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Scope A, Dusza SW, Pellacani G, Gill M, Gonzalez S, Marchetti MA, Rabinovitz HS, Marghoob AA, Alessi-Fox C, Halpern AC. Accuracy of tele-consultation on management decisions of lesions suspect for melanoma using reflectance confocal microscopy as a stand-alone diagnostic tool. J Eur Acad Dermatol Venereol 2018; 33:439-446. [PMID: 30242916 DOI: 10.1111/jdv.15257] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2018] [Accepted: 07/26/2018] [Indexed: 11/28/2022]
Abstract
BACKGROUND Diagnostic accuracy of reflectance confocal microscopy (RCM) as a stand-alone diagnostic tool for suspect skin lesions has not been extensively studied. OBJECTIVE Primary aim was to measure experts' accuracy in RCM-based management decisions. Secondary aim was to identify melanoma-specific RCM features. METHODS The study enrolled patients ≥18 years that underwent biopsy of skin lesions clinically suspected to be melanoma. One hundred lesions imaged by RCM were randomly selected from 439 lesions prospectively collected at four pigmented lesion clinics. The study data set included 23 melanomas, three basal cell and two squamous cell carcinomas, 11 indeterminate melanocytic lesions and 61 benign lesions including 50 nevi. Three expert RCM evaluators were blinded to clinical or dermoscopic images, and to the final histopathological diagnosis. Evaluators independently issued a binary RCM-based management decision, 'biopsy' vs. 'observation'; these decisions were scored against histopathological diagnosis, with 'biopsy' as the correct management decision for malignant and indeterminate lesions. A subset analysis of 23 melanomas and 50 nevi with unequivocal histopathological diagnosis was performed to identify melanoma-specific RCM features. RESULTS Sensitivity, specificity and diagnostic accuracy were 74%, 67% and 70% for reader 1, 46%, 84% and 69% for reader 2, and 72%, 46% and 56% for reader 3, respectively. The overall kappa for management decisions was 0.34. Readers had unanimous agreement on management for 50 of the 100 lesions. Non-specific architecture, non-visible papillae, streaming of nuclei, coarse collagen fibres and abnormal vasculature showed a significant association with melanoma in the evaluation of at least two readers. CONCLUSIONS Reflectance confocal microscopy tele-consultation of especially challenging lesions, based on image review without benefit of clinical or dermoscopy images, may be associated with limited diagnostic accuracy and interobserver agreement. Architectural and stromal criteria may emerge as potentially useful and reproducible criteria for melanoma diagnosis.
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Affiliation(s)
- A Scope
- Medical Screening Institute, Sheba Medical Center and Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.,Dermatology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | - S W Dusza
- Dermatology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | - G Pellacani
- Department of Dermatology, University of Modena and Reggio Emilia, Modena, Italy
| | - M Gill
- SkinMedical Research and Diagnostics, Dobbs Ferry, NY, USA.,SUNY Downstate, Brooklyn, NY, USA
| | - S Gonzalez
- Dermatology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.,Department of Medicine and Medical Specialties, University de Alcalà, Madrid, Spain
| | - M A Marchetti
- Dermatology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | | | - A A Marghoob
- Dermatology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | - C Alessi-Fox
- Caliber Imaging and Diagnostics, Rochester, NY, USA
| | - A C Halpern
- Dermatology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA
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2
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Wolner ZJ, Bajaj S, Flores E, Carrera C, Navarrete-Dechent C, Dusza SW, Rabinovitz HS, Marchetti MA, Marghoob AA. Variation in dermoscopic features of basal cell carcinoma as a function of anatomical location and pigmentation status. Br J Dermatol 2018; 178:e136-e137. [PMID: 28886224 DOI: 10.1111/bjd.15964] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- Z J Wolner
- Dermatology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, 10022, U.S.A
| | - S Bajaj
- Dermatology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, 10022, U.S.A
| | - E Flores
- Dermatology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, 10022, U.S.A
| | - C Carrera
- Dermatology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, 10022, U.S.A.,Dermatology Service, Melanoma Unit, Hospital Clínic Barcelona, CIBERER, University of Barcelona, Barcelona, Spain
| | - C Navarrete-Dechent
- Dermatology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, 10022, U.S.A.,Melanoma and Skin Cancer Unit, Department of Dermatology, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile
| | - S W Dusza
- Dermatology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, 10022, U.S.A
| | - H S Rabinovitz
- Pigmented Lesion Clinic of Skin and Cancer Associates, Plantation, FL, U.S.A
| | - M A Marchetti
- Dermatology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, 10022, U.S.A
| | - A A Marghoob
- Dermatology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, 10022, U.S.A
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3
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Stoecker WV, Rader RK, Rabinovitz HS, Oliviero M, Calcara DA, Malters JM, Drugge RJ, Bernard ML, Perry LA, Marghoob AA. Patient concern as a predictor of cutaneous malignancy. Br J Dermatol 2015. [PMID: 26213332 DOI: 10.1111/bjd.14041] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Affiliation(s)
- W V Stoecker
- Stoecker and Associates, 10101 Stoltz Drive, Rolla, MO, 65401, U.S.A.. .,The Dermatology Center, 10101 Stoltz Drive, Rolla, MO, 65401, U.S.A.. .,University of Missouri-Columbia School of Medicine, One Hospital Drive, Columbia, MO, 65212, U.S.A..
