A Comparative Dermoscopic Approach on Multiple Melanocytic Naevi on Various Body Sites in Different Stages of Development – the First Original Series of Patient Reports on Asian Skin
DOI:
https://doi.org/10.12970/2310-998X.2020.08.01Keywords:
Congenital melanocytic naevus, melanoma, selective dermoscopy, signature naevus, Spitz naevus, starburst naevus.Abstract
Background: For patients with multiple melanocytic naevi on multiple body sites, strategies to minimise the number of unnecessary excisions include recognising a signature naevus pattern, assessing the stages of development, and comparisons with neighbouring lesions. To our best knowledge, no report has been published on the application of these strategies on Asian skin.
Case reports: We demonstrated application of the above strategies on multiple melanocytic naevi on two young Asian subjects.
Conclusion: For multiple naevi on Asian subjects, the approaches of recognising a signature naevus pattern, assessing the maturities, and comparisons with neighbouring lesions are applicable in reducing the numbers of unnecessary excisions.
References
Suh KY, Bolognia JL. Signature nevi. J Am Acad Dermatol 2009; 60(3): 508-14. http://doi.org/10.1016/j.jaad.2008.10.056
Argenziano G, Catricalà C, Ardigo M, Buccini P, et al. Dermoscopy of patients with multiple nevi: Improved management recommendations using a comparative diagnostic approach. Arch Dermatol 2011; 147(1): 46-9. http://doi.org/10.1001/archdermatol.2010.389
Kim SY, Yun SJ. Cutaneous Melanoma in Asians. Chonnam Med J 2016; 52(3): 185-93. http://doi.org/10.4068/cmj.2016.52.3.185
Chuh A, Zawar V, Fölster-Holst R, Sciallis G, Rosemann T. Twenty-five practical recommendations in primary care dermoscopy. J Prim Health Care 2020; 12(1): 10-20. http://doi.org/10.1071/HC19057
Argenziano G, Zalaudek I, Ferrara G, Hofmann-Wellenhof R, Soyer HP. Proposal of a new classification system for melanocytic naevi. Br J Dermatol 2007; 157(2): 217-27.
Ritter A, Tronnier M, Vaske B, Mitteldorf C. Reevaluation of established and new criteria in differential diagnosis of Spitz nevus and melanoma. Arch Dermatol 2018; 310(4): 329-42. http://doi.org/10.1007/s00403-018-1818-8
Levy R, Lara-Corrales I. Melanocytic nevi in children: a review. Pediatr Ann 2016; 45(8): e293-8. http://doi.org/10.3928/19382359-20160720-07
Schaffer JV. Update on melanocytic nevi in children. Clin Dermatol 2015; 33(3): 368-86. http://doi.org/10.1016/j.clindermatol.2014.12.015
Cristina Carrera, Michael A Marchetti, Stephen W Dusza, Giuseppe Argenziano, et al. Validity and reliability of dermoscopic criteria used to differentiate nevi from melanoma: a web-based international dermoscopy society study JAMA Dermatol 2016; 152(7): 798-806. http://doi.org/10.1001/jamadermatol.2016.0624
Tajeddin NZ, Asl BM. Melanoma recognition in dermoscopy images using lesion's peripheral region information. Comput Methods Programs Biomed 2018; 163: 143-153. http://doi.org/10.1016/j.cmpb.2018.05.005
Tromme I, Devleesschauwer B, Beutels P, Richez P, et al. Selective use of sequential digital dermoscopy imaging allows a cost reduction in the melanoma detection process: a Belgian study of patients with a single or a small number of atypical nevi. PLoS One 2014; 9(10): e109339. http://doi.org/10.1371/journal.pone.0109339
Berk-Krauss J, Polsky D, Stein JA. Mole mapping for management of pigmented skin lesions. Dermatol Clin 2017; 35(4): 439-45. http://doi.org/10.1016/j.det.2017.06.004
Madigan LM, Treyger G, Kohen LL. Compliance with serial dermoscopic monitoring: An academic perspective. J Am Acad Dermatol 2016; 75(6): 1171-5. http://doi.org/10.1016/j.jaad.2016.07.012
