In Vivo Reflectance Confocal Microscopy Applied to Acral Melanocytic Lesions: A Systematic Review of the Literature
Background: Acral melanocytic lesions often pose a diagnostic and therapeutic challenge for many clinicians. Reflectance confocal microscopy (RCM) is an imaging technique widely used for the assessment of skin cancers. The aim of this review is to explore the applicability of RCM for the diagnosis o...
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| Veröffentlicht in: | Diagnostics (Basel) Jg. 14; H. 19; S. 2134 |
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| Abstract | Background: Acral melanocytic lesions often pose a diagnostic and therapeutic challenge for many clinicians. Reflectance confocal microscopy (RCM) is an imaging technique widely used for the assessment of skin cancers. The aim of this review is to explore the applicability of RCM for the diagnosis of nevi and melanoma on the acral sites. Methods: Study selection was conducted based on the application of RCM for acral melanocytic lesions. All types of articles (original articles, short reports, and single case reports) were included in the analysis following PRISMA updated guidelines. Results: The search retrieved 18 papers according to the selection criteria; after removing duplicate records and additional articles by one or more of the exclusion criteria, a total of seven studies were carefully evaluated. Conclusions: RCM seems a valuable and useful additional tool for the diagnosis of acral melanocytic lesions, and its use may decrease the need for invasive procedures to some extent. Visualization of deeper layers may be achieved through mechanical removal of the superficial stratum corneum. |
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| AbstractList | Background: Acral melanocytic lesions often pose a diagnostic and therapeutic challenge for many clinicians. Reflectance confocal microscopy (RCM) is an imaging technique widely used for the assessment of skin cancers. The aim of this review is to explore the applicability of RCM for the diagnosis of nevi and melanoma on the acral sites. Methods: Study selection was conducted based on the application of RCM for acral melanocytic lesions. All types of articles (original articles, short reports, and single case reports) were included in the analysis following PRISMA updated guidelines. Results: The search retrieved 18 papers according to the selection criteria; after removing duplicate records and additional articles by one or more of the exclusion criteria, a total of seven studies were carefully evaluated. Conclusions: RCM seems a valuable and useful additional tool for the diagnosis of acral melanocytic lesions, and its use may decrease the need for invasive procedures to some extent. Visualization of deeper layers may be achieved through mechanical removal of the superficial stratum corneum. : Acral melanocytic lesions often pose a diagnostic and therapeutic challenge for many clinicians. Reflectance confocal microscopy (RCM) is an imaging technique widely used for the assessment of skin cancers. The aim of this review is to explore the applicability of RCM for the diagnosis of nevi and melanoma on the acral sites. : Study selection was conducted based on the application of RCM for acral melanocytic lesions. All types of articles (original articles, short reports, and single case reports) were included in the analysis following PRISMA updated guidelines. : The search retrieved 18 papers according to the selection criteria; after removing duplicate records and additional articles by one or more of the exclusion criteria, a total of seven studies were carefully evaluated. : RCM seems a valuable and useful additional tool for the diagnosis of acral melanocytic lesions, and its use may decrease the need for invasive procedures to some extent. Visualization of deeper layers may be achieved through mechanical removal of the superficial stratum corneum. Background: Acral melanocytic lesions often pose a diagnostic and therapeutic challenge for many clinicians. Reflectance confocal microscopy (RCM) is an imaging technique widely used for the assessment of skin cancers. The aim of this review is to explore the applicability of RCM for the diagnosis of nevi and melanoma on the acral sites. Methods: Study selection was conducted based on the application of RCM for acral melanocytic lesions. All types of articles (original articles, short reports, and single case reports) were included in the analysis following PRISMA updated guidelines. Results: The search retrieved 18 papers according to the selection criteria; after removing duplicate records and additional articles by one or more of the exclusion criteria, a total of seven studies were carefully evaluated. Conclusions: RCM seems a valuable and useful additional tool for the diagnosis of acral melanocytic lesions, and its use may