Patterns of nail matrix and bed of longitudinal melanonychia by intraoperative dermatoscopy
Background The dermatoscopic examination of the nail plate has been recently introduced for the evaluation of pigmented nail lesions. There is, however, no evidence that this technique improves diagnostic accuracy of in situ melanoma. Objective To establish and validate patterns for intraoperative d...
Gespeichert in:
| Veröffentlicht in: | Journal of the American Academy of Dermatology 2011-08, Vol.65 (2), p.297-303 |
|---|---|
| Hauptverfasser: | , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 303 |
|---|---|
| container_issue | 2 |
| container_start_page | 297 |
| container_title | Journal of the American Academy of Dermatology |
| container_volume | 65 |
| creator | Hirata, Sergio Henrique, PhD Yamada, Sergio, MD Enokihara, Mauro Yoshiaki, PhD Di Chiacchio, Nilton, MD, PhD de Almeida, Fernando Augusto, PhD Enokihara, Milvia Maria S.S., PhD Michalany, Nilceo Schwery, MD Zaiac, Martin, MD Tosti, Antonella, MD |
| description | Background The dermatoscopic examination of the nail plate has been recently introduced for the evaluation of pigmented nail lesions. There is, however, no evidence that this technique improves diagnostic accuracy of in situ melanoma. Objective To establish and validate patterns for intraoperative dermatoscopy of the nail matrix. Methods Intraoperative nail matrix dermatoscopy was performed in 100 consecutive bands of longitudinal melanonychia that were excised and submitted to histopathologic examination. Results We identified 4 dermatoscopic patterns: regular gray pattern (hypermelanosis), regular brown pattern (benign melanocytic hyperplasia), regular brown pattern with globules or blotch (melanocytic nevi), and irregular pattern (melanoma). Limitations Nail matrix dermatoscopy is an invasive procedure that can not routinely be performed in all cases of melanonychia. Conclusion The patterns described present high sensitivity and specificity for intraoperative differential diagnosis of pigmented nail lesions. |
| doi_str_mv | 10.1016/j.jaad.2010.06.009 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_878031012</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>1_s2_0_S0190962210006882</els_id><sourcerecordid>878031012</sourcerecordid><originalsourceid>FETCH-LOGICAL-c440t-dc834de030b39d51a38b5686232eceee1b22e56a74dd772bb786a929bb7d411c3</originalsourceid><addsrcrecordid>eNp9kUuLFDEUhYMoTjv6B1xIbcRVtXlUJykQYRh8wYCCunIRbiW3NWV10iapwfr3puhWwYWbJNx89-TmHEIeM7pllMnn43YEcFtOa4HKLaX9HbJhtFetVFrdJRvKetr2kvML8iDnkVaiE-o-ueBsJxgV_YZ8-QClYAq5ifsmgJ-aA5TkfzYQXDOgW8tTDF99mZ0PUK9xghDDYr95aIal8aEkiEdMUPwtNg5TFYjZxuPykNzbw5Tx0Xm_JJ9fv_p0_ba9ef_m3fXVTWu7jpbWWS06h1TQQfRux0DoYSe15IKjRUQ2cI47CapzTik-DEpL6HlfD65jzIpL8uyke0zxx4y5mIPPFqc6KMY5G600rd9lvJL8RNoUc064N8fkD5AWw6hZPTWjWT01q6eGSlMdq01PzvLzcED3p-W3iRV4egYgW5j2CYL1-S_XdVzWpXIvThxWM249JpOtx2DR-YS2GBf9_-d4-U-7nXzw9cXvuGAe45xqQNkwk7mh5uOa_ho-q7lLrbn4Be3WqoM</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>878031012</pqid></control><display><type>article</type><title>Patterns of nail matrix and bed of longitudinal melanonychia by intraoperative dermatoscopy</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals Complete</source><creator>Hirata, Sergio Henrique, PhD ; Yamada, Sergio, MD ; Enokihara, Mauro Yoshiaki, PhD ; Di Chiacchio, Nilton, MD, PhD ; de Almeida, Fernando Augusto, PhD ; Enokihara, Milvia Maria S.S., PhD ; Michalany, Nilceo Schwery, MD ; Zaiac, Martin, MD ; Tosti, Antonella, MD</creator><creatorcontrib>Hirata, Sergio Henrique, PhD ; Yamada, Sergio, MD ; Enokihara, Mauro Yoshiaki, PhD ; Di Chiacchio, Nilton, MD, PhD ; de Almeida, Fernando Augusto, PhD ; Enokihara, Milvia Maria S.S., PhD ; Michalany, Nilceo Schwery, MD ; Zaiac, Martin, MD ; Tosti, Antonella, MD</creatorcontrib><description>Background The dermatoscopic examination of the nail plate has been recently introduced for the evaluation