Dermoscopy of Pigmented Lesions of the Vulva: A Retrospective Morphological Study
Background: The dermoscopic patterns of pigmented skin tumors are influenced by the body site. Objective: To evaluate the clinical and dermoscopic features associated with pigmented vulvar lesions. Methods: Retrospective analysis of clinical and dermoscopic images of vulvar lesions. The χ 2 test was...
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| Veröffentlicht in: | Dermatology (Basel) 2011-01, Vol.222 (2), p.157-166 |
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| creator | Ferrari, Angela Zalaudek, Iris Argenziano, Giuseppe Buccini, Pierluigi De Simone, Paola Silipo, Vitaliano Eibenschutz, Laura Mariani, Giustino Covello, Renato Sperduti, Isabella Mariani, Luciano Catricalà, Caterina |
| description | Background: The dermoscopic patterns of pigmented skin tumors are influenced by the body site. Objective: To evaluate the clinical and dermoscopic features associated with pigmented vulvar lesions. Methods: Retrospective analysis of clinical and dermoscopic images of vulvar lesions. The χ 2 test was used to test the association between clinical data and histopathological diagnosis. Results: A total of 42 (32.8%) melanocytic and 86 (67.2%) nonmelanocytic vulvar lesions were analyzed. Nevi significantly prevailed in younger women compared with melanomas and melanosis and exhibited most commonly a globular/cobblestone (51.3%) and a mixed (21.6%) pattern. Dermoscopically all melanomas showed a multicomponent pattern. Melanotic macules showed clinical overlapping features with melanoma, but their dermoscopic patterns differed significantly from those observed in melanomas. Conclusion: The diagnosis and management of pigmented vulvar lesions should be based on a good clinicodermoscopic correlation. Dermoscopy may be helpful in the differentiation of solitary melanotic macules from early melanoma. |
| doi_str_mv | 10.1159/000323409 |
| format | Article |
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Objective: To evaluate the clinical and dermoscopic features associated with pigmented vulvar lesions. Methods: Retrospective analysis of clinical and dermoscopic images of vulvar lesions. The χ 2 test was used to test the association between clinical data and histopathological diagnosis. Results: A total of 42 (32.8%) melanocytic and 86 (67.2%) nonmelanocytic vulvar lesions were analyzed. Nevi significantly prevailed in younger women compared with melanomas and melanosis and exhibited most commonly a globular/cobblestone (51.3%) and a mixed (21.6%) pattern. Dermoscopically all melanomas showed a multicomponent pattern. Melanotic macules showed clinical overlapping features with melanoma, but their dermoscopic patterns differed significantly from those observed in melanomas. Conclusion: The diagnosis and management of pigmented vulvar lesions should be based on a good clinicodermoscopic correlation. Dermoscopy may be helpful in the differentiation of solitary melanotic macules from early melanoma.</description><identifier>ISSN: 1018-8665</identifier><identifier>EISSN: 1421-9832</identifier><identifier>DOI: 10.1159/000323409</identifier><identifier>PMID: 21311169</identifier><language>eng</language><publisher>Basel, Switzerland: Karger</publisher><subject>Adolescent ; Adult ; Biological and medical sciences ; Dermatology ; Dermoscopy ; Female ; Humans ; Medical sciences ; Melanoma - pathology ; Melanosis - pathology ; Middle Aged ; Morphology ; Nevus, Pigmented - pathology ; Original Paper ; Pigmentary diseases of the skin ; Skin cancer ; Skin Neoplasms - pathology ; Tumors ; Tumors of the skin and soft tissue. Premalignant lesions ; Vulva - pathology ; Vulvar Neoplasms - pathology ; Young Adult</subject><ispartof>Dermatology (Basel), 2011-01, Vol.222 (2), p.157-166</ispartof><rights>2011 S. Karger AG, Basel</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2011 S. Karger AG, Basel.