Skin metastases in the clinical and dermoscopic aspects

Kamińska‐Winciorek, Grażyna; Pilśniak, Aleksandra; Piskorski, Wojciech; Wydmański, Jerzy

doi:10.1053/j.seminoncol.2022.04.005

Seminars in Oncology

2022

DOI: 10.1053/j.seminoncol.2022.04.005

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Skin metastases in the clinical and dermoscopic aspects

Grażyna Kamińska‐Winciorek

Aleksandra Pilśniak

Wojciech Piskorski³

et al.

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2024

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Cited by 3 publications

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“…are the most common primary tumors associated with cutaneous metastases. 2 However, the incidence of cutaneous metastasis in gastric cancer cases is low, accounting for less than 5% of cases. 3 In this report, we describe the dermoscopic and ultrasonic manifestations of cutaneous metastases in a patient diagnosed with gastric adenocarcinoma.…”

mentioning

confidence: 99%

Dermoscopy and high‐frequency ultrasound provide diagnostic clues in a gastric adenocarcinoma with cutaneous metastasis as the initial presentation: A case report

Wang

Liu

2023

Skin Research and Technology

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mentioning

confidence: 99%

Dermoscopy and high‐frequency ultrasound provide diagnostic clues in a gastric adenocarcinoma with cutaneous metastasis as the initial presentation: A case report

Wang

Liu

2023

Skin Research and Technology

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Dermoscopy and novel non invasive imaging of Cutaneous Metastases

Alexandris¹,

Alevizopoulos²,

Marinos³

et al. 2022

Advances in Cancer Biology - Metastasis

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Dermoscopy of skin metastases in advanced cancer—systemic (visceral, hematologic) and cutaneous

Simionescu,

Petrică,

Avram

et al. 2024

Front. Med.

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IntroductionSkin metastases arise in 10% of cancer patients, but standardized dermoscopy diagnostic criteria for skin metastases remain poor. This study's objective was to analyze the dermoscopy features of skin metastases from advanced systemic and cutaneous cancers.MethodsA retrospective study on 715 dermoscopy images of skin metastases from 33 patients with various primary cancers (breast, ovary, melanoma, non-melanoma skin cancer, and chronic leukemia) attending two academic centers between 2013 and 2023 was performed. Four independent observers blindly analyzed patterns, colors, vessels, and elementary lesions for each metastasis (30 parameters in total).ResultsThe structureless white pattern was the most prominent indicator of cutaneous metastasis (81.26%, p < 0.001). Regardless of the primary tumor, colors pink, red, white, and tan were identified. Elementary lesions were infrequent, except for melanoma metastases that displayed dots (13.23%) and globules (11.11%). Breast cancer metastases presented: blue (41.48%) and red (34.32%) colors, irregular vessels (13.58%), and a blue-naevus pattern (22.22%). Melanoma metastases displayed: a blue-naevus pattern (61.38%), a blue color (85.71%), and a structureless-blue combination pattern (79.37%). Non-melanoma skin cancer metastases were characterized by vascular (42.11%) and angioma-like (31.58%) patterns, pink (57.89%) and red (57.89%) colors, irregular (57.89%), thin hairpin (47.37%), comma (47, 37%), and thick hairpin (26, 32%) vessels and a red, white and irregular vessels combination pattern (52, 63%). A pink structureless combination pattern was frequent (61.05%) in chronic leukemia metastases. Ovarian cancer metastases displayed a white and tan structureless combination pattern (100%) and frequently had dotted vessels (42.85%).ConclusionPapules and nodules with a white structureless pattern suggest skin metastases, regardless of the primary tumor. A blue structureless lesion is indicative of melanoma metastasis and a vascular pattern with irregular vessels indicates a non-melanoma skin cancer metastasis. Dermoscopy stands as a reliable non-invasive diagnostic method for suspected cutaneous metastases in patients with a known cancer history.

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Skin metastases in the clinical and dermoscopic aspects

Cited by 3 publications

References 55 publications

Dermoscopy and high‐frequency ultrasound provide diagnostic clues in a gastric adenocarcinoma with cutaneous metastasis as the initial presentation: A case report

Dermoscopy and high‐frequency ultrasound provide diagnostic clues in a gastric adenocarcinoma with cutaneous metastasis as the initial presentation: A case report

Dermoscopy and novel non invasive imaging of Cutaneous Metastases

Dermoscopy of skin metastases in advanced cancer—systemic (visceral, hematologic) and cutaneous

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