks.205 responses were analysed. Most respondents were GPs (94%), aged over 50 (53%), had a post-graduate dermatological qualification (67%), and used dermoscopy regularly when reviewing pigmented skin lesions (97%). Dermoscopy use was commoner amongst GPs who had worked longer in primary care, and had experience of secondary care

2019 Journal of the European Academy of Dermatology and Venereology

18. Dermoscopy of cutaneous smooth muscle neoplasms: a morphological study of 136 cases. (PubMed)

Dermoscopy of cutaneous smooth muscle neoplasms: a morphological study of 136 cases. A variety of cutaneous smooth muscle neoplasms may arise in the skin and are frequently unrecognized by clinicians. There is sparse data relating to the dermoscopy of piloleiomyomas (PL), and nothing has been published about the dermoscopy of angioleiomyomas (AL) and leiomyosarcomas (LS).To evaluate the morphological findings of a large series of cutaneous PL, AL and LS under dermoscopic observation, comparing

2018 Journal of the European Academy of Dermatology and Venereology

19. Pigmented skin lesions displaying regression features: dermoscopy and reflectance confocal microscopy criteria for diagnosis. (PubMed)

Pigmented skin lesions displaying regression features: dermoscopy and reflectance confocal microscopy criteria for diagnosis. Melanomas and nevi displaying regression features can be difficult to differentiate. To describe reflectance confocal microscopy features in benign and malignant pigmented skin lesions characterized by regression features in dermoscopy. Observational retrospective study. Inclusion criteria were presence of dermoscopic features of regression; availability of clinical

2018 Experimental Dermatology

20. Dermoscopy of a single plaque on the face: an uncommon presentation of cutaneous sarcoidosis (PubMed)

Dermoscopy of a single plaque on the face: an uncommon presentation of cutaneous sarcoidosis Sarcoidosis is a multisystemic granulomatous disease of unknown causes, and cutaneous sarcoidosis (CS) is an early manifestation of the disease. Dermoscopy has gained increasing interest in the past few years as an aid in the clinical diagnosis of inflammatory and infectious skin manifestations. We present a case report about a single, erythematous, and asymptomatic plaque on the face with unexpected (...) dermoscopy characteristics of CS. Learning points: CS on the face of a therapy-resistant actinic keratosis should be considered a differential diagnosis.Dermoscopy can change the diagnosis and lead to the correct management.

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2018 Dermatology practical & conceptual

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