| | - R K Rader
- Stoecker and Associates, 10101 Stoltz Drive, Rolla, MO, 65401, U.S.A.,University of Missouri-Columbia School of Medicine, One Hospital Drive, Columbia, MO, 65212, U.S.A
| | - H S Rabinovitz
- Skin and Cancer Associates, 201 NW 82nd Avenue, Plantation, FL, 33324, U.S.A
| | - M Oliviero
- Skin and Cancer Associates, 201 NW 82nd Avenue, Plantation, FL, 33324, U.S.A
| | - D A Calcara
- Stoecker and Associates, 10101 Stoltz Drive, Rolla, MO, 65401, U.S.A
| | - J M Malters
- The Dermatology Center, 10101 Stoltz Drive, Rolla, MO, 65401, U.S.A
| | - R J Drugge
- Sheard and Drugge PC, 50 Glenbrook Road #1C, Stamford, CT, 06902, U.S.A
| | - M L Bernard
- Fort Leonard Wood Army Community Hospital, 126 Missouri Ave #1239, Fort Leonard Wood, MO, 65473, U.S.A
| | - L A Perry
- Central Missouri Dermatology Associates, 401 Keene Street, Columbia, MO, 65201, U.S.A
| | - A A Marghoob
- Memorial Sloan-Kettering Skin Cancer Center, 800 Veterans Memorial Highway, Hauppauge, NY, 11788, U.S.A
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Abstract
BACKGROUND White shiny structures, including white shiny lines, white shiny areas and rosettes, are features only observed under polarized dermoscopy (PD). OBJECTIVE To evaluate the prevalence of the varied morphologies of white shiny structures in melanoma, basal cell carcinoma (BCC), squamous cell carcinoma (SCC), actinic keratosis (AK) and lichen planus-like keratosis (LPLK). METHODS Retrospective study using dermoscopic images of biopsy-proven melanoma, BCC, SCC, AK and LPLK. RESULTS A total of 538 lesions were assessed under PD. One or more types of white shiny structures were observed in 38.7% of study lesions (208/538). BCCs were significantly more likely to display a combination of white shiny areas and white shiny lines (short lines and/or ill-defined strands) (31.9%; 61/191) than any other lesions (P<0.001). BCC were more likely than other lesions to have white shiny lines distributed without any organized pattern (P<0.001). Lines in melanoma were significantly more likely than other lesion types to be oriented orthogonally (P<0.001). When white shiny lines were present, melanomas were significantly more likely than other lesions to exhibit short discrete white lines (P<0.001). Rosettes were significantly more likely to be observed in actinic tumours than other lesions (P<0.001). CONCLUSION The presence of white shiny lines of any length accompanied by white shiny areas is most suggestive of a diagnosis of BCC (P<0.001). Melanomas are more likely to display short white shiny lines in an orthogonal distribution (P<0.001) and without white shiny areas. Actinic tumours are most likely to exhibit rosettes (P<0.001).
