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Rossi AN, Veronesi G, Dika E. The role of confocal microscopy in recurrent cutaneous angiosarcoma. Skin Res Technol 2023; 29:e13423. [PMID: 37632190 PMCID: PMC10390705 DOI: 10.1111/srt.13423] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2023] [Accepted: 07/17/2023] [Indexed: 08/27/2023]
Affiliation(s)
- Alice Nadia Rossi
- Section of Dermatology, Department of Medical and Surgical Sciences (DIMEC)Alma Mater Studiorum, University of BolognaBolognaItaly
| | - Giulia Veronesi
- Section of Dermatology, Department of Medical and Surgical Sciences (DIMEC)Alma Mater Studiorum, University of BolognaBolognaItaly
| | - Emi Dika
- Section of Dermatology, Department of Medical and Surgical Sciences (DIMEC)Alma Mater Studiorum, University of BolognaBolognaItaly
- IRCCS Azienda Ospedaliero‐Universitaria di BolognaBolognaItaly
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Chauvel-Picard J, Tognetti L, Cinotti E, Habougit C, Suppa M, Lenoir C, Rubegni P, Del Marmol V, Berot V, Gleizal A, Vercherin P, Dejonckheere G, Raffaelli C, Cardot-Leccia N, Azulay N, Sudaka-Bahadoran A, Perrot JL, Bahadoran P. Role of ultra-high-frequency ultrasound in the diagnosis and management of basal cell carcinoma: pilot study based on 117 cases. Clin Exp Dermatol 2023; 48:468-475. [PMID: 36763772 DOI: 10.1093/ced/llad001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2022] [Revised: 12/19/2022] [Accepted: 01/03/2023] [Indexed: 01/09/2023]
Abstract
BACKGROUND Ultrasound imaging has recently benefited from the introduction of a new 70 MHz transducer able to provide high-resolution images, i.e. ultra-high-frequency ultrasound (UHFUS). AIM To study the morphological features of basal cell carcinomas (BCCs) and measure BCC thickness by means of UHFUS examination. METHODS In this retrospective multicentric study, 171 consecutive patients underwent UHFUS examination between November 2018 and May 2019 for suspected BCC. Diagnosis was confirmed by histopathology. A series of morphological parameters including echogenicity, structure, borders, shape composition (presence of intralesional structures) were investigated along with objective measurements such as thickness (maximum distance between the surface of the epidermis and the deepest part of the tumour) and width. RESULTS In total, 117 BCCs from 93 patients were examined, including superficial (n = 13; 11.1%), nodular (n = 64; 54.7%), infiltrative (n = 18; 15.4%), mixed subtypes (n = 20; 17.1%) and other subtypes (n = 2; 1.7%). The most frequently observed UHFUS parameters included: hypoechoic signal (n = 80; 68.4%, P < 0.001), homogeneous structure (n = 76, 65.0%, P = 0.01), well-defined borders (n = 77, 65.8%, P < 0.001) and elongated shape (n = 71, 60.7%, P < 0.001). An excellent correlation was found between the BCC thickness measured by UHFUS and the value estimated by histology (interclass correlation ≥ 0.80). CONCLUSION UHFUS is a new rapid and easy noninvasive skin imaging technique able to provide data on the dimensions and morphology of BCCs in real time and at the bedside. These characteristics mean UHFUS has a number of possible applications, ranging from presurgical mapping to the detection of disease recurrence and treatment monitoring.
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Affiliation(s)
| | - Linda Tognetti
- Dermatology Unit, Department of Medical, Surgical and Neurological Science, Dermatology Section, University of Siena, Siena, Italy
| | - Elisa Cinotti
- Dermatology Unit, Department of Medical, Surgical and Neurological Science, Dermatology Section, University of Siena, Siena, Italy
| | - Cyril Habougit
- Department of Pathology, University Hospital of Saint-Etienne, Saint-Etienne, France
| | - Mariano Suppa
- Department of Dermatology, Erasme Hospital, Université Libre de Bruxelles, Brussels, Belgium
| | - Clement Lenoir
- Department of Dermatology, University Hospital of Saint-Etienne, Saint-Etienne, France
| | - Pietro Rubegni
- Dermatology Unit, Department of Medical, Surgical and Neurological Science, Dermatology Section, University of Siena, Siena, Italy
| | - Veronique Del Marmol
- Department of Dermatology, Erasme Hospital, Université Libre de Bruxelles, Brussels, Belgium
| | - Vincent Berot
- Department of Dermatology, University Hospital of Saint-Etienne, Saint-Etienne, France
| | | | - Paul Vercherin
- Department of Public Health, University Hospital of Saint-Etienne, Saint-Etienne, France
| | - Guillame Dejonckheere
- Department of Dermatology, Erasme Hospital, Université Libre de Bruxelles, Brussels, Belgium
| | | | | | - Nicholas Azulay
- Department of Dermatology, Centre Hospitalier Universitaire de Nice, INSERM 1065 C3M Team 1, Université Côte d'Azur, Nice, France
| | | | - Jean L Perrot
- Department of Dermatology, University Hospital of Saint-Etienne, Saint-Etienne, France
