AustralieFrV1, Istex, Corpus, bibRecord, 002799

Slow‐growing melanoma: a dermoscopy follow‐up study

Identifieur interne : 002799 ( Istex/Corpus ); précédent : 002798; suivant : 002800

Slow‐growing melanoma: a dermoscopy follow‐up study

Auteurs : G. Argenziano ; H. Kittler ; G. Ferrara ; P. Rubegni ; J. Malvehy ; S. Puig ; L. Cowell ; I. Stanganelli ; V. De Giorgi ; L. Thomas ; P. Bahadoran ; S. W. Menzies ; D. Piccolo ; A. A. Marghoob ; I. Zalaudek

Source :

British Journal of Dermatology [ 0007-0963 ] ; 2010-02.

RBID : ISTEX:D646BBD221B8F98B7DFEF7E129AD44275EB18C1F

English descriptors

Abstract

Background Recent evidence suggests that melanoma is a family of different tumours with varying abilities to grow and metastasize. Trends in melanoma epidemiology show a strong increase in the incidence of thin melanoma, with no corresponding increase in mortality or incidence of thick melanoma. We initially evaluated five cases and found that none had baseline features suggestive of melanoma; excision was performed based on slight changes visible only in side‐by‐side comparisons of dermoscopic images.

Url:

https://api.istex.fr/document/D646BBD221B8F98B7DFEF7E129AD44275EB18C1F/fulltext/pdf

