Dermoscopy accuracy for lateral margin assessment of distinct basal cell carcinoma subtypes treated by Mohs micrographic surgery in 368 cases

Cerci, Felipe B.; Kubo, Elisa Mayumi; Werner, Betina; Tolkachjov, Stanislav N.

doi:10.1111/ijd.15655

Cited by 3 publications

(3 citation statements)

References 5 publications

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“…Among these, 4 were excluded (case reports and noncomparative studies) [16][17][18][19]. Three research letters were excluded [11,20,21]. Among these research The mean number of Mohs stages in each study group was specified in 5 articles [4,[6][7][8][9].…”

Section: Results Of the Searchmentioning

confidence: 99%

“…Two studies reported the number of recurrences after MMS [4][5][6][7][8][9]. One of these letters, two compared dermoscopy to naked eye examination in BCC margin evaluation but the number of Mohs stages in each study group expressed in mean with standard deviation was not available [11,20]; and one article included only BCC evaluated using dermoscopy prior to MMS [21].…”

Section: Effects Of Interventionsmentioning

confidence: 99%

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The Use of Dermoscopy in the Delineation of Basal Cell Carcinoma for Mohs Micrographic Surgery

Litaiem¹,

Hayder²,

Benlagha³

et al. 2022

Dermatol Pract Concept

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Introduction: Several studies investigated the use of dermoscopy in the delineation of Basal cell carcinoma (BCC) for Mohs micrographic surgery (MMS) with conflicting results Objective: The purpose of this systematic review with meta-analysis was to evaluate the effectiveness of the use of dermoscopy-guided MMS in the treatment of BCC. Methods: We included all comparative studies including more than twenty-five cases. Cases of BCC treated using dermoscopy-guided MMS (or slow MMS) were compared to those treated with curettage-guided MMS or “standard” MMS. Results: A total of 6 studies including 508 BCCs were reviewed. There was no statistically significant difference in the proportion of total margin clearance on the ﬁrst MMS stage between BCCs removed using dermoscopy-guided MMS and those that had curettage or visual inspection. However, lateral margin involvement was significantly lower in BCCs that had dermoscopy-guided MMS. Limitations: Scarcity of research on this subject Conclusions: Dermoscopy allows visualization of structures up to 1mm into the dermis, and therefore it is rational to use it for lateral margin evaluation. Currently, there are two comparative studies showing the efficacy of dermoscopy for lateral margin evaluation during MMS. Future studies are required to develop an evidence-based recommendation regarding the utility of dermoscopy in MMS.

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Section: Results Of the Searchmentioning

confidence: 99%

Section: Effects Of Interventionsmentioning

confidence: 99%

The Use of Dermoscopy in the Delineation of Basal Cell Carcinoma for Mohs Micrographic Surgery

Litaiem¹,

Hayder²,

Benlagha³

et al. 2022

Dermatol Pract Concept

View full text Add to dashboard Cite

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“…In contrast, telangiectatic vessels from chronic sun damage are smaller, less focused and dull-red. However, when BCC develops on severely sun-damaged skin with numerous telangiectasias, it might be challenging to discriminate them from tumoral vessels and delineate the tumor [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

“Stretching Dermoscopy” to Delineate the Margins of Basal Cell Carcinoma on Photodamaged Telangiectatic Skin

Cerci

Zehnder

Lallas

et al. 2023

Dermatol Pract Concept

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Surgical Margins of Nonmelanoma Skin Cancers in Mohs Surgery: Dermoscopy Versus Naked Eye

Aoki,

Lazzara,

Bartos

et al. 2024

Dermatol Surg

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BACKGROUND Mohs micrographic surgery (MMS) offers high cure rates for nonmelanoma skin cancer (NMSC) but relies on precise margin assessment, traditionally initiated by the naked eye. Dermoscopy has emerged as a potential tool to improve margin delineation. OBJECTIVE To compare the efficacy of dermoscopic versus naked eye evaluation in marking initial MMS margins for NMSC. METHODS A multicenter, prospective study on patients with NMSC undergoing MMS was conducted. Patients were randomized into dermoscopy and naked eye groups. Statistical analysis was performed using statistical package for social sciences. RESULTS A total of 127 patients were enrolled, with 63 in the naked eye group and 64 in the dermoscopy group. No significant differences in age, sex distribution, or histological subtype were found. The average number of MMS stages and accuracy of initial margins were comparable between groups. DISCUSSION Despite its potential, the authors' study found no significant reduction in total MMS stages using dermoscopy. Novel imaging modalities or standardized dermoscopic criteria should be explored to enhance margin assessment accuracy and improve outcomes in NMSC treatment. CONCLUSION Dermoscopic evaluation of presurgical margins does not effectively assess lateral/deep margins nor contribute to a reduction in total MMS stages. Improving the authors' understanding of presurgical margin assessment techniques can lead to better treatment outcomes for NMSC.

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Dermoscopy accuracy for lateral margin assessment of distinct basal cell carcinoma subtypes treated by Mohs micrographic surgery in 368 cases

Abstract: can be seen. In more than half of the patients, nevus of Ota may be associated with ocular melanocytosis, which can involve conjunctiva, sclera, uveal tract, retina, and optic nerve. Although it is usually benign, there is a low risk of developing melanoma

Cited by 3 publications

References 5 publications

The Use of Dermoscopy in the Delineation of Basal Cell Carcinoma for Mohs Micrographic Surgery

The Use of Dermoscopy in the Delineation of Basal Cell Carcinoma for Mohs Micrographic Surgery

“Stretching Dermoscopy” to Delineate the Margins of Basal Cell Carcinoma on Photodamaged Telangiectatic Skin

Surgical Margins of Nonmelanoma Skin Cancers in Mohs Surgery: Dermoscopy Versus Naked Eye

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