| | - Philippe Bahadoran
- Department of Dermatology, Centre Hospitalier Universitaire de Nice, INSERM 1065 C3M Team 1, Université Côte d'Azur, Nice, France
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Oranges T, Janowska A, Vitali S, Loggini B, Izzetti R, Romanelli M, Dini V. Dermatoscopic and ultra‐high frequency ultrasound evaluation in cutaneous postradiation angiosarcoma. J Eur Acad Dermatol Venereol 2020; 34:e741. [DOI: 10.1111/jdv.16583] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Affiliation(s)
- T. Oranges
- Department of Clinical and Experimental Medicine University of Pisa Pisa Italy
| | - A. Janowska
- Department of Clinical and Experimental Medicine University of Pisa Pisa Italy
| | - S. Vitali
- Department of Diagnostic and Interventional Radiology University of Pisa Pisa Italy
| | - B. Loggini
- Department of Translational Research and New Technologies in Medicine and Surgery University of Pisa Pisa Italy
| | - R. Izzetti
- Department of Translational Research and New Technologies in Medicine and Surgery University of Pisa Pisa Italy
| | - M. Romanelli
- Department of Clinical and Experimental Medicine University of Pisa Pisa Italy
| | - V. Dini
- Department of Clinical and Experimental Medicine University of Pisa Pisa Italy
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Oh BH, Kim KH, Chung KY. Skin Imaging Using Ultrasound Imaging, Optical Coherence Tomography, Confocal Microscopy, and Two-Photon Microscopy in Cutaneous Oncology. Front Med (Lausanne) 2019; 6:274. [PMID: 31824956 PMCID: PMC6883721 DOI: 10.3389/fmed.2019.00274] [Citation(s) in RCA: 29] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2019] [Accepted: 11/11/2019] [Indexed: 12/21/2022] Open
Abstract
With the recognition of dermoscopy as a new medical technology and its available fee assessment in Korea comes an increased interest in imaging-based dermatological diagnosis. For the dermatologist, who treats benign tumors and malignant skin cancers, imaging-based evaluations can assist with determining the surgical method and future follow-up plans. The identification of the tumor's location and the existence of blood vessels can guide safe treatment and enable the use of minimal incisions. The recent development of high-resolution microscopy based on laser reflection has enabled observation of the skin at the cellular level. Despite the limitation of a shallow imaging depth, non-invasive light-based histopathologic examinations are being investigated as a rapid and pain-free process that would be appreciated by patients and feature reduced time from consultation to treatment. In the United States, the current procedural terminology billing code was established for reflectance confocal microscopy in 2016 and has been used for the skin cancer diagnosis ever since. In this review, we introduce the basic concepts and images of ultrasound imaging, optical coherence tomography, confocal microscopy, and two-photon microscopy and discuss how they can be utilized in the field of dermatological oncology.
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Affiliation(s)
- Byung Ho Oh
- Department of Dermatology and Cutaneous Biology Research Institute, Yonsei University College of Medicine, Seoul, South Korea
| | - Ki Hean Kim
- Department of Mechanical Engineering, Pohang University of Science and Technology, Pohang-si, South Korea
| | - Kee Yang Chung
- Department of Dermatology and Cutaneous Biology Research Institute, Yonsei University College of Medicine, Seoul, South Korea
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Perrot JL, Beyens MN, Vallard A, Magné N, Cinotti E. [Will France ever have a radio-vigilance office?]. Bull Cancer 2019; 106:1067-1069. [PMID: 31350014 DOI: 10.1016/j.bulcan.2019.05.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2019] [Revised: 05/10/2019] [Accepted: 05/12/2019] [Indexed: 11/29/2022]
Affiliation(s)
- Jean-Luc Perrot
- Hôpital universitaire Nord de Saint-Etienne, département de dermatologie, avenue Albert-Raimond, 42055 Saint-Etienne cedex 2, France
| | - Marie Noëlle Beyens
- Hôpital universitaire Nord de Saint-Etienne, centre régional de pharmaco-vigilance de Saint-Étienne, avenue Albert-Raimond, 42055 Saint-Etienne cedex 2, France
| | - Alexis Vallard
- Institut de cancérologie Lucien-Neuwirth, département de radiothérapie, 108 bis avenue Albert-Raimond, BP60008, 42271 Saint-Priest-en-Jarez cedex, France
| | - Nicolas Magné
- Institut de cancérologie Lucien-Neuwirth, département de radiothérapie, 108 bis avenue Albert-Raimond, BP60008, 42271 Saint-Priest-en-Jarez cedex, France.
| | - Elisa Cinotti
- Hôpital S. Maria alle Scotte, université de Sienne, département de science médicale, chirurgicale et neurologique, unité de dermatologie, Sienne, Italie
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