Diagnostic accuracy of magnified dermoscopy and reflectance confocal microscopy in assessing melanocytic lesions
Introduction: Magnified dermoscopy (MD), or optical super-high magnification dermoscopy is an emerging technique in dermatology. Objectives: The study aims to evaluate the distribution of conventional dermoscopy, MD, and reflectance confocal microscopy (RCM) features in dermoscopically equivocal...
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Mattioli1885
2025-07-01
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| Series: | Dermatology Practical & Conceptual |
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| Online Access: | https://dpcj.org/index.php/dpc/article/view/5253 |
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| author | Stefania Guida Silvana Ciardo Shaniko Kaleci Francesca Farnetani Marco Spadafora Giulia Radi Renato Rossi Elisa Molinelli Sabrina Longhitano Claudio Conforti Carmen Cantisani Camilla Chello Oriana Simonetti Anna Maria Offidani Pietro Rubegni Franco Rongioletti Caterina Longo Elisa Cinotti Giovanni Pellacani |
| author_facet | Stefania Guida Silvana Ciardo Shaniko Kaleci Francesca Farnetani Marco Spadafora Giulia Radi Renato Rossi Elisa Molinelli Sabrina Longhitano Claudio Conforti Carmen Cantisani Camilla Chello Oriana Simonetti Anna Maria Offidani Pietro Rubegni Franco Rongioletti Caterina Longo Elisa Cinotti Giovanni Pellacani |
| author_sort | Stefania Guida |
| collection | DOAJ |
| description |
Introduction: Magnified dermoscopy (MD), or optical super-high magnification dermoscopy is an emerging technique in dermatology.
Objectives: The study aims to evaluate the distribution of conventional dermoscopy, MD, and reflectance confocal microscopy (RCM) features in dermoscopically equivocal pigmented lesions and to estimate their diagnostic accuracy.
Methods :A retrospective analysis of conventional dermoscopic (´20), MD (´400) and RCM pictures of dermoscopically equivocal pigmented lesions, diagnosed as either nevi or melanoma, was performed. Distribution of features, sensitivity, and specificity for dermoscopy, MD, RCM and a combination of these last 2 with conventional dermoscopy were estimated.
Results: A total of 74 nevi and 20 melanomas were included in the analysis. A positive correlation was observed between a 7-point checklist in conventional dermoscopy and the diagnosis of melanoma. With MD, a significant correlation between dots, non-edged papillae, and melanoma was observed, but the technique did not significantly impact diagnostic accuracy as compared to traditional dermoscopy. On the other hand, RCM, alone or in combimation with traditional dermoscopy, iincreased diagnostic accuracy, in particular, specificity for melanoma diagnosis.
Conclusions: RCM has a defined role in increasing diagnostic accuracy of doubtful dermoscopic lesions while the role of MD in clinical practice has yet to be defined and methodologic standardization as well as a revision of terminology is encouraged to improve the recognition of features.
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| format | Article |
| id | doaj-art-2312b6842c974686af04f821e07d3e21 |
| institution | DOAJ |
| issn | 2160-9381 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Mattioli1885 |
| record_format | Article |
| series | Dermatology Practical & Conceptual |
| spelling | doaj-art-2312b6842c974686af04f821e07d3e212025-08-20T03:06:20ZengMattioli1885Dermatology Practical & Conceptual2160-93812025-07-0115310.5826/dpc.1503a5253Diagnostic accuracy of magnified dermoscopy and reflectance confocal microscopy in assessing melanocytic lesionsStefania Guida0https://orcid.org/0000-0002-8221-6694Silvana Ciardo1Shaniko Kaleci2Francesca Farnetani3Marco Spadafora4Giulia Radi5Renato Rossi6Elisa Molinelli7Sabrina Longhitano8Claudio Conforti9Carmen Cantisani10Camilla Chello11Oriana Simonetti12Anna Maria Offidani13Pietro Rubegni14Franco Rongioletti15Caterina Longo16Elisa Cinotti17Giovanni Pellacani18Dermatology Clinic Vita Salute San Raffaele University Milano, ItalyDermatology Unit, Surgical, Medical and Dental Department of Morphological Sciences Related to Transplant, Oncology and Regenerative Medicine, University of Modena and Reggio Emilia, Modena, ItalyDermatology Unit, Surgical, Medical and Dental Department of Morphological Sciences Related to Transplant, Oncology and Regenerative Medicine, University of Modena and Reggio Emilia, Modena, ItalyDermatology Unit, Surgical, Medical and Dental Department of Morphological Sciences Related to Transplant, Oncology and Regenerative Medicine, University of Modena and Reggio Emilia, Modena, ItalyAzienda Unità Sanitaria Locale-IRCCS di Reggio Emilia, Skin Cancer Center, Reggio Emilia, ItalyAzienda Sanitaria Territoriale Pesaro-Urbino, Pesaro, ItalyDepartment of