Vascular Diameter as Clue for the Diagnosis of Clinically and/or Dermoscopically Equivocal Pigmented and Non-Pigmented Basal Cell Carcinomas and Nodular Melanomas
<i>Background and objectives</i>: Dermoscopy is a useful tool for the early and non-invasive diagnosis of skin malignancies. Besides many progresses, heavily pigmented and amelanotic skin tumors remain still a challenge. We aimed to investigate by dermoscopy if distinctive morphologic ch...
| Main Authors: | , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2022-11-01
|
| Series: | Medicina |
| Subjects: | |
| Online Access: | https://www.mdpi.com/1648-9144/58/12/1761 |
| _version_ | 1827637932801916928 |
|---|---|
| author | Roberta Giuffrida Claudio Conforti Andreas Blum Marija Buljan Fabrizio Guarneri Rainer Hofmann-Wellenhof Caterina Longo John Paoli Cliff Rosendahl H. Peter Soyer Ružica Jurakić Tončić Roberta Vezzoni Iris Zalaudek |
| author_facet | Roberta Giuffrida Claudio Conforti Andreas Blum Marija Buljan Fabrizio Guarneri Rainer Hofmann-Wellenhof Caterina Longo John Paoli Cliff Rosendahl H. Peter Soyer Ružica Jurakić Tončić Roberta Vezzoni Iris Zalaudek |
| author_sort | Roberta Giuffrida |
| collection | DOAJ |
| description | <i>Background and objectives</i>: Dermoscopy is a useful tool for the early and non-invasive diagnosis of skin malignancies. Besides many progresses, heavily pigmented and amelanotic skin tumors remain still a challenge. We aimed to investigate by dermoscopy if distinctive morphologic characteristics of vessels may help the diagnosis of equivocal nodular lesions. <i>Materials and Methods:</i> A collage of 16 challenging clinical and dermoscopic images of 8 amelanotic and 8 heavily pigmented nodular melanomas and basal cell carcinomas was sent via e-mail to 8 expert dermoscopists. <i>Results:</i> Dermoscopy improved diagnostic accuracy in 40 cases. Vessels were considered the best clue in 71 cases. Focusing on the diameter of vessels improved diagnosis in 5 cases. <i>Conclusions:</i> vascular diameter in addition to morphology and arrangement may be a useful dermoscopic clue for the differential diagnosis of clinically equivocal nodular malignant tumors. |
| first_indexed | 2024-03-09T16:07:41Z |
| format | Article |
| id | doaj.art-fab1da88dd3342628b1957be2133dcd4 |
| institution | Directory Open Access Journal |
| issn | 1010-660X 1648-9144 |
| language | English |
| last_indexed | 2024-03-09T16:07:41Z |
| publishDate | 2022-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj.art-fab1da88dd3342628b1957be2133dcd42023-11-24T16:32:18ZengMDPI AGMedicina1010-660X1648-91442022-11-015812176110.3390/medicina58121761Vascular Diameter as Clue for the Diagnosis of Clinically and/or Dermoscopically Equivocal Pigmented and Non-Pigmented Basal Cell Carcinomas and Nodular MelanomasRoberta Giuffrida0Claudio Conforti1Andreas Blum2Marija Buljan3Fabrizio Guarneri4Rainer Hofmann-Wellenhof5Caterina Longo6John Paoli7Cliff Rosendahl8H. Peter Soyer9Ružica Jurakić Tončić10Roberta Vezzoni11Iris Zalaudek12Department of Clinical and Experimental Medicine, Dermatology, University of Messina, 98124 Messina, ItalyDepartment of Dermatology and Venereology, Dermatology Clinic, Maggiore Hospital, University of Trieste, 34125 Trieste, ItalyHautarzt-und Lehrpraxis Konstanz, Augustinerplatz 7, 78462 Konstanz, GermanyDepartment of Dermatology and Venereology, Sestre Milosrdnice University Hospital Centre, 10000 Zagreb, CroatiaDepartment of Clinical and Experimental Medicine, Dermatology, University of Messina, 98124 Messina, ItalyNonmelanoma Skin Cancer Unit, Department of Dermatology and Venerology, Medical University of Graz, 8036 Graz, AustriaDepartment of Dermatology, University of Modena and Reggio Emilia, 41124 Modena, ItalyDepartment of Dermatology, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, 40530 Gothenburg, SwedenSchool of Medicine, The University of Queensland, Brisbane, QLD 4102, AustraliaDermatology Research Centre, The University of Queensland Diamantina Institute, The University of Queensland, Brisbane, QLD 4102, AustraliaDermoscopy Unit, University of Zagreb, 10000 Zagreb, CroatiaDepartment of Dermatology and Venereology, Dermatology Clinic, Maggiore Hospital, University of Trieste, 34125 Trieste, ItalyDepartment of Dermatology and Venereology, Dermatology Clinic, Maggiore Hospital, University of Trieste, 34125 Trieste, Italy<i>Background and objectives</i>: Dermoscopy is a useful tool for the early and non-invasive diagnosis of skin malignancies. Besides many progresses, heavily pigmented and amelanotic skin tumors remain still a challenge. We aimed to investigate by