Dermoscopy of acral melanoma: a multicenter study on behalf of the international dermoscopy society.
نویسندگان
چکیده
BACKGROUND Most studies on dermoscopy of acral lesions were conducted in Asian populations. In this study, we analyzed these features in a predominantly Caucasian population. OBJECTIVE Estimate the prevalence of dermoscopic features in acral lesions, and assess their level of agreement between observers. METHODS In this retrospective multicenter study, 167 acral lesions (66 melanomas) were evaluated for 13 dermoscopic patterns by 26 physicians, via a secured Internet platform. RESULTS Parallel furrow pattern, bizarre pattern, and diffuse pigmentation with variable shades of brown had the highest prevalence. The agreement for lesion patterns between physicians was variable. Agreement was dependent on the level of diagnostic difficulty. CONCLUSION Lesions with a diameter >1 cm were more likely to be melanoma. We found as well that a benign pattern can be seen in parts of melanomas. For this reason one should evaluate an acral lesion for the presence of malignant patterns first.
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عنوان ژورنال:
- Dermatology
دوره 227 4 شماره
صفحات -
تاریخ انتشار 2013