of pigmented nail lesions. There is, however, no evidence that this technique improves diagnostic accuracy of in situ melanoma. Objective To establish and validate patterns for intraoperative dermatoscopy of the nail matrix. Methods Intraoperative nail matrix dermatoscopy was performed in 100 consecutive bands of longitudinal melanonychia that were excised and submitted to histopathologic examination. Results We identified 4 dermatoscopic patterns: regular gray pattern (hypermelanosis), regular brown pattern (benign melanocytic hyperplasia), regular brown pattern with globules or blotch (melanocytic nevi), and irregular pattern (melanoma). Limitations Nail matrix dermatoscopy is an invasive procedure that can not routinely be performed in all cases of melanonychia. Conclusion The patterns described present high sensitivity and specificity for intraoperative differential diagnosis of pigmented nail lesions.</description><identifier>ISSN: 0190-9622</identifier><identifier>EISSN: 1097-6787</identifier><identifier>DOI: 10.1016/j.jaad.2010.06.009</identifier><identifier>PMID: 21531039</identifier><identifier>CODEN: JAADDB</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adult ; Aged ; Biological and medical sciences ; Cohort Studies ; Dermatology ; Dermoscopy - methods ; Diagnosis, Differential ; Female ; Humans ; Intraoperative Care - methods ; Male ; Medical sciences ; Middle Aged ; Nail Diseases - diagnosis ; Nail Diseases - pathology ; Nail Diseases - surgery ; Nevus, Pigmented - diagnosis ; Nevus, Pigmented - pathology ; Nevus, Pigmented - surgery ; Pigmentary diseases of the skin ; Reproducibility of Results ; Risk Assessment ; Skin Neoplasms - diagnosis ; Skin Neoplasms - pathology ; Skin Neoplasms - surgery</subject><ispartof>Journal of the American Academy of Dermatology, 2011-08, Vol.65 (2), p.297-303</ispartof><rights>American Academy of Dermatology, Inc.</rights><rights>2010 American Academy of Dermatology, Inc.</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2010 American Academy of Dermatology, Inc. Published by Mosby, Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c440t-dc834de030b39d51a38b5686232eceee1b22e56a74dd772bb786a929bb7d411c3</citedby><cites>FETCH-LOGICAL-c440t-dc834de030b39d51a38b5686232eceee1b22e56a74dd772bb786a929bb7d411c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jaad.2010.06.009$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=24426244$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21531039$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hirata, Sergio Henrique, PhD</creatorcontrib><creatorcontrib>Yamada, Sergio, MD</creatorcontrib><creatorcontrib>Enokihara, Mauro Yoshiaki, PhD</creatorcontrib><creatorcontrib>Di Chiacchio, Nilton, MD, PhD</creatorcontrib><creatorcontrib>de Almeida, Fernando Augusto, PhD</creatorcontrib><creatorcontrib>Enokihara, Milvia Maria S.S., PhD</creatorcontrib><creatorcontrib>Michalany, Nilceo Schwery, MD</creatorcontrib><creatorcontrib>Zaiac, Martin, MD</creatorcontrib><creatorcontrib>Tosti, Antonella, MD</creatorcontrib><title>Patterns of nail matrix and bed of longitudinal melanonychia by intraoperative dermatoscopy</title><title>Journal of the American Academy of Dermatology</title><addtitle>J Am Acad Dermatol</addtitle><description>Background The dermatoscopic examination of the nail plate has been recently introduced for the evaluation of pigmented nail lesions. There is, however, no evidence that this technique improves diagnostic accuracy of in situ melanoma. Objective To establish and validate patterns for intraoperative dermatoscopy of the nail matrix. Methods Intraoperative nail matrix dermatoscopy was performed in 100 consecutive bands of longitudinal melanonychia that were excised and submitted to histopathologic examination. Results We identified 4 dermatoscopic patterns: regular gray pattern (hypermelanosis), regular brown pattern (benign melanocytic hyperplasia), regular brown pattern with globules or blotch (melanocytic nevi), and irregular pattern (melanoma). Limitations Nail matrix dermatoscopy is an invasive procedure that can not routinely be performed in all cases of melanonychia. Conclusion The patterns described present high sensitivity and specificity for intraoperative differential diagnosis of pigmented nail lesions.