Incidence of New and Changed Nevi and Melanomas Detected Using Baseline Images and Dermoscopy in Patients at High Risk for Melanoma

Banky, Jeremy P.; Kelly, John W.; English, Dallas R.; Yeatman, Josephine; Dowling, John P.

doi:10.1001/archderm.141.8.998

Cited by 168 publications

(153 citation statements)

References 30 publications

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“…Multiple studies have described monitoring nevi by comparison of serially taken dermoscopic images. 65,66 Whereas this approach appears sensitive for early melanoma detection in that a relatively higher percentage of melanomas were diagnosed as in situ, some melanomas might have been missed because they either presented as new lesions or arose from nevi that were not serially monitored. 67 Dermoscopy can increase or decrease confidence that a melanocytic lesion is benign or malignant, 68,69 thereby improving the early detection of melanoma, while reducing the need for unnecessary biopsies.…”

Section: Using Technology To Augment Early Melanoma Diagnosis Dermoscopymentioning

confidence: 99%

The Evolution of Melanoma Diagnosis: 25 Years Beyond the ABCDs

Rigel

Russak

Friedman

2010

CA: A Cancer Journal for Clinicians

343

274

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Early detection of malignant melanoma remains the key factor in lowering mortality from this cancer. Recognizing the importance of this issue 25 years ago, our group at New York University published in CA: A Cancer Journal for Clinicians the mnemonic "ABCD" to facilitate the early diagnosis of melanoma. Studies have demonstrated the usefulness of this paradigm in enhancing early melanoma diagnosis as a part of clinical examinations, mass screenings, and public education programs. Approaches to melanoma diagnosis have dynamically evolved during the ensuing quarter century. In the 1990s, dermoscopy enabled the recognition of new subsurface features to differentiate between malignant and benign pigmented lesions. During the last decade, new computer-based technologies have improved diagnostic sensitivity and specificity and may result in optimizing lesion selection for biopsy and pathology review. Despite all of the advances in melanoma diagnosis, timely recognition, detection, and rapid treatment of melanoma remain critical. Although pathologic examination remains the gold standard for diagnosis, this cancer has the potential to be diagnosed through noninvasive approaches because of its cutaneous location. From the development of the ABCDs through current attempts that use complex computer algorithms and genetic markers, a clinician's ability to detect melanoma in its earliest form has been augmented. However, a "good clinical eye" is still fundamental to selecting the lesions for evaluation among the sea of those that are prevalent. As current approaches are refined and new techniques are developed, the improved ability to diagnose this cancer will hopefully enhance reaching the goal of reducing melanoma mortality. CA Cancer J Clin 2010;60:301-316.

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Section: Using Technology To Augment Early Melanoma Diagnosis Dermoscopymentioning

confidence: 99%

The Evolution of Melanoma Diagnosis: 25 Years Beyond the ABCDs

Rigel

Russak

Friedman

2010

CA: A Cancer Journal for Clinicians

343

274

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show abstract

“…The disadvantage of this method, concerning health policies, is the high cost that is around thousands US$ per person. Incidence of new and changed nevi and melanomas detected using baseline images and dermoscopy in patients at high risk for melanoma (Banky, et al 2003). When the clinician detects a lesion, its visual characteristics as color, architecture, texture, and its palpation are carefully evaluated under white light illumination, the ABCD (Asymmetry, Border, Color, Diameter) rule.…”

Section: Clinical Proceduresmentioning

confidence: 99%

Optical Imaging as Auxiliary Tool in Skin Cancer Diagnosis

Pratavieira¹,

Andrade²,

Sálvio³

et al. 2011

Skin Cancers - Risk Factors, Prevention and Therapy

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“…From a management perspective, it is reassuring to know that symmetrically enlarging acquired nevi manifesting a peripheral rim of globules do not need to be subjected to biopsy and can be confidently monitored clinically and dermoscopically in children and young adults. Although the ABCD mnemonic (asymmetry, border irregularity, color variation and diameter >6 mm) can assist in differentiating benign melanocytic nevi from melanoma, it is clear that the criteria lacks specificity since many melanocytic nevi, especially dysplastic nevi, can manifest the ABCDs or can enlarge over time [45,46]. For that reason, one should not assume that all evolving melanocytic lesions in children represent melanoma.…”

Section: Acquired Melanocytic Nevimentioning

confidence: 99%