面外恶性白斑:一种进展模型以及使用皮肤镜和反射共聚焦显微镜的强化诊断技术。

IF 1.6 4区 医学 Q3 DERMATOLOGY Journal of Cutaneous Pathology Pub Date : 2024-06-05 DOI:10.1111/cup.14665
Joseph Griffiths Acha, Reyes Gamo Villegas, Uxua Floristán Murúzabal, Ana Pampín Franco, Claudia Sarró Fuente, Fernando Pinedo Moraleda, Jose Luis López Estebaranz
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引用次数: 0

摘要

恶性色素痣(LM)是局限于表皮的色素性黑色素瘤的一种亚型,与长期日晒有关。其临床、皮肤镜和组织病理学诊断具有一定的挑战性,尤其是在早期和晚期,需要适当的临床病理学相关性。本文回顾了临床表现、通过非侵入性方法(皮肤镜和共聚焦显微镜)进行的诊断,并通过介绍理论-实践进展模型中不同阶段的四个代表性临床病例,为面外 LM 的诊断提供启示。识别这些病变至关重要,因为它们一旦侵入真皮层,就会表现得像其他类型的黑色素瘤一样。
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Extrafacial lentigo maligna: A progression model and enhanced diagnostic techniques using dermatoscopy and reflectance confocal microscopy

Lentigo maligna (LM) is a subtype of lentiginous melanoma confined to the epidermis, which is associated with chronic sun exposure. Its clinical, dermatoscopic, and histopathological diagnosis can be challenging, particularly in the early and advanced stages, requiring appropriate clinicopathological correlation. This article reviews the clinical presentation, diagnosis through noninvasive methods (dermoscopy and confocal microscopy), and provides insights for diagnosis of extrafacial LM through the presentation of four representative clinical cases from different phases of a theoretical–practical progression model. Recognizing these lesions is crucial, as once they invade the dermis, they can behave like any other type of melanoma.

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来源期刊
CiteScore
3.20
自引率
5.90%
发文量
174
审稿时长
3-8 weeks
期刊介绍: Journal of Cutaneous Pathology publishes manuscripts broadly relevant to diseases of the skin and mucosae, with the aims of advancing scientific knowledge regarding dermatopathology and enhancing the communication between clinical practitioners and research scientists. Original scientific manuscripts on diagnostic and experimental cutaneous pathology are especially desirable. Timely, pertinent review articles also will be given high priority. Manuscripts based on light, fluorescence, and electron microscopy, histochemistry, immunology, molecular biology, and genetics, as well as allied sciences, are all welcome, provided their principal focus is on cutaneous pathology. Publication time will be kept as short as possible, ensuring that articles will be quickly available to all interested in this speciality.
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