Dermatology, Skin Center Senigallia, Ancona, ItalyDermatological Clinic Department of Clinical and Molecular Sciences, Polytechnic University of the Marche Region, Ancona, ItalyDermatology Unit, Surgical, Medical and Dental Department of Morphological Sciences Related to Transplant, Oncology and Regenerative Medicine, University of Modena and Reggio Emilia, Modena, ItalyIDI-IRCCS, Dermatological Research Hospital, Rome, ItalyDermatology Clinic, Department of Clinical Internal, Anesthesiological and Cardiovascular Sciences, Sapienza University of Rome, Rome, Italy IDI-IRCCS, Dermatological Research Hospital, Rome, ItalyDermatological Clinic Department of Clinical and Molecular Sciences, Polytechnic University of the Marche Region, Ancona, ItalyDermatological Clinic Department of Clinical and Molecular Sciences, Polytechnic University of the Marche Region, Ancona, ItalyDermatology Section, Department of Medical, Surgical, and Neurological Sciences, Santa Maria Alle Scotte Hospital, Siena, ItalySchool of Medicine, Vita-Salute San Raffaele University, Milan, Italy; Dermatology Clinic, IRCCS San Raffaele Scientific Institute, Milan, ItalyAzienda Unità Sanitaria Locale-IRCCS di Reggio Emilia, Skin Cancer Center, Reggio Emilia, ItalyDermatology Section, Department of Medical, Surgical, and Neurological Sciences, Santa Maria Alle Scotte Hospital, Siena, ItalyDermatology Clinic, Department of Clinical Internal, Anesthesiological and Cardiovascular Sciences, Sapienza University of Rome, Rome, Italy Introduction: Magnified dermoscopy (MD), or optical super-high magnification dermoscopy is an emerging technique in dermatology. Objectives: The study aims to evaluate the distribution of conventional dermoscopy, MD, and reflectance confocal microscopy (RCM) features in dermoscopically equivocal pigmented lesions and to estimate their diagnostic accuracy. Methods :A retrospective analysis of conventional dermoscopic (´20), MD (´400) and RCM pictures of dermoscopically equivocal pigmented lesions, diagnosed as either nevi or melanoma, was performed. Distribution of features, sensitivity, and specificity for dermoscopy, MD, RCM and a combination of these last 2 with conventional dermoscopy were estimated. Results: A total of 74 nevi and 20 melanomas were included in the analysis. A positive correlation was observed between a 7-point checklist in conventional dermoscopy and the diagnosis of melanoma. With MD, a significant correlation between dots, non-edged papillae, and melanoma was observed, but the technique did not significantly impact diagnostic accuracy as compared to traditional dermoscopy. On the other hand, RCM, alone or in combimation with traditional dermoscopy, iincreased diagnostic accuracy, in particular, specificity for melanoma diagnosis. Conclusions: RCM has a defined role in increasing diagnostic accuracy of doubtful dermoscopic lesions while the role of MD in clinical practice has yet to be defined and methodologic standardization as well as a revision of terminology is encouraged to improve the recognition of features. https://dpcj.org/index.php/dpc/article/view/5253Magnified dermoscopyReflectance confocal microscopyDiagnostic accuracyMelanomaMelanocytic lesions |
| spellingShingle | Stefania Guida Silvana Ciardo Shaniko Kaleci Francesca Farnetani Marco Spadafora Giulia Radi Renato Rossi Elisa Molinelli Sabrina Longhitano Claudio Conforti Carmen Cantisani Camilla Chello Oriana Simonetti Anna Maria Offidani Pietro Rubegni Franco Rongioletti Caterina Longo Elisa Cinotti Giovanni Pellacani Diagnostic accuracy of magnified dermoscopy and reflectance confocal microscopy in assessing melanocytic lesions Dermatology Practical & Conceptual Magnified dermoscopy Reflectance confocal microscopy Diagnostic accuracy Melanoma Melanocytic lesions |
| title | Diagnostic accuracy of magnified dermoscopy and reflectance confocal microscopy in assessing melanocytic lesions |
| title_full | Diagnostic accuracy of magnified dermoscopy and reflectance confocal microscopy in assessing melanocytic lesions |
| title_fullStr | Diagnostic accuracy of magnified dermoscopy and reflectance confocal microscopy in assessing melanocytic lesions |
| title_full_unstemmed | Diagnostic accuracy of magnified dermoscopy and reflectance confocal microscopy in assessing melanocytic lesions |
| title_short | Diagnostic accuracy of magnified dermoscopy and reflectance confocal microscopy in assessing melanocytic lesions |
| title_sort | diagnostic accuracy of magnified dermoscopy and reflectance confocal microscopy in assessing melanocytic lesions |
| topic | Magnified dermoscopy Reflectance confocal microscopy Diagnostic accuracy Melanoma Melanocytic lesions |
| url | https://dpcj.org/index.php/dpc/article/view/5253 |
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