</rights><rights>Copyright (c) 2011 S. Karger AG, Basel</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c362t-a656b371c194616bb480ef55421dd6f78b8857dd7ad260449660e474d896812d3</citedby><cites>FETCH-LOGICAL-c362t-a656b371c194616bb480ef55421dd6f78b8857dd7ad260449660e474d896812d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,2423,27903,27904</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=24154563$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21311169$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ferrari, Angela</creatorcontrib><creatorcontrib>Zalaudek, Iris</creatorcontrib><creatorcontrib>Argenziano, Giuseppe</creatorcontrib><creatorcontrib>Buccini, Pierluigi</creatorcontrib><creatorcontrib>De Simone, Paola</creatorcontrib><creatorcontrib>Silipo, Vitaliano</creatorcontrib><creatorcontrib>Eibenschutz, Laura</creatorcontrib><creatorcontrib>Mariani, Giustino</creatorcontrib><creatorcontrib>Covello, Renato</creatorcontrib><creatorcontrib>Sperduti, Isabella</creatorcontrib><creatorcontrib>Mariani, Luciano</creatorcontrib><creatorcontrib>Catricalà, Caterina</creatorcontrib><title>Dermoscopy of Pigmented Lesions of the Vulva: A Retrospective Morphological Study</title><title>Dermatology (Basel)</title><addtitle>Dermatology</addtitle><description>Background: The dermoscopic patterns of pigmented skin tumors are influenced by the body site. Objective: To evaluate the clinical and dermoscopic features associated with pigmented vulvar lesions. Methods: Retrospective analysis of clinical and dermoscopic images of vulvar lesions. The χ 2 test was used to test the association between clinical data and histopathological diagnosis. Results: A total of 42 (32.8%) melanocytic and 86 (67.2%) nonmelanocytic vulvar lesions were analyzed. Nevi significantly prevailed in younger women compared with melanomas and melanosis and exhibited most commonly a globular/cobblestone (51.3%) and a mixed (21.6%) pattern. Dermoscopically all melanomas showed a multicomponent pattern. Melanotic macules showed clinical overlapping features with melanoma, but their dermoscopic patterns differed significantly from those observed in melanomas. Conclusion: The diagnosis and management of pigmented vulvar lesions should be based on a good clinicodermoscopic correlation. Dermoscopy may be helpful in the differentiation of solitary melanotic macules from early melanoma.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Dermatology</subject><subject>Dermoscopy</subject><subject>Female</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Melanoma - pathology</subject><subject>Melanosis - pathology</subject><subject>Middle Aged</subject><subject>Morphology</subject><subject>Nevus, Pigmented - pathology</subject><subject>Original Paper</subject><subject>Pigmentary diseases of the skin</subject><subject>Skin cancer</subject><subject>Skin Neoplasms - pathology</subject><subject>Tumors</subject><subject>Tumors of the skin and soft tissue. Premalignant lesions</subject><subject>Vulva - pathology</subject><subject>Vulvar Neoplasms - pathology</subject><subject>Young Adult</subject><issn>1018-8665</issn><issn>1421-9832</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNpd0Mtv1DAQB2CrAvVFD9yrKkJCiEPA41dsblVLW6RFQFu4Rk482aYkcbCTSvvf49UuW4mTR9anefwIeQ30A4A0HymlnHFBzR45BMEgN5qzF6mmoHOtlDwgRzE-JsZ0YfbJAQMOAMockh-XGHofaz-uMt9k39tlj8OELltgbP0Q15_TA2a_5u7JfsrOs1ucgo8j1lP7hNlXH8YH3_llW9suu5tmt3pFXja2i3iyfY_Jz6vP9xc3-eLb9ZeL80Vec8Wm3CqpKl5ADUYoUFUlNMVGyrS-c6opdKW1LJwrrGOKCmGUoigK4bRRGpjjx-Tdpu8Y_J8Z41T2bayx6-yAfo6lVsJIIwGSfPOffPRzGNJya6QZZXyN3m9Qnc6LAZtyDG1vw6oEWq5TLncpJ3u2bThXPbqd_BdrAm-3wMYUTBPsULfx2QmQQiqe3OnG_bZhiWEHtnP-Av5eioE</recordid><startdate>20110101</startdate><enddate>20110101</enddate><creator>Ferrari, Angela</creator><creator>Zalaudek, Iris</creator><creator>Argenziano, Giuseppe</creator><creator>Buccini, Pierluigi</creator><creator>De Simone, Paola</creator><creator>Silipo, Vitaliano</creator><creator>Eibenschutz, Laura</creator><creator>Mariani, Giustino</creator><creator>Covello, Renato</creator><creator>Sperduti, Isabella</creator><creator>Mariani, Luciano</creator><creator>Catricalà, Caterina</creator><general>Karger</general><general>S. 