Clinical and Histopathologic Characteristics of Melanocytic Lesions on the Volar Skin Without Typical Dermoscopic Patterns.

Clinical and Histopathologic Characteristics of Melanocytic Lesions on the Volar Skin Without Typical Dermoscopic Patterns.

Publication date: Mar 13, 2019

It is challenging to differentiate melanoma from melanocytic nevus on the volar skin in the absence of typical dermoscopic patterns.

To identify the frequency and clinical and dermoscopic characteristics of melanocytic lesions on the volar skin not displaying a parallel furrow pattern, lattice-like pattern, fibrillar pattern, or parallel ridge pattern on results of dermoscopy.

In this retrospective cohort study, a total of 504 melanocytic lesions on the volar skin were evaluated in the Shinshu University Hospital department of dermatology between January 1, 2000, and December 31, 2012. Dermoscopic images were independently assessed by 3 dermoscopists for the presence of established dermoscopic criteria. Statistical analysis was performed from October 1, 2017, to April 30, 2018.

Frequency of dermoscopic criteria and corresponding clinical (patient age and size and location of lesion) and histopathologic features.

Of 504 lesions, 110 (21.8%) (melanocytic nevus, 97; melanoma, 8; and equivocal melanocytic lesion, 5) from 108 patients (68 female and 40 male patients; mean age, 40.1 years [range, 1-86 years]) did not show a parallel furrow pattern, lattice-like pattern, fibrillar pattern, or parallel ridge pattern. Among them, the mean patient age was significantly higher for melanoma than for melanocytic nevus (65.3 vs 38.0 years; P 

Mikoshiba, Y., Minagawa, A., Koga, H., Yokokawa, Y., Uhara, H., and Okuyama, R. Clinical and Histopathologic Characteristics of Melanocytic Lesions on the Volar Skin Without Typical Dermoscopic Patterns. 21949. 2019 JAMA Dermatol.

Concepts Keywords
Cohort Study Pseudomelanoma
Dermatology Congenital melanocytic nevus
Dermoscopy Dermatoscopy
Frequency Melanocytic nevus
Histopathologic Nevus
JAMA Melanoma
Lattice Organ systems
Lesion Cutaneous conditions
Melanocytic Nevus Melanoma
Melanoma Melanocytic nevus
Ridge

Semantics

Type Source Name
gene UNIPROT TNFSF13
gene UNIPROT ANP32B
disease MESH melanocytic nevus
pathway BSID Melanoma
disease DOID melanoma
disease MESH melanoma

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