Predominant Dermoscopic Patterns Observed among Nevi

Scope, Alon; Burroni, Marco; Agero, Anna Liza C.; Benvenuto-Andrade, Cristiane; Dusza, Stephen W.; Rubegni, Pietro; Bono, R.; Dell'Eva, Giordana; Salaro, Cristina; Marghoob, Ashfaq A.

doi:10.2310/7750.2006.00045

Cited by 42 publications

(30 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Complementary information at first-visit examinations included the lesional history (eg, increase in size, itching, scaling, change in color, intermittent bleeding), and the ugly duckling sign 25 and moles-breed-true concept. 26 Like two opposite sides of a coin, both concepts belong together. Although the ugly duckling sign helps to identify melanoma, the moles-breed-true concept implicates that benign common nevi in a given patient resemble each other.…”

Section: Excisional Biopsiesmentioning

confidence: 98%

“…The majority of melanomas (65%) had a 7-point checklist score of 3 to 5 points. However, 8 melanomas (4 invasive, 4 in situ) scored less than 3 points, and would have been missed without complementary information (eg, patient anamnestic data, ugly duckling sign, 25 moles-breed-true concept 26 ). As expected, there was a close correlation of the scoring and the percentage of melanomas among excised lesions (Fig 2, A).…”

Section: Absolute Numbers and Frequencies Of Melanomas In Relation Tomentioning

confidence: 99%

See 1 more Smart Citation

Seven-point checklist for dermatoscopy: Performance during 10 years of prospective surveillance of patients at increased melanoma risk

Haenssle

Korpas

Hansen-Hagge

et al. 2010

Journal of the American Academy of Dermatology

View full text Add to dashboard Cite

Section: Excisional Biopsiesmentioning

confidence: 98%

Section: Absolute Numbers and Frequencies Of Melanomas In Relation Tomentioning

confidence: 99%

Seven-point checklist for dermatoscopy: Performance during 10 years of prospective surveillance of patients at increased melanoma risk

Haenssle

Korpas

Hansen-Hagge

et al. 2010

Journal of the American Academy of Dermatology

View full text Add to dashboard Cite

“…The key point in the examination of individuals with multiple nevi is therefore the identification of his or her predominant nevus pattern (defined as the pattern seen in more than 30% of all nevi), which then permits the identification of atypical lesions that deviate from this pattern (recommendation 2). [2][3][4][5][6][7][8][9] Some studies have noted that patient-related factors influence the evaluation of an individual nevus as well as the predominant nevus pattern. Knowledge of these factors and their correlation with dermoscopic features are important for the correct diagnosis and management of nevi.…”

Section: Commentmentioning

confidence: 99%

“…3,4 Most individuals have a predominant nevus pattern; therefore, the examination of all lesions is an essential step in the recognition process because it allows the identification of lesions deviating from the individual's prevailing benign pattern (concept of the "ugly duckling sign"). [2][3][4][5][6][7][8][9] By allowing visualization of submacroscopic pigmented structures that correlate with specific underlying histopathologic structures, 10 dermoscopy provides a more powerful tool than the naked-eye examination for clinicians to determine the…”

mentioning

confidence: 99%

Using Dermoscopic Criteria and Patient-Related Factors for the Management of Pigmented Melanocytic Nevi

Zalaudek

Docimo

Argenziano³

2009

Arch Dermatol

101

View full text Add to dashboard Cite

Objective: To review recent dermoscopy studies that provide new insights into the evolution of nevi and their patterns of pigmentation as they contribute to the diagnosis of nevi and the management of pigmented melanocytic nevi. Data Sources: Data for this article were identified by searching the English and German literature by Medline and Journals@Ovid search for the period 1950 to January 2009. Study Selection: The following relevant terms were used: dermoscopy, dermatoscopy, epiluminescence microscopy (ELM), surface microscopy, digital dermoscopy, digital dermatoscopy, digital epiluminescence microscopy, digital surface microscopy, melanocytic skin lesion, nevi, and pigmented skin lesions. There were no exclusion criteria. Data Synthesis: The dermoscopic diagnosis of nevi relies on the following 4 criteria (each of which is characterized by 4 variables): (1) color (black, brown, gray, and blue); (2) pattern (globular, reticular, starburst, and homogeneous blue pattern); (3) pigment distribution (multifocal, central, eccentric, and uniform); and (4) special sites (face, acral areas, nail, and mucosa). In addition, the following 6 factors related to the patient might influence the pattern of pigmentation of the individual nevi: age, skin type, history of melanoma, UV exposure, pregnancy, and growth dynamics. Conclusions: The 4×4×6 “rule” may help clinicians remember the basic dermoscopic criteria of nevi and the patient-related factors influencing their patterns. Dermoscopy is a useful technique for diagnosing melanocytic nevi, but the clinician should take additional factors into consideration to optimize the management of cases of pigmented lesions.

show abstract

“…[43] This concept has also been referred to as "moles breed true" in that individuals tend to harbor a limited number of dermoscopic patterns in their nevi. [44] An extension of these observations is that any skin lesion with outlier dermoscopic features should be carefully examined. Figure 13.…”

Section: Dermoscopy Differential Approachmentioning

confidence: 99%

A guide for dermatology nurses to assist in the early detection of skin cancer

Lucas

Chung

Marchetti

et al. 2016

JNEP

Self Cite

View full text Add to dashboard Cite

Early diagnosis of skin cancer, particularly melanoma, leads to improved morbidity and mortality. While nurses have been leaders in skin cancer awareness and education for decades, the nursing community can take a more active role in the fight against skin cancer. In order to assume this role, nurses must be familiar with diagnostic aids that help in the early recognition of skin cancer. Dermatology nurses facilitate care in the interdisciplinary team by focusing on patient centered outcomes. Nursing roles and responsibilities in the interdisciplinary team are vital to clinic pre-screening, improving public awareness, disseminating patient education, providing guidance regarding sun avoidance and protection, and providing education on the fundamentals of skin self-examinations and total body skin examinations. Nursing skin assessment requires knowledge of skin lesion morphology and biology, and pattern recognition. As the sensitivity and specificity of naked eye examinations are suboptimal, dermoscopy provides a method for improving and streamlining skin lesion triage and assessment. In this review, we discuss a multi-prong approach to the diagnosis of melanoma, including the ABCDE mnemonic, the "ugly duckling" concept, and some newer technologies (e.g., dermoscopy and total body photography) that aid in the early detection of skin cancers. Familiarity with these detection aids can provide nurses with a basic framework to aid in diagnosing skin cancer.

show abstract

Predominant Dermoscopic Patterns Observed among Nevi

Abstract: Individuals tend to have one to three predominant dermoscopic nevus global patterns.

Cited by 42 publications

References 13 publications

Seven-point checklist for dermatoscopy: Performance during 10 years of prospective surveillance of patients at increased melanoma risk

Seven-point checklist for dermatoscopy: Performance during 10 years of prospective surveillance of patients at increased melanoma risk

Using Dermoscopic Criteria and Patient-Related Factors for the Management of Pigmented Melanocytic Nevi

A guide for dermatology nurses to assist in the early detection of skin cancer

Contact Info

Product

Resources

About