Clinically equivocal melanocytic skin lesions with features of regression: a dermoscopic–pathological study

Background  Benign melanocytic skin lesions may be difficult to differentiate from melanoma both clinically and dermoscopically. One of the most confounding dermoscopic features, commonly seen in melanoma but in our experience also in melanocytic naevi, is represented by the so‐called blue–white structures (BWS).

[1]  R. Hofmann-Wellenhof,et al.  Dermoscopic classification of atypical melanocytic nevi (Clark nevi). , 2001, Archives of dermatology.

[2]  Werner Hacke,et al.  Acute Treatment of Ischemic Stroke , 2000, Cerebrovascular Diseases.

[3]  Giuseppe Argenziano,et al.  Dermoscopic criteria for melanoma in situ are similar to those for early invasive melanoma , 2001, Cancer.

[4]  Giuseppe Argenziano,et al.  Interactive Atlas of Dermoscopy (Book and CD-ROM) , 2000 .

[5]  H. Soyer,et al.  Diagnostic reliability of dermoscopic criteria for detecting malignant melanoma , 1994, Dermatology.

[6]  A. Kopf,et al.  Histopathologic Correlates of Structures Seen on Dermoscopy (Epiluminescence Microscopy) , 1993, The American Journal of dermatopathology.

[7]  Dermoscopic and histopathologic diagnosis of equivocal melanocytic skin lesions , 2003, Cancer.

[8]  H. Kittler,et al.  Follow-up of melanocytic skin lesions with digital epiluminescence microscopy: patterns of modifications observed in early melanoma, atypical nevi, and common nevi. , 2000, Journal of the American Academy of Dermatology.

[9]  P. Carli,et al.  Diagnostic Significance of the Blue Hue in Dermoscopy of Melanocytic Lesions: A Dermoscopic–Pathologic Study , 2001, The American Journal of dermatopathology.

[10]  I. Stanganelli,et al.  Critical effects of intense sun exposure on the expression of epiluminescence microscopy features of acquired melanocytic nevi. , 1997, Archives of dermatology.

[11]  P. Aegerter,et al.  Is dermoscopy (epiluminescence microscopy) useful for the diagnosis of melanoma? Results of a meta-analysis using techniques adapted to the evaluation of diagnostic tests. , 2001, Archives of dermatology.

[12]  A. Ackerman,et al.  Naming acquired melanocytic nevi. Unna's, Miescher's, Spitz's Clark's. , 1990, The American Journal of dermatopathology.

[13]  J Smolle,et al.  Terminology in surface microscopy. Consensus meeting of the Committee on Analytical Morphology of the Arbeitsgemeinschaft Dermatologische Forschung, Hamburg, Federal Republic of Germany, Nov. 17, 1989. , 1990, Journal of the American Academy of Dermatology.

[14]  G. Argenziano,et al.  Dermoscopy of pigmented skin lesions. , 2001, European journal of dermatology : EJD.

[15]  J. Mayer,et al.  Systematic review of the diagnostic accuracy of dermatoscopy in detecting malignant melanoma , 1997, The Medical journal of Australia.

[16]  H Kerl,et al.  Surface Microscopy: A New Approach to the Diagnosis of Cutaneous Pigmented Tumors , 1989, The American Journal of dermatopathology.

[17]  P. Heenan.  Pitfalls in the histopathologic diagnosis of malignant melanoma. , 2001, The American Journal of dermatopathology.

[18]  R. Corona,et al.  Interobserver variability on the histopathologic diagnosis of cutaneous melanoma and other pigmented skin lesions. , 1996, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[19]  S. Menzies,et al.  Frequency and morphologic characteristics of invasive melanomas lacking specific surface microscopic features. , 1996, Archives of dermatology.

[20]  G. Argenziano,et al.  Epiluminescence microscopy for the diagnosis of doubtful melanocytic skin lesions. Comparison of the ABCD rule of dermatoscopy and a new 7-point checklist based on pattern analysis. , 1998, Archives of dermatology.

[21]  M. G. Fleming,et al.  Dermoscopy of pigmented skin lesions: results of a consensus meeting via the Internet. , 2003, Journal of the American Academy of Dermatology.

[22]  H. Kittler,et al.  Diagnostic accuracy of dermoscopy. , 2002, The Lancet. Oncology.

[23]  R. Hofmann-Wellenhof,et al.  Ultraviolet radiation of melanocytic nevi: a dermoscopic study. , 1998, Archives of dermatology.

[24]  I. Stanganelli,et al.  Seasonal prevalence of digital epiluminescence microscopy patterns in acquired melanocytic nevi. , 1996, Journal of the American Academy of Dermatology.

[25]  H P Soyer,et al.  Clinicopathological correlation of pigmented skin lesions using dermoscopy. , 2000, European journal of dermatology : EJD.

[26]  K Wolff,et al.  In vivo epiluminescence microscopy: improvement of early diagnosis of melanoma. , 1993, The Journal of investigative dermatology.

[27]  R. Kenet,et al.  Clinical diagnosis of pigmented lesions using digital epiluminescence microscopy. Grading protocol and atlas. , 1993, Archives of dermatology.

[28]  H P Soyer,et al.  Dermoscopy of pigmented skin lesions--a valuable tool for early diagnosis of melanoma. , 2001, The Lancet. Oncology.

[29]  J. Malvehy,et al.  Follow-up of melanocytic skin lesions with digital total-body photography and digital dermoscopy: a two-step method. , 2002, Clinics in dermatology.

[30]  S. Menzies,et al.  Short-term digital surface microscopic monitoring of atypical or changing melanocytic lesions. , 2001, Archives of dermatology.

[31]  G. Argenziano,et al.  Dermatoscopic pitfalls in differentiating pigmented Spitz naevi from cutaneous melanomas , 1999, The British journal of dermatology.

[32]  Wilhelm Stolz,et al.  Color Atlas of Dermatoscopy , 1991 .