Dermatoscopy in the diagnosis of pigmented nevi

Cover Page

Abstract


The high incidence of melanoma and unsatisfactory results of its treatment in some cases make the issue of timely diagnostics of pre-melanoma skin pathology, in particular the identification of pre-melanoma pigmented nevi, of great importance and can be used for choice an adequate tactics of treatment. The purpose of the study was to evaluate the informativeness of dermatoscopy in cases of patients with pigmented nevi of skin as a part of melanoma prevention. 168 patients with pigmented nevi were screened. All nevi were photographed with a digital camera SONY Cyber-Shot DSC-H3, first in normal mode with the capture of the localization zone of the tumor and its surrounding tissues, and then in macro mode (“Zoom 10”). To confirm the clinical diagnosis, additional characteristics of the pigment formation on the skin, the manual immersion dermatoscopy, was used using the contact non-polarized HEINE mini 3000 LED dermatoscope. Evaluation of images was carried out using the diagnostic algorithm ABCD and ABCD-E. Our findings suggest that the clinical diagnostic algorithm used by us for detecting signs of the activation of a pigmented nevi is highly informative — the sensitivity is 97.6 %. Performing immersion dermatoscopy allows to increase the informativeness of the clinical and instrumental examination at the preoperative stage up to 98.2 %, which is comparable with the data obtained at the stage of urgent cytological examination: the method sensitivityis 98.2 %.

About the authors

A. L. Bakulev

Saratov State Medical University named after V. I. Razumovsky, Ministry of Health of the Russian Federation

Email: al_ba05@mail.ru

Russian Federation

Dr. Sci. (Med.), Prof., Head of the Department of Dermatovenerology and Cosmetology, 

Bolshaya Kazachya str., 112, Saratov, 410012

O. M. Konopatskova

Saratov State Medical University named after V. I. Razumovsky, Ministry of Health of the Russian Federation

Email: o.konopatskova@mail.ru

Russian Federation

Dr. Sci. (Med.), Prof., Department of Faculty Surgery and Oncology,

Bolshaya Kazachya str., 112, Saratov, 410012

Yu. V. Stanchina

Saratov State Medical University named after V. I. Razumovsky, Ministry of Health of the Russian Federation

Author for correspondence.
Email: JuVfresh@yandex.ru

Russian Federation

Graduate Student, Department of Faculty Surgery and Oncology,

Bolshaya Kazachya str., 112, Saratov, 410012

References

  1. Каприн А. Д., Старинский В. В., Петрова Г. В. (ред.) Состояние онкологической помощи населению России в 2017 году. М.: МНИОИ им. П. А. Герцена, филиал ФГБУ «НМИЦ радиологии» Минздрава России, 2018. 236 с.
  2. Давыдов М. И., Аксель Е. М. (ред.) Статистика злокачественных новообразований в России и странах СНГ в 2012 г. М.: Издательская группа РОНЦ, 2014. 226 с.
  3. Ермаков А. В. Меланома кожи: Современные принципы ранней диагностики и профилактики. Онкология. Журнал им. П. А. Герцена. 2014;(3):100–108.
  4. Чиссов В. И., Старинский В. В., Александрова Л. М. Методология проведения профилактических мероприятий, направленных на выявление ранних форм злокачественных новообразований. Онкология. Журнал им. П. А. Герцена. 2012;1(1):50–53.
  5. Молочков В. А. Меланоцитарные невусы. Практическая медицина. 2009;(5):68–75.
  6. Balato N. I. Psoriasis and melanocytic naevi: does the first confer a protective role against melanocyte progression to naevi? Br J Dermatol. 2011;164(6):1262–1270.
  7. Rezze G. G., Leon A., Duprat J. Dysplastic nevus (atypical nevus). Acta Derm Venereol. 2011;91(4):428–431.
  8. Соколов Д. В. Дерматоскопия в ранней диагностике и скрининге меланом кожи: автореф. дисс. … докт. мед. наук. М., 2009. 28 с.
  9. Потекаев Н. Н., Шугинина Е. А., Кузьмина Т. С., Арутюнян Л. С. Дерматоскопия в клинической практике. Руководство для врачей. М.: МДВ, 2010. 144 c.
  10. Goodson A. G., Grossman D. Strategies for early melanoma detection: approaches to the patient with nevi. J Am Acad Dermatol. 2009;60(5):719–735.
  11. Marghoob A. A., Scope A. The complexity of diagnosing melanoma. J Invest Dermatol. 2009;129(1):11–13.
  12. Argenziano G., Cerroni L., Zalaudek I. et al. Accuracy in melanoma detection: a 10-year multicenter survey. J Am Acad Dermatol. 2011;67(1):54–59.
  13. Marsden J. R., Newton-Bishop J. A., Burrows L. et al. Revised U.K. guidelines for the management of cutaneous melanoma 2010. Br J Dermatol. 2010;163:238–256.
  14. Australian Cancer Network Melanoma Guidelines Revision Working Party. Clinical practice guidelines for the management of melanoma in Australia and New Zealand. Wellington (New Zeland): Cancer Сouncil Australia and Australian Cancer Network, Sydney and New Zealand Guidelines Group; 2008.
  15. Argenziano G., Giacomel J., Zalaudek I., Blum A. et al. A Clinico-Dermoscopic Approach for Skin Cancer Screening Recommendations Involving a Survey of the International Dermoscopy Society. Dermatol Clin. 2013;(31):525–534. 16. Stolz W. et al. ABCD Rule. Eur J Dermatol. 1994;(4):521–527.

Statistics

Views

Abstract - 573

PDF (Russian) - 570

PlumX

Dimensions


Copyright (c)



This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies