Dermoscopy features of melanomas with a diameter up to 5 mm (micromelanomas): A retrospective study To the Editor: Melanomas of \5 mm in diameter (micromelanomas) are often overlooked because they fail to fulfill the D criterion of the ABCD rule.
Funding sources: None.
Conflicts of interest: None disclosed.IRB approval status: This project was a quality improvement initiative and thus was not formally supervised by our IRB per their policies.
Despite the fact that journalists recognize the need for specialized training on health issues, there is lack of such training. In November 2010, the 2-year European project 'Health Reporting Training-HeaRT' was launched, aiming to develop vocational training on health reporting for journalists. In this study, we present the results of the original survey conducted in the framework of the HearT project, with the participation of seven EU partner countries, aiming to assess journalists' education, experience, skills, perceptions, barriers, and needs concerning health reporting across Europe. Only a small proportion of journalists have received specialized training in the past. Those that have received such training, consider it more necessary than their counterparts. Journalists believe they need more training to acquire specific skills related to evaluating conflicts of interest, interpreting medical research reports, and understanding statistics, so as to analyze specific health topics, such as medical research and science, health policy, and business/economics of health care. In view of the risks associated with false health reporting, and the lack of related training, this study could provide useful information towards developing educational programs in journalism schools and educational centers across Europe and beyond.
Background
Basal cell carcinoma (BCC) and squamous cell carcinoma (SCC) have well‐established dermatoscopic criteria that make them relatively easy to recognize on a clinical basis. However, even with the addition of dermatoscopy, a morphologic overlap between the two tumours does exist.
Objectives
To analyse the dermatoscopic morphology of clinically and dermatoscopically misclassified BCCs and SCCs, to identify factors causing the erroneous clinical interpretation and, therefore, minimize the morphologic overlap between BCC and SCC.
Methods
Retrospective study including histopathologically diagnosed BCCs or SCCs that had been clinically inversely diagnosed. Their dermatoscopic images were blindly evaluated for the presence of predefined criteria. Descriptive statistics were performed and univariate and multivariate predictors were calculated.
Results
A total of 68 cases were included, 41 of which were BCCs and 27 SCCs. Most tumours in both groups were non‐pigmented, ulcerated and displayed a polymorphous vascular pattern. The presence of erosions was positively associated to BCC (5.2‐fold higher odds, P = 0.05), whereas scales/keratin masses were positively associated to SCC (3.7‐fold higher odds, P = 0.07), although marginally not statistically significant.
Conclusions
Clinically misclassified BCCs and SCCs are usually non‐pigmented ulcerated tumours. Erosions and keratin masses/scales are more robust criteria as compared to vascular structures for the differential diagnosis between BCC and SCC.
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