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Affiliation(s)
- T N Liebman
- Memorial Sloan-Kettering Cancer Center, New York, NY, USA
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5
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Bassoli S, Rabinovitz HS, Pellacani G, Porges L, Oliviero MC, Braun RP, Marghoob AA, Seidenari S, Scope A. Reflectance confocal microscopy criteria of lichen planus-like keratosis. J Eur Acad Dermatol Venereol 2011; 26:578-90. [PMID: 21605173 DOI: 10.1111/j.1468-3083.2011.04121.x] [Citation(s) in RCA: 34] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
BACKGROUND Lichen planus-like keratosis (LPLK) may be difficult to differentiate from melanoma and other skin cancers on sun-damaged skin based on clinical and dermoscopic examination. Reflectance confocal microscopy (RCM) allows evaluation of skin lesions at high resolution. OBJECTIVES The aim of this study was to identify criteria for specific diagnosis of LPLK using in vivo RCM. METHODS Lesions included in the study were derived from patients presenting for skin examination at a private dermatology practice specializing in skin cancer. We retrospectively analysed RCM features of 28 biopsy-proven LPLK and compared them to RCM findings in skin cancers on sun-damaged skin, including five in situ squamous cell carcinomas, six actinic keratoses, seven superficial basal cell carcinomas and eight melanomas. RESULTS The main RCM features of LPLK and their relative frequencies were: (i) typical honeycomb pattern of the spinous layer (78.6%); (ii) elongated cords and/or bulbous projections at the dermal-epidermal junction (75%); and (iii) numerous plump-bright cells and/or bright stellate spots in the superficial dermis (92.9%). These RCM features correlated with the following histopathological findings respectively: (i) spinous-granular layers without significant atypia of keratinocytes; (ii) elongated, bulbous rete ridges; and (iii) dense infiltration of melanophages and lymphocytes in superficial dermis. We propose diagnostic criteria that classify correctly 71.4% of LPLK, while avoiding misclassification of any of the skin cancers in the present series as LPLK. CONCLUSIONS We identified RCM criteria for diagnosis of LPLK that correlate well with histopathological findings and that allow differentiation of LPLK from skin cancer.
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Affiliation(s)
- S Bassoli
- Department of Dermatology, University of Modena and Reggio Emilia, Modena, Italy.
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6
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Stricklin SM, Stoecker WV, Oliviero MC, Rabinovitz HS, Mahajan SK. Cloudy and starry milia-like cysts: how well do they distinguish seborrheic keratoses from malignant melanomas? J Eur Acad Dermatol Venereol 2010; 25:1222-4. [PMID: 21923811 DOI: 10.1111/j.1468-3083.2010.03920.x] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
BACKGROUND Seborrheic keratoses are the most common skin lesions known to contain small white or yellow structures called milia-like cysts (MLCs). Varied appearances can sometimes make it difficult to differentiate benign lesions from malignant lesions such as melanoma, the deadliest form of skin cancer found in humans. OBJECTIVE The purpose of this study was to determine the statistical occurrence of MLCs in benign vs. malignant lesions. METHODS A medical student with 10 months experience in examining approximately 1000 dermoscopy images and a dermoscopy-naïve observer analysed contact non-polarized dermoscopy images of 221 malignant melanomas and 175 seborrheic keratoses for presence of MLCs. RESULTS The observers found two different types of MLCs present: large ones described as cloudy and smaller ones described as starry. Starry MLCs were found to be prevalent in both seborrheic keratoses and melanomas. Cloudy MLCs, however, were found to have 99.1% specificity for seborrheic keratoses among this group of seborrheic keratoses and melanomas. CONCLUSION Cloudy MLCs can be a useful tool for differentiating between seborrheic keratoses and melanomas.
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7
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Braun RP, Gaide O, Oliviero M, Kopf AW, French LE, Saurat JH, Rabinovitz HS. The significance of multiple blue-grey dots (granularity) for the dermoscopic diagnosis of melanoma. Br J Dermatol 2007; 157:907-13. [PMID: 17725673 DOI: 10.1111/j.1365-2133.2007.08145.x] [Citation(s) in RCA: 48] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
BACKGROUND The presence of multiple blue-grey dots (MBGD) is widely used by clinicians to decide if a pigmented lesion should be removed, but only little is known about their significance. OBJECTIVES To evaluate the significance of MBGD for the dermoscopic diagnosis of melanoma. METHODS In part 1 we retrospectively evaluated 340 pigmented lesions for the presence and morphological appearance of granularity. One hundred and seventy melanomas were included and matched with 170 benign and dysplastic naevi which were randomly chosen from our collection. In part 2, 3773 lesions were examined prospectively in at-risk patients: all lesions with granularity were recorded, surgically removed and subjected to histopathological examination. RESULTS In part 1, granularity was found in 26.5% of the benign lesions and 93.5% of melanomas. The presence of granularity, granularity at the periphery, irregularly distributed granularity and granularity in association with red and white colour were statistically highly significant for the diagnosis of melanoma (P < 0.001). In part 2, granularity was found in 1.08% of the 3773 lesions and more frequently in sun-damaged skin. Sensitivity for the diagnosis of melanoma was 85% and specificity 99%. CONCLUSIONS After the revision of many lesions with MBGD, we concluded that the term 'granularity' better describes this entity. Lesions with irregular granularity (periphery, irregularly distributed) should be removed especially if they are associated with red, blue or white colour. Lesions with a benign dermoscopy pattern which have granularity with a regular appearance and involving only a small portion of the lesion do not require surgical excision.