DOI: 10.1111/j.1365-2133.2009.09416.x

Links to Exploration step

ISTEX:D646BBD221B8F98B7DFEF7E129AD44275EB18C1F

Le document en format XML

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<front><div type="abstract">Background  Recent evidence suggests that melanoma is a family of different tumours with varying abilities to grow and metastasize. Trends in melanoma epidemiology show a strong increase in the incidence of thin melanoma, with no corresponding increase in mortality or incidence of thick melanoma. We initially evaluated five cases and found that none had baseline features suggestive of melanoma; excision was performed based on slight changes visible only in side‐by‐side comparisons of dermoscopic images.</div>
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<author xml:id="author-0000"><persName><forename type="first">G.</forename>
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<surname>Menzies</surname>
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<surname>Piccolo</surname>
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<author xml:id="author-0013"><persName><forename type="first">A.A.</forename>
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<profileDesc><abstract xml:lang="en" style="main"><head>Summary</head>
<p><hi rend="bold">Background </hi>
 Recent evidence suggests that melanoma is a family of different tumours with varying abilities to grow and metastasize. Trends in melanoma epidemiology show a strong increase in the incidence of thin melanoma, with no corresponding increase in mortality or incidence of thick melanoma. We initially evaluated five cases and found that none had baseline features suggestive of melanoma; excision was performed based on slight changes visible only in side‐by‐side comparisons of dermoscopic images.</p>
<p><hi rend="bold">Objectives </hi>
 To assess the clinico‐dermoscopic features and the growth patterns of melanomas that were excised after a follow‐up of 1 year or more due to their inconspicuous features at the baseline consultation.</p>
<p><hi rend="bold">Methods </hi>
 In a multicentre, retrospective study of histopathologically confirmed melanomas excised after follow‐up, we analysed dermoscopic images obtained at the initial consultation and compared them with images obtained at the last follow‐up consultation. Images were analysed and graded using standard algorithms and scored for changes in size, symmetrical or asymmetrical structural change, and development of new melanoma‐specific criteria. An overall score reflecting the amount of change was calculated for each lesion.</p>
<p><hi rend="bold">Results </hi>
 Our series consisted of 103 melanomas. After a median follow‐up of 20 months, most lesions were still <hi rend="italic">in situ</hi>
 or early invasive (median Breslow thickness of 0·48 mm), with only three lesions showing tumour thickness of 1 mm or more. The most frequent baseline characteristics were asymmetrical pigmentation (78·6% of lesions), reticular overall pattern (62·1%), and regression features (35·9%). Most melanomas (58·3%) showed minor to moderate changes over time, with < 2 mm size increase, with asymmetrical structural change, and without development of new melanoma‐specific criteria. Major changes were visible only after a mean follow‐up of 33 months.</p>
<p><hi rend="bold">Conclusions </hi>
 This study provides evidence for the existence of a subgroup of slow‐growing melanomas, which may explain the increase in the incidence of thin melanoma, despite stable rates of thick melanoma and melanoma‐associated mortality.</p>
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<correspondenceTo><i>Giuseppe Argenziano. E‐mail: </i>
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<p><b>Background </b>
 Recent evidence suggests that melanoma is a family of different tumours with varying abilities to grow and metastasize. Trends in melanoma epidemiology show a strong increase in the incidence of thin melanoma, with no corresponding increase in mortality or incidence of thick melanoma. We initially evaluated five cases and found that none had baseline features suggestive of melanoma; excision was performed based on slight changes visible only in side‐by‐side comparisons of dermoscopic images.</p>
<p><b>Objectives </b>
 To assess the clinico‐dermoscopic features and the growth patterns of melanomas that were excised after a follow‐up of 1 year or more due to their inconspicuous features at the baseline consultation.</p>
<p><b>Methods </b>
 In a multicentre, retrospective study of histopathologically confirmed melanomas excised after follow‐up, we analysed dermoscopic images obtained at the initial consultation and compared them with images obtained at the last follow‐up consultation. Images were analysed and graded using standard algorithms and scored for changes in size, symmetrical or asymmetrical structural change, and development of new melanoma‐specific criteria. An overall score reflecting the amount of change was calculated for each lesion.</p>
<p><b>Results </b>
 Our series consisted of 103 melanomas. After a median follow‐up of 20 months, most lesions were still <i>in situ</i>
 or early invasive (median Breslow thickness of 0·48 mm), with only three lesions showing tumour thickness of 1 mm or more. The most frequent baseline characteristics were asymmetrical pigmentation (78·6% of lesions), reticular overall pattern (62·1%), and regression features (35·9%). Most melanomas (58·3%) showed minor to moderate changes over time, with < 2 mm size increase, with asymmetrical structural change, and without development of new melanoma‐specific criteria. Major changes were visible only after a mean follow‐up of 33 months.</p>
<p><b>Conclusions </b>
 This study provides evidence for the existence of a subgroup of slow‐growing melanomas, which may explain the increase in the incidence of thin melanoma, despite stable rates of thick melanoma and melanoma‐associated mortality.</p>
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<noteGroup><note xml:id="fn1" numbered="no"><p>Conflicts of interest None declared.</p>
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<titleInfo type="abbreviated" lang="en"><title>Slow‐growing melanoma: a dermoscopy follow‐up study</title>
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<titleInfo type="alternative" contentType="CDATA" lang="en"><title>Slow‐growing melanoma: a dermoscopy follow‐up study</title>
</titleInfo>
<name type="personal"><namePart type="given">G.</namePart>
<namePart type="family">Argenziano</namePart>
<affiliation>Department of Dermatology, Second University of Naples, Via S. Pansini, 5‐80131 Naples, Italy</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">H.</namePart>
<namePart type="family">Kittler</namePart>
<affiliation>Division of General Dermatology, Department of Dermatology, Medical University of Vienna, Vienna, Austria</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">G.</namePart>
<namePart type="family">Ferrara</namePart>
<affiliation>Pathologic Anatomy Service, Gaetano Rummo General Hospital, Benevento, Italy</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">P.</namePart>
