%0 Journal Article
%T Seven Non-melanoma Features to Rule Out Facial Melanoma
%A Aimilios Lallas
%A Alessio Gambardella
%A Am¨¦lie Boespflug
%A Elvira Moscarella
%A Giuseppe Argenziano
%A Harald Kittler
%A Iris Zalaudek
%A Josep Malvehy
%A Luc Thomas
%A Massimiliano Scalvenzi
%A Philipp Tschandl
%A Roberto Alfano
%A Susana Puig
%A Teresa Deinlein
%A Vincenzo de Giorgi
%J -
%@ 1651-2057
%D 2017
%R 10.2340/00015555-2759
%X Facial melanoma is difficult to diagnose and dermatoscopic features are often subtle. Dermatoscopic non-melanoma patterns may have a comparable diagnostic value. In this pilot study, facial lesions were collected retrospectively, resulting in a case set of 339 melanomas and 308 non-melanomas. Lesions were evaluated for the prevalence (>£¿50% of lesional surface) of 7 dermatoscopic non-melanoma features: scales, white follicles, erythema/reticular vessels, reticular and/or curved lines/fingerprints, structureless brown colour, sharp demarcation, and classic criteria of seborrhoeic keratosis. Melanomas had a lower number of non-melanoma patterns (p£¿<£¿0.001). Scoring a lesion suspicious when no prevalent non-melanoma pattern is found resulted in a sensitivity of 88.5% and a specificity of 66.9% for the diagnosis of melanoma. Specificity was higher for solar lentigo (78.8%) and seborrhoeic keratosis (74.3%) and lower for actinic keratosis (61.4%) and lichenoid keratosis (25.6%). Evaluation of prevalent non-melanoma patterns can provide slightly lower sensitivity and higher specificity in detecting facial melanoma compared with already known malignant features.
%U http://www.medicaljournals.se/acta/content/abstract/10.2340/00015555-2759