The DOI matches its Crossref record; 41 of the 41 references it cites were found in a registry or an index.
Micro-melanoma detection: a clinical study on 206 consecutive cases of pigmented skin lesions with a diameter ≤ 3 mm
Abstract
BACKGROUND: Very small pigmented lesions may represent an important diagnostic challenge to the clinician. OBJECTIVES: The aim of the present study was to establish the diagnostic value, in terms of sensitivity and specificity, of both clinical and dermoscopic examinations in a population of patients with unselected consecutive pigmented lesions with a maximum clinical diameter of 3 mm. PATIENTS AND METHODS: Two hundred and four consecutive patients bearing 206 pigmented skin lesions with a maximum diameter of 3 mm were seen and operated on. Twenty-three of these lesions were melanomas. Each lesion was subjected to both clinical and dermoscopic evaluation before surgery. The results were expressed in terms of sensitivity and specificity of both kinds of evaluation. RESULTS: Clinical evaluation produced a diagnostic sensitivity of 43% and a specificity of 91%. Dermoscopy resulted in a sensitivity of 83% and in a specificity of 69%. The comparison between the sensitivity values of the two diagnostic methods showed a significant difference (P < 0.01). A high value of significance was also obtained comparing the respective specificity values (P < 0.001). CONCLUSIONS: Detection of very small melanomas is feasible by accurate visual inspection. Dermoscopy appears to be an important aid to diagnosis, provided that physicians are aware of this type of lesion and maintain the index of suspicion at a high level.
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“If a physician does not recognize structures or incorrectly interprets them, this decreases diagnostic accuracy33.”
From Dermoscopy practice guidelines for use in telemedicine (2022) · cites this paper as [33]
In the citing paper
“However, it is unclear if dermoscopy is helpful in assessing melanomas smaller than 6 mm33,55,56.”
From Dermoscopy practice guidelines for use in telemedicine (2022) · cites this paper as [33]
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Metadata
- Authors
- Bono, A., Tolomio, E., Trincone, S., Bartoli, C., Tomatis, S., Carbone, A., & Santinami, M.
- Affiliations
- Fondazione IRCCS Istituto Nazionale dei Tumori (IT)
- Corresponding author
- Bono, A.
- Venue
- British Journal of Dermatology
- Publisher
- Oxford University Press (OUP)
- Published
- 2006-06-23
- Volume
- 155
- Issue
- 3
- Pages
- 570-573
- ISSN
- 0007-0963 (ISSN-L)
- OpenAlex
- W2012960965
- Cited by
- 78
- References
- 41
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 1 · 2023: 1 · 2022: 5 · 2021: 5 · 2020: 6 · 2019: 2 · 2018: 7 · 2017: 6 · 2016: 1 · 2015: 4 · 2014: 3 · 2013: 5 · 2012: 5
- FWCI
- 2.24
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- doi.wiley.com/10.1002/tdm_license_1.1 (tdm)
- onlinelibrary.wiley.com/termsAndConditions#vor (vor)
- Locations
- British Journal of Dermatology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Oncology › Cutaneous Melanoma Detection and Management
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › melanin and skin pigmentation
- Health Sciences › Medicine › Dermatology › Cancer and Skin Lesions
- Keywords
- dermoscopy, diagnosis, sensitivity and specificity, melanoma detection, visual inspection, skin cancer diagnosis
- MeSH terms
- Adolescent, Adult, Aged, Child, Diagnosis, Differential, Humans, Melanoma, Middle Aged, Nevus, Pigmented, Retrospective Studies, Sensitivity and Specificity, Skin Neoplasms, Dermoscopy
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