Background. Digital monitoring, commonly referred as ‘mole mapping’, provide computer storage of clinical and dermoscopic images of nevi facilitating detailed follow-up. Marking of atypical melanocytic lesions lacking melanoma-specific criteria during baseline visit has been shown helpful for future detection in shape, colour, or surface changes occurring in any lesion, and identification of new lesions’ onset by comparing them to sequential registries.Objective. To evaluate the effective utility of videodermoscopy in the early diagnose of melanoma and in minimizing the number of surgical removals.Materials and methods. A 7-year-retrospective study occurred between 30 November 2007 and 30 April 2014 was performed. Two hundred and eleven patients (124 males, 87 females) were enrolled.All patients were evaluated using the digital dermoscopic photography and were registered in the database for at least a 3-year-follow-up period.The suspected melanocytic nevi were surgically removed, analysed and diagnosed as nevus, dysplastic (mild, moderate, severe) nevus and melanoma.Results. A total of 6493 nevi were marked with the digital follow-up and solely 2.3% of these nevi were excised. The removed lesions resulted to be 42 (28%) dysplastic and only 5 (3%) melanomas.The ratio between total lesions removed and melanomas was =1:30. The dysplastic lesions resulted to be nevi with mild, moderate and severe dysplasia in 50, 31 and 19% of the cases respectively.The majority of the patients were Fitzpatrick’s skin phototype III (64%) but the most frequent diagnosis of dysplastic nevi occurred in patients with phototype IV (33%).Conclusions. Dysplastic nevi and melanomas can be diagnosed at any time during the digital followup period, and not only at the first examination. Videodermoscopy minimizes surgical removals of atypical nevi.
Videodermoscopic follow-up: a retrospective clinical study
ROSINA, Paolo;GIORDANO, Maria Vittoria;PAPAGRIGORAKI, Anastasia;TESSARI, Gianpaolo;GIROLOMONI, Giampiero
2015-01-01
Abstract
Background. Digital monitoring, commonly referred as ‘mole mapping’, provide computer storage of clinical and dermoscopic images of nevi facilitating detailed follow-up. Marking of atypical melanocytic lesions lacking melanoma-specific criteria during baseline visit has been shown helpful for future detection in shape, colour, or surface changes occurring in any lesion, and identification of new lesions’ onset by comparing them to sequential registries.Objective. To evaluate the effective utility of videodermoscopy in the early diagnose of melanoma and in minimizing the number of surgical removals.Materials and methods. A 7-year-retrospective study occurred between 30 November 2007 and 30 April 2014 was performed. Two hundred and eleven patients (124 males, 87 females) were enrolled.All patients were evaluated using the digital dermoscopic photography and were registered in the database for at least a 3-year-follow-up period.The suspected melanocytic nevi were surgically removed, analysed and diagnosed as nevus, dysplastic (mild, moderate, severe) nevus and melanoma.Results. A total of 6493 nevi were marked with the digital follow-up and solely 2.3% of these nevi were excised. The removed lesions resulted to be 42 (28%) dysplastic and only 5 (3%) melanomas.The ratio between total lesions removed and melanomas was =1:30. The dysplastic lesions resulted to be nevi with mild, moderate and severe dysplasia in 50, 31 and 19% of the cases respectively.The majority of the patients were Fitzpatrick’s skin phototype III (64%) but the most frequent diagnosis of dysplastic nevi occurred in patients with phototype IV (33%).Conclusions. Dysplastic nevi and melanomas can be diagnosed at any time during the digital followup period, and not only at the first examination. Videodermoscopy minimizes surgical removals of atypical nevi.
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