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Affiliation(s)
- R P Braun
- Department of Dermatology, University Hospital Zürich, Gloriastr. 31, 8032 Zürich, Switzerland.
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8
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Abstract
When approaching a pigmented lesion with dermoscopy, the entire architecture of the lesion should be considered. The presence of certain pigment patterns, structural patterns, or border characteristic alone are insufficient to make the most accurate diagnosis. Because pigmented lesions are dynamic and have many variations in their patterns, there can exist no exact defining classifications among each type of pigmented lesion.
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Affiliation(s)
- B Katz
- Department of Dermatology, University of Miami School of Medicine, Miami, Florida, USA
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9
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Elbaum M, Kopf AW, Rabinovitz HS, Langley RG, Kamino H, Mihm MC, Sober AJ, Peck GL, Bogdan A, Gutkowicz-Krusin D, Greenebaum M, Keem S, Oliviero M, Wang S. Automatic differentiation of melanoma from melanocytic nevi with multispectral digital dermoscopy: a feasibility study. J Am Acad Dermatol 2001; 44:207-18. [PMID: 11174377 DOI: 10.1067/mjd.2001.110395] [Citation(s) in RCA: 166] [Impact Index Per Article: 7.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
BACKGROUND Differentiation of melanoma from melanocytic nevi is difficult even for skin cancer specialists. This motivates interest in computer-assisted analysis of lesion images. OBJECTIVE Our purpose was to offer fully automatic differentiation of melanoma from dysplastic and other melanocytic nevi through multispectral digital dermoscopy. METHOD At 4 clinical centers, images were taken of pigmented lesions suspected of being melanoma before biopsy. Ten gray-level (MelaFind) images of each lesion were acquired, each in a different portion of the visible and near-infrared spectrum. The images of 63 melanomas (33 invasive, 30 in situ) and 183 melanocytic nevi (of which 111 were dysplastic) were processed automatically through a computer expert system to separate melanomas from nevi. The expert system used either a linear or a nonlinear classifier. The "gold standard" for training and testing these classifiers was concordant diagnosis by two dermatopathologists. RESULTS On resubstitution, 100% sensitivity was achieved at 85% specificity with a 13-parameter linear classifier and 100%/73% with a 12-parameter nonlinear classifier. Under leave-one-out cross-validation, the linear classifier gave 100%/84% (sensitivity/specificity), whereas the nonlinear classifier gave 95%/68%. Infrared image features were significant, as were features based on wavelet analysis. CONCLUSION Automatic differentiation of invasive and in situ melanomas from melanocytic nevi is feasible, through multispectral digital dermoscopy.
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Affiliation(s)
- M Elbaum
- Electro-Optical Sciences, Inc, Irvington, NY, USA.
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10
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Provost N, Kopf AW, Rabinovitz HS, Stolz W, DeDavid M, Wasti Q, Bart RS. Comparison of conventional photographs and telephonically transmitted compressed digitized images of melanomas and dysplastic nevi. Dermatology 2000; 196:299-304. [PMID: 9621136 DOI: 10.1159/000017925] [Citation(s) in RCA: 43] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND One of the most difficult problems in the in vivo diagnosis of cutaneous tumors is the differentiation clinically between early malignant melanoma (MM) and atypical (dysplastic) melanocytic nevi (AMNs) because these lesions share clinical features. High-quality digital imaging systems and store-and-forward technology have the potential for use in a teledermatology system with which experts would be able to immediately transmit their diagnostic opinions concerning these challenging lesions. OBJECTIVE The main purpose of this study was to determine if the clinical and dermoscopic diagnoses and the dermoscopic features of AMN and early MM are unaltered after telephonic transmission of their digitized images. METHODS Conventional and dermoscopic photographic transparencies of 22 AMNs and 9 early MMs, viewed on rearview projectors and then scanned, compressed, transmitted (Internet) and viewed on color monitors, were evaluated. RESULTS The concordance in the diagnosis of AMN and of early MM by all four observers, both clinically and dermoscopically, when comparing rearview-projected conventional transparency slides to transmitted, compressed, digitized images, was high. For most specific dermoscopic features, the concordance was good, although less so for the presence or absence of some dermoscopic creatures, namely 'dots', 'blue/gray' color and 'red' color. CONCLUSION The results reported support the conclusion that Internet transmission of digitized images of MMs and AMNs retains sufficient information for diagnostic purposes. This study is a step in the creation of an international teledermoscopy network for pigmented cutaneous lesions.