<namePart type="family">Rubegni</namePart>
<affiliation>Department of Dermatology, University of Siena, Siena, Italy</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">J.</namePart>
<namePart type="family">Malvehy</namePart>
<affiliation>Dermatology Department, Melanoma Unit, Hospital Clinic, Institut d’Investigacions Biomèdiques August Pi i Sunyer and CIBER de Enfermedades Raras, Barcelona, Spain</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">S.</namePart>
<namePart type="family">Puig</namePart>
<affiliation>Dermatology Department, Melanoma Unit, Hospital Clinic, Institut d’Investigacions Biomèdiques August Pi i Sunyer and CIBER de Enfermedades Raras, Barcelona, Spain</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">L.</namePart>
<namePart type="family">Cowell</namePart>
<affiliation>The University of Queensland, Brisbane, Qld, Australia</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">I.</namePart>
<namePart type="family">Stanganelli</namePart>
<affiliation>Skin Cancer Unit, Romagna Cancer Institute, IRST Meldola and Niguarda Hospital, Milano, Italy</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">V.</namePart>
<namePart type="family">De Giorgi</namePart>
<affiliation>Department of Dermatology, University of Florence, Florence, Italy</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">L.</namePart>
<namePart type="family">Thomas</namePart>
<affiliation>Dermatology Unit, Hôtel Dieu de Lyon, Lyon 1 University, Lyon, France</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">P.</namePart>
<namePart type="family">Bahadoran</namePart>
<affiliation>Dermatology Unit, Hopital Archet 2, Nice, France</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">S.W.</namePart>
<namePart type="family">Menzies</namePart>
<affiliation>The Sydney Melanoma Diagnostic Centre and The Discipline of Dermatology, University of Sydney, Sydney, NSW, Australia</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">D.</namePart>
<namePart type="family">Piccolo</namePart>
<affiliation>Department of Dermatology, University of L’Aquila, L’Aquila, Italy</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">A.A.</namePart>
<namePart type="family">Marghoob</namePart>
<affiliation>Memorial Sloan‐Kettering Cancer Center, New York, NY, U.S.A.</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">I.</namePart>
<namePart type="family">Zalaudek</namePart>
<affiliation>Department of Dermatology, Medical University of Graz, Graz, Austria</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<typeOfResource>text</typeOfResource>
<genre type="article" displayLabel="article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</genre>
<originInfo><publisher>Blackwell Publishing Ltd</publisher>
<place><placeTerm type="text">Oxford, UK</placeTerm>
</place>
<dateIssued encoding="w3cdtf">2010-02</dateIssued>
<edition>Accepted for publication 13 July 2009</edition>
<copyrightDate encoding="w3cdtf">2010</copyrightDate>
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<language><languageTerm type="code" authority="rfc3066">en</languageTerm>
<languageTerm type="code" authority="iso639-2b">eng</languageTerm>
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<physicalDescription><extent unit="figures">3</extent>
<extent unit="tables">1</extent>
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<abstract>Background  Recent evidence suggests that melanoma is a family of different tumours with varying abilities to grow and metastasize. Trends in melanoma epidemiology show a strong increase in the incidence of thin melanoma, with no corresponding increase in mortality or incidence of thick melanoma. We initially evaluated five cases and found that none had baseline features suggestive of melanoma; excision was performed based on slight changes visible only in side‐by‐side comparisons of dermoscopic images.</abstract>
<abstract>Objectives  To assess the clinico‐dermoscopic features and the growth patterns of melanomas that were excised after a follow‐up of 1 year or more due to their inconspicuous features at the baseline consultation.</abstract>
<abstract>Methods  In a multicentre, retrospective study of histopathologically confirmed melanomas excised after follow‐up, we analysed dermoscopic images obtained at the initial consultation and compared them with images obtained at the last follow‐up consultation. Images were analysed and graded using standard algorithms and scored for changes in size, symmetrical or asymmetrical structural change, and development of new melanoma‐specific criteria. An overall score reflecting the amount of change was calculated for each lesion.</abstract>
<abstract>Results  Our series consisted of 103 melanomas. After a median follow‐up of 20 months, most lesions were still in situ or early invasive (median Breslow thickness of 0·48 mm), with only three lesions showing tumour thickness of 1 mm or more. The most frequent baseline characteristics were asymmetrical pigmentation (78·6% of lesions), reticular overall pattern (62·1%), and regression features (35·9%). Most melanomas (58·3%) showed minor to moderate changes over time, with < 2 mm size increase, with asymmetrical structural change, and without development of new melanoma‐specific criteria. Major changes were visible only after a mean follow‐up of 33 months.</abstract>
<abstract>Conclusions  This study provides evidence for the existence of a subgroup of slow‐growing melanomas, which may explain the increase in the incidence of thin melanoma, despite stable rates of thick melanoma and melanoma‐associated mortality.</abstract>
<subject lang="en"><genre>keywords</genre>
<topic>clinical diagnosis</topic>
<topic>dermoscopy</topic>
<topic>follow‐up</topic>
<topic>melanoma</topic>
</subject>
<relatedItem type="host"><titleInfo><title>British Journal of Dermatology</title>
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<identifier type="ISSN">0007-0963</identifier>
<identifier type="eISSN">1365-2133</identifier>
<identifier type="DOI">10.1111/(ISSN)1365-2133</identifier>
<identifier type="PublisherID">BJD</identifier>
<part><date>2010</date>
<detail type="volume"><caption>vol.</caption>
<number>162</number>
</detail>
<detail type="issue"><caption>no.</caption>
<number>2</number>
</detail>
<extent unit="pages"><start>267</start>
<end>273</end>
<total>7</total>
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<identifier type="istex">D646BBD221B8F98B7DFEF7E129AD44275EB18C1F</identifier>
<identifier type="ark">ark:/67375/WNG-6V5HNMLB-P</identifier>
<identifier type="DOI">10.1111/j.1365-2133.2009.09416.x</identifier>
<identifier type="ArticleID">BJD9416</identifier>
<accessCondition type="use and reproduction" contentType="copyright">© 2009 The Authors. Journal Compilation © 2009 British Association of Dermatologists</accessCondition>
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Slow‐growing melanoma: a dermoscopy follow‐up study

Slow‐growing melanoma: a dermoscopy follow‐up study

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