</description><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Cohort Studies</subject><subject>Dermatology</subject><subject>Dermoscopy - methods</subject><subject>Diagnosis, Differential</subject><subject>Female</subject><subject>Humans</subject><subject>Intraoperative Care - methods</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nail Diseases - diagnosis</subject><subject>Nail Diseases - pathology</subject><subject>Nail Diseases - surgery</subject><subject>Nevus, Pigmented - diagnosis</subject><subject>Nevus, Pigmented - pathology</subject><subject>Nevus, Pigmented - surgery</subject><subject>Pigmentary diseases of the skin</subject><subject>Reproducibility of Results</subject><subject>Risk Assessment</subject><subject>Skin Neoplasms - diagnosis</subject><subject>Skin Neoplasms - pathology</subject><subject>Skin Neoplasms - surgery</subject><issn>0190-9622</issn><issn>1097-6787</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kUuLFDEUhYMoTjv6B1xIbcRVtXlUJykQYRh8wYCCunIRbiW3NWV10iapwfr3puhWwYWbJNx89-TmHEIeM7pllMnn43YEcFtOa4HKLaX9HbJhtFetVFrdJRvKetr2kvML8iDnkVaiE-o-ueBsJxgV_YZ8-QClYAq5ifsmgJ-aA5TkfzYQXDOgW8tTDF99mZ0PUK9xghDDYr95aIal8aEkiEdMUPwtNg5TFYjZxuPykNzbw5Tx0Xm_JJ9fv_p0_ba9ef_m3fXVTWu7jpbWWS06h1TQQfRux0DoYSe15IKjRUQ2cI47CapzTik-DEpL6HlfD65jzIpL8uyke0zxx4y5mIPPFqc6KMY5G600rd9lvJL8RNoUc064N8fkD5AWw6hZPTWjWT01q6eGSlMdq01PzvLzcED3p-W3iRV4egYgW5j2CYL1-S_XdVzWpXIvThxWM249JpOtx2DR-YS2GBf9_-d4-U-7nXzw9cXvuGAe45xqQNkwk7mh5uOa_ho-q7lLrbn4Be3WqoM</recordid><startdate>20110801</startdate><enddate>20110801</enddate><creator>Hirata, Sergio Henrique, PhD</creator><creator>Yamada, Sergio, MD</creator><creator>Enokihara, Mauro Yoshiaki, PhD</creator><creator>Di Chiacchio, Nilton, MD, PhD</creator><creator>de Almeida, Fernando Augusto, PhD</creator><creator>Enokihara, Milvia Maria S.S., PhD</creator><creator>Michalany, Nilceo Schwery, MD</creator><creator>Zaiac, Martin, MD</creator><creator>Tosti, Antonella, MD</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20110801</creationdate><title>Patterns of nail matrix and bed of longitudinal melanonychia by intraoperative dermatoscopy</title><author>Hirata, Sergio Henrique, PhD ; Yamada, Sergio, MD ; Enokihara, Mauro Yoshiaki, PhD ; Di Chiacchio, Nilton, MD, PhD ; de Almeida, Fernando Augusto, PhD ; Enokihara, Milvia Maria S.S., PhD ; Michalany, Nilceo Schwery, MD ; Zaiac, Martin, MD ; Tosti, Antonella, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c440t-dc834de030b39d51a38b5686232eceee1b22e56a74dd772bb786a929bb7d411c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Cohort Studies</topic><topic>Dermatology</topic><topic>Dermoscopy - methods</topic><topic>Diagnosis, Differential</topic><topic>Female</topic><topic>Humans</topic><topic>Intraoperative Care - methods</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Nail Diseases - diagnosis</topic><topic>Nail Diseases - pathology</topic><topic>Nail Diseases - surgery</topic><topic>Nevus, Pigmented - diagnosis</topic><topic>Nevus, Pigmented - pathology</topic><topic>Nevus, Pigmented - surgery</topic><topic>Pigmentary diseases of the skin</topic><topic>Reproducibility of Results</topic><topic>Risk Assessment</topic><topic>Skin Neoplasms - diagnosis</topic><topic>Skin Neoplasms - pathology</topic><topic>Skin Neoplasms - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hirata, Sergio Henrique, PhD</creatorcontrib><creatorcontrib>Yamada, Sergio, MD</creatorcontrib><creatorcontrib>Enokihara, Mauro Yoshiaki, PhD</creatorcontrib><creatorcontrib>Di Chiacchio, Nilton, MD, PhD</creatorcontrib><creatorcontrib>de