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Affiliation(s)
- N Provost
- Ronald O. Perelman Department of Dermatology, New York University School of Medicine, N.Y., USA
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11
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Tran N, Rabinovitz HS, Oliviero M, Kopf A. Melanoma in a psoriatic plaque. Cutis 2000; 65:93-4. [PMID: 10696561] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/15/2023]
Abstract
This is the first reported case of a melanoma in a psoriatic plaque. The clinical, dermoscopic, and histologic features of this case are detailed. A review of the risk of melanoma among patients treated with psoralen-ultraviolet A is presented.
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Affiliation(s)
- N Tran
- Skin and Cancer Associates, Plantation, Florida, USA
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12
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Hauptman G, Kopf A, Rabinovitz HS, Oliviero M, Rivlin D. The actinic comedonal plaque. Cutis 1997; 60:145-6. [PMID: 9314619] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
A case of actinic comedonal plaque is reported. We comment on the case as well as describe the skin surface microscopic features.
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Affiliation(s)
- G Hauptman
- Ronald O. Perelman Department of Dermatology, New York University School of Medicine, New York City, USA
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13
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Provost N, Kopf AW, Rabinovitz HS, Oliviero MC, Toussaint S, Kamino HH. Globulelike dermoscopic structures in pigmented seborrheic keratosis. Arch Dermatol 1997; 133:540-1. [PMID: 9126023 DOI: 10.1001/archderm.133.4.540] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
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Abstract
Lentigo maligna is often treated with superficial therapies that are associated with high recurrence rates. The high recurrence rates are a result of incomplete destruction or removal of tumor from clinically inapparent but histologically positive areas. We describe the use of the Mohs technique with rush permanent sections for the complete removal of this melanocytic neoplasm.
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Affiliation(s)
- S S Dhawan
- Department of Dermatology, Mt Sinai Medical Center, Miami Beach 33140
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15
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Abstract
Apocrine adenocarcinoma is a rare, primary malignant neoplasm of the skin. Clinically, it is a painless, skin-colored, slow-growing, firm or cystic nodule. The tumor has a high rate of local recurrence and can metastasize. In selected cases, Mohs micrographic surgery appears to be an effective treatment. We report the first case of apocrine adenocarcinoma to occur on the fingertip, and the first to be treated with Mohs micrographic surgery.
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Affiliation(s)
- S S Dhawan
- Department of Dermatology, Mount Sinai Medical Center, Miami Beach, Florida
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18
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Abstract
Basal-cell carcinomas on covered, anatomically shielded, or otherwise unusual sites of the body are rare compared to the number on constantly exposed parts of the body, but since basal-cell carcinomas are so common, instances of the former sort are not infrequently encountered. Five such cases are described and illustrated.
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Levit F, Kopf AW, Huntley A, Stengel F, Rabinovitz HS, Freeman MJ. DermRx. An experiment in computerizing information on dermatologic therapy. J Am Acad Dermatol 1979; 1:462-7. [PMID: 512097 DOI: 10.1016/s0190-9622(79)70038-7] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
The Task Force for Creating a Biomedical Communications System for Dermatology was commissioned by the American Academy of Dermatology to develop an experimental segment of a computerized data bank on dermatologic therapy. The Task Force has completed such a "first generation" system and has named it DermRx. Its data bank carries the following information on each entry: the name of the disease; topical, systemic, physical, and other kinds of treatment; caveats; references to the literature; and the date and reviewer(s). The DermLit and DermRx programs are two components of a projected broader concept of an eventual comprehensive Biomedical Communications System for Dermatology. Such a system is envisaged as a means of making available to dermatologists diverse data relevant to practice, teaching, research, and business aspects of the specialty. At the moment, access to the stored information on dermatologic literature and therapy is by telephone call to, or by correspondence with, the central computer facility at Northwestern University. Eventually it is projected to be accessible by dedicated microcomputers housed in the physician's office. This preliminary report on DermRx is presented to review the progress of the project to date and to elicit comment upon its structure and value.
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