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Premalignant lesions</topic><topic>Vulva - pathology</topic><topic>Vulvar Neoplasms - pathology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ferrari, Angela</creatorcontrib><creatorcontrib>Zalaudek, Iris</creatorcontrib><creatorcontrib>Argenziano, Giuseppe</creatorcontrib><creatorcontrib>Buccini, Pierluigi</creatorcontrib><creatorcontrib>De Simone, Paola</creatorcontrib><creatorcontrib>Silipo, Vitaliano</creatorcontrib><creatorcontrib>Eibenschutz, Laura</creatorcontrib><creatorcontrib>Mariani, Giustino</creatorcontrib><creatorcontrib>Covello, Renato</creatorcontrib><creatorcontrib>Sperduti, Isabella</creatorcontrib><creatorcontrib>Mariani, Luciano</creatorcontrib><creatorcontrib>Catricalà, Caterina</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>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Toxicology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Dermatology (Basel)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ferrari, Angela</au><au>Zalaudek, Iris</au><au>Argenziano, Giuseppe</au><au>Buccini, Pierluigi</au><au>De Simone, Paola</au><au>Silipo, Vitaliano</au><au>Eibenschutz, Laura</au><au>Mariani, Giustino</au><au>Covello, Renato</au><au>Sperduti, Isabella</au><au>Mariani, Luciano</au><au>Catricalà, Caterina</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Dermoscopy of Pigmented Lesions of the Vulva: A Retrospective Morphological Study</atitle><jtitle>Dermatology (Basel)</jtitle><addtitle>Dermatology</addtitle><date>2011-01-01</date><risdate>2011</risdate><volume>222</volume><issue>2</issue><spage>157</spage><epage>166</epage><pages>157-166</pages><issn>1018-8665</issn><eissn>1421-9832</eissn><abstract>Background: The dermoscopic patterns of pigmented skin tumors are influenced by the body site. Objective: To evaluate the clinical and dermoscopic features associated with pigmented vulvar lesions. Methods: Retrospective analysis of clinical and dermoscopic images of vulvar lesions. The χ 2 test was used to test the association between clinical data and histopathological diagnosis. Results: A total of 42 (32.8%) melanocytic and 86 (67.2%) nonmelanocytic vulvar lesions were analyzed. Nevi significantly prevailed in younger women compared with melanomas and melanosis and exhibited most commonly a globular/cobblestone (51.3%) and a mixed (21.6%) pattern. Dermoscopically all melanomas showed a multicomponent pattern. Melanotic macules showed clinical overlapping features with melanoma, but their dermoscopic patterns differed significantly from those observed in melanomas. Conclusion: The diagnosis and management of pigmented vulvar lesions should be based on a good clinicodermoscopic correlation. Dermoscopy may be helpful in the differentiation of solitary melanotic macules from early melanoma.</abstract><cop>Basel, Switzerland</cop><pub>Karger</pub><pmid>21311169</pmid><doi>10.1159/000323409</doi><tpages>10</tpages></addata></record> |
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| subjects | Adolescent Adult Biological and medical sciences Dermatology Dermoscopy Female Humans Medical sciences Melanoma - pathology Melanosis - pathology Middle Aged Morphology Nevus, Pigmented - pathology Original Paper Pigmentary diseases of the skin Skin cancer Skin Neoplasms - pathology Tumors Tumors of the skin and soft tissue. Premalignant lesions Vulva - pathology Vulvar Neoplasms - pathology Young Adult |
| title | Dermoscopy of Pigmented Lesions of the Vulva: A Retrospective Morphological Study |
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