Almeida, Fernando Augusto, PhD</creatorcontrib><creatorcontrib>Enokihara, Milvia Maria S.S., PhD</creatorcontrib><creatorcontrib>Michalany, Nilceo Schwery, MD</creatorcontrib><creatorcontrib>Zaiac, Martin, MD</creatorcontrib><creatorcontrib>Tosti, Antonella, MD</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the American Academy of Dermatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hirata, Sergio Henrique, PhD</au><au>Yamada, Sergio, MD</au><au>Enokihara, Mauro Yoshiaki, PhD</au><au>Di Chiacchio, Nilton, MD, PhD</au><au>de Almeida, Fernando Augusto, PhD</au><au>Enokihara, Milvia Maria S.S., PhD</au><au>Michalany, Nilceo Schwery, MD</au><au>Zaiac, Martin, MD</au><au>Tosti, Antonella, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Patterns of nail matrix and bed of longitudinal melanonychia by intraoperative dermatoscopy</atitle><jtitle>Journal of the American Academy of Dermatology</jtitle><addtitle>J Am Acad Dermatol</addtitle><date>2011-08-01</date><risdate>2011</risdate><volume>65</volume><issue>2</issue><spage>297</spage><epage>303</epage><pages>297-303</pages><issn>0190-9622</issn><eissn>1097-6787</eissn><coden>JAADDB</coden><abstract>Background The dermatoscopic examination of the nail plate has been recently introduced for the evaluation of pigmented nail lesions. There is, however, no evidence that this technique improves diagnostic accuracy of in situ melanoma. Objective To establish and validate patterns for intraoperative dermatoscopy of the nail matrix. Methods Intraoperative nail matrix dermatoscopy was performed in 100 consecutive bands of longitudinal melanonychia that were excised and submitted to histopathologic examination. Results We identified 4 dermatoscopic patterns: regular gray pattern (hypermelanosis), regular brown pattern (benign melanocytic hyperplasia), regular brown pattern with globules or blotch (melanocytic nevi), and irregular pattern (melanoma). Limitations Nail matrix dermatoscopy is an invasive procedure that can not routinely be performed in all cases of melanonychia. Conclusion The patterns described present high sensitivity and specificity for intraoperative differential diagnosis of pigmented nail lesions.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>21531039</pmid><doi>10.1016/j.jaad.2010.06.009</doi><tpages>7</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0190-9622 |
| ispartof | Journal of the American Academy of Dermatology, 2011-08, Vol.65 (2), p.297-303 |
| issn | 0190-9622 1097-6787 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_878031012 |
| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Adult Aged Biological and medical sciences Cohort Studies Dermatology Dermoscopy - methods Diagnosis, Differential Female Humans Intraoperative Care - methods Male Medical sciences Middle Aged Nail Diseases - diagnosis Nail Diseases - pathology Nail Diseases - surgery Nevus, Pigmented - diagnosis Nevus, Pigmented - pathology Nevus, Pigmented - surgery Pigmentary diseases of the skin Reproducibility of Results Risk Assessment Skin Neoplasms - diagnosis Skin Neoplasms - pathology Skin Neoplasms - surgery |
| title | Patterns of nail matrix and bed of longitudinal melanonychia by intraoperative dermatoscopy |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-01T15%3A12%3A23IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Patterns%20of%20nail%20matrix%20and%20bed%20of%20longitudinal%20melanonychia%20by%20intraoperative%20dermatoscopy&rft.jtitle=Journal%20of%20the%20American%20Academy%20of%20Dermatology&rft.au=Hirata,%20Sergio%20Henrique,%20PhD&rft.date=2011-08-01&rft.volume=65&rft.issue=2&rft.spage=297&rft.epage=303&rft.pages=297-303&rft.issn=0190-9622&rft.eissn=1097-6787&rft.coden=JAADDB&rft_id=info:doi/10.1016/j.jaad.2010.06.009&rft_dat=%3Cproquest_cross%3E878031012%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=878031012&rft_id=info:pmid/21531039&rft_els_id=1_s2_0_S0190962210006882&rfr_iscdi=true |