decrease the need for invasive procedures to some extent. Visualization of deeper layers may be achieved through mechanical removal of the superficial stratum corneum.Background: Acral melanocytic lesions often pose a diagnostic and therapeutic challenge for many clinicians. Reflectance confocal microscopy (RCM) is an imaging technique widely used for the assessment of skin cancers. The aim of this review is to explore the applicability of RCM for the diagnosis of nevi and melanoma on the acral sites. Methods: Study selection was conducted based on the application of RCM for acral melanocytic lesions. All types of articles (original articles, short reports, and single case reports) were included in the analysis following PRISMA updated guidelines. Results: The search retrieved 18 papers according to the selection criteria; after removing duplicate records and additional articles by one or more of the exclusion criteria, a total of seven studies were carefully evaluated. Conclusions: RCM seems a valuable and useful additional tool for the diagnosis of acral melanocytic lesions, and its use may decrease the need for invasive procedures to some extent. Visualization of deeper layers may be achieved through mechanical removal of the superficial stratum corneum. |
| Audience | Academic |
| Author | Salvi, Marisa Cantisani, Carmen Pellegrino, Luca Michelini, Simone Cappilli, Simone Di Stefani, Alessandro Chello, Camilla Palmisano, Gerardo Gemma, Giuseppe Peris, Ketty Pellacani, Giovanni |
| AuthorAffiliation | 3 UOC di Dermatologia, Dipartimento di Scienze Mediche e Chirurgiche, Fondazione Policlinico Universitario A. Gemelli—IRCCS, 00168 Rome, Italy 2 Dermatologia, Dipartimento di Medicina e Chirurgia Traslazionale, Università Cattolica del Sacro Cuore, 00168 Rome, Italy; luca.pellegrino777@gmail.com (L.P.); palmisanogerardo@gmail.com (G.P.); marisa.salvi94@gmail.com (M.S.); alessandro.distefani@gmail.com (A.D.S.); ketty.peris@unicatt.it (K.P.) 1 Dermatology Clinic, Department of Clinical Internal, Anesthesiological and Cardiovascular Sciences, Sapienza University of Rome, 00185 Rome, Italy; camilla.chello@gmail.com (C.C.); simo.mik@hotmail.it (S.M.); giuseppe.gemma98@gmail.com (G.G.); carmen.cantisani@uniroma1.it (C.C.); pellacani.giovanni@gmail.com (G.P.) |
| AuthorAffiliation_xml | – name: 1 Dermatology Clinic, Department of Clinical Internal, Anesthesiological and Cardiovascular Sciences, Sapienza University of Rome, 00185 Rome, Italy; camilla.chello@gmail.com (C.C.); simo.mik@hotmail.it (S.M.); giuseppe.gemma98@gmail.com (G.G.); carmen.cantisani@uniroma1.it (C.C.); pellacani.giovanni@gmail.com (G.P.) – name: 3 UOC di Dermatologia, Dipartimento di Scienze Mediche e Chirurgiche, Fondazione Policlinico Universitario A. Gemelli—IRCCS, 00168 Rome, Italy – name: 2 Dermatologia, Dipartimento di Medicina e Chirurgia Traslazionale, Università Cattolica del Sacro Cuore, 00168 Rome, Italy; luca.pellegrino777@gmail.com (L.P.); palmisanogerardo@gmail.com (G.P.); marisa.salvi94@gmail.com (M.S.); alessandro.distefani@gmail.com (A.D.S.); ketty.peris@unicatt.it (K.P.) |
| Author_xml | – sequence: 1 givenname: Camilla orcidid: 0000-0002-3142-1831 surname: Chello fullname: Chello, Camilla – sequence: 2 givenname: Simone orcidid: 0000-0001-9813-2391 surname: Cappilli fullname: Cappilli, Simone – sequence: 3 givenname: Luca surname: Pellegrino fullname: Pellegrino, Luca – sequence: 4 givenname: Simone surname: Michelini fullname: Michelini, Simone – sequence: 5 givenname: Gerardo surname: Palmisano fullname: Palmisano, Gerardo – sequence: 6 givenname: Giuseppe surname: Gemma fullname: Gemma, Giuseppe – sequence: 7 givenname: Marisa surname: Salvi fullname: Salvi, Marisa – sequence: 8 givenname: Carmen orcidid: 0000-0003-2181-951X surname: Cantisani fullname: Cantisani, Carmen – sequence: 9 givenname: Alessandro surname: Di Stefani fullname: Di Stefani, Alessandro – sequence: 10 givenname: Ketty surname: Peris fullname: Peris, Ketty – sequence: 11 givenname: Giovanni surname: Pellacani fullname: Pellacani, Giovanni |
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| Snippet | Background: Acral melanocytic lesions often pose a diagnostic and therapeutic challenge for many clinicians. Reflectance confocal microscopy (RCM) is an... : Acral melanocytic lesions often pose a diagnostic and therapeutic challenge for many clinicians. Reflectance confocal microscopy (RCM) is an imaging... |
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| SubjectTerms | acral lentiginous melanoma Algorithms Asymmetry clinical diagnosis Lasers Medical prognosis Melanoma Microscopy reflectance confocal microscopy Skin Systematic Review |
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| Title | In Vivo Reflectance Confocal Microscopy Applied to Acral Melanocytic Lesions: A Systematic Review of the Literature |
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