dermoscopy if distinctive morphologic characteristics of vessels may help the diagnosis of equivocal nodular lesions. <i>Materials and Methods:</i> A collage of 16 challenging clinical and dermoscopic images of 8 amelanotic and 8 heavily pigmented nodular melanomas and basal cell carcinomas was sent via e-mail to 8 expert dermoscopists. <i>Results:</i> Dermoscopy improved diagnostic accuracy in 40 cases. Vessels were considered the best clue in 71 cases. Focusing on the diameter of vessels improved diagnosis in 5 cases. <i>Conclusions:</i> vascular diameter in addition to morphology and arrangement may be a useful dermoscopic clue for the differential diagnosis of clinically equivocal nodular malignant tumors.https://www.mdpi.com/1648-9144/58/12/1761skin cancervesselsdermoscopyvascular diametermelanomabasal cell carcinoma |
| spellingShingle | Roberta Giuffrida Claudio Conforti Andreas Blum Marija Buljan Fabrizio Guarneri Rainer Hofmann-Wellenhof Caterina Longo John Paoli Cliff Rosendahl H. Peter Soyer Ružica Jurakić Tončić Roberta Vezzoni Iris Zalaudek Vascular Diameter as Clue for the Diagnosis of Clinically and/or Dermoscopically Equivocal Pigmented and Non-Pigmented Basal Cell Carcinomas and Nodular Melanomas Medicina skin cancer vessels dermoscopy vascular diameter melanoma basal cell carcinoma |
| title | Vascular Diameter as Clue for the Diagnosis of Clinically and/or Dermoscopically Equivocal Pigmented and Non-Pigmented Basal Cell Carcinomas and Nodular Melanomas |
| title_full | Vascular Diameter as Clue for the Diagnosis of Clinically and/or Dermoscopically Equivocal Pigmented and Non-Pigmented Basal Cell Carcinomas and Nodular Melanomas |
| title_fullStr | Vascular Diameter as Clue for the Diagnosis of Clinically and/or Dermoscopically Equivocal Pigmented and Non-Pigmented Basal Cell Carcinomas and Nodular Melanomas |
| title_full_unstemmed | Vascular Diameter as Clue for the Diagnosis of Clinically and/or Dermoscopically Equivocal Pigmented and Non-Pigmented Basal Cell Carcinomas and Nodular Melanomas |
| title_short | Vascular Diameter as Clue for the Diagnosis of Clinically and/or Dermoscopically Equivocal Pigmented and Non-Pigmented Basal Cell Carcinomas and Nodular Melanomas |
| title_sort | vascular diameter as clue for the diagnosis of clinically and or dermoscopically equivocal pigmented and non pigmented basal cell carcinomas and nodular melanomas |
| topic | skin cancer vessels dermoscopy vascular diameter melanoma basal cell carcinoma |
| url | https://www.mdpi.com/1648-9144/58/12/1761 |
| work_keys_str_mv | AT robertagiuffrida vasculardiameterasclueforthediagnosisofclinicallyandordermoscopicallyequivocalpigmentedandnonpigmentedbasalcellcarcinomasandnodularmelanomas AT claudioconforti vasculardiameterasclueforthediagnosisofclinicallyandordermoscopicallyequivocalpigmentedandnonpigmentedbasalcellcarcinomasandnodularmelanomas AT andreasblum vasculardiameterasclueforthediagnosisofclinicallyandordermoscopicallyequivocalpigmentedandnonpigmentedbasalcellcarcinomasandnodularmelanomas AT marijabuljan vasculardiameterasclueforthediagnosisofclinicallyandordermoscopicallyequivocalpigmentedandnonpigmentedbasalcellcarcinomasandnodularmelanomas AT fabrizioguarneri vasculardiameterasclueforthediagnosisofclinicallyandordermoscopicallyequivocalpigmentedandnonpigmentedbasalcellcarcinomasandnodularmelanomas AT rainerhofmannwellenhof vasculardiameterasclueforthediagnosisofclinicallyandordermoscopicallyequivocalpigmentedandnonpigmentedbasalcellcarcinomasandnodularmelanomas AT caterinalongo vasculardiameterasclueforthediagnosisofclinicallyandordermoscopicallyequivocalpigmentedandnonpigmentedbasalcellcarcinomasandnodularmelanomas AT johnpaoli vasculardiameterasclueforthediagnosisofclinicallyandordermoscopicallyequivocalpigmentedandnonpigmentedbasalcellcarcinomasandnodularmelanomas AT cliffrosendahl vasculardiameterasclueforthediagnosisofclinicallyandordermoscopicallyequivocalpigmentedandnonpigmentedbasalcellcarcinomasandnodularmelanomas AT hpetersoyer vasculardiameterasclueforthediagnosisofclinicallyandordermoscopicallyequivocalpigmentedandnonpigmentedbasalcellcarcinomasandnodularmelanomas AT ruzicajurakictoncic vasculardiameterasclueforthediagnosisofclinicallyandordermoscopicallyequivocalpigmentedandnonpigmentedbasalcellcarcinomasandnodularmelanomas AT robertavezzoni vasculardiameterasclueforthediagnosisofclinicallyandordermoscopicallyequivocalpigmentedandnonpigmentedbasalcellcarcinomasandnodularmelanomas AT iriszalaudek vasculardiameterasclueforthediagnosisofclinicallyandordermoscopicallyequivocalpigmentedandnonpigmentedbasalcellcarcinomasandnodularmelanomas |