Handheld reflectance confocal microscopy to aid in the management of complex facial lentigo maligna Journal Article


Authors: Hibler, B. P.; YƩlamos, O.; Cordova, M.; Sierra, H.; Rajadhyaksha, M.; Nehal, K. S.; Rossi, A. M.
Article Title: Handheld reflectance confocal microscopy to aid in the management of complex facial lentigo maligna
Abstract: Diagnosis and management of lentigo maligna (LM) and LM melanoma (LMM) is challenging. Novel noninvasive imaging technologies such as reflectance confocal microscopy (RCM) have advanced the ability to better diagnose and monitor challenging lesions. In addition, the new handheld RCM (HRCM) together with the use of videomosaics has allowed an accurate evaluation of large lesions in concave/convex areas of the body (eg, the face). Herein, we review the impact of HRCM in the detection, treatment decision-making, and monitoring of 5 cases of complex facial LM/LMM. In the cases presented, HRCM enabled the detection of subclinical margins, presence of invasion, detection of persistence/recurrence, and monitoring of surgical and nonsurgical therapies. In this preliminary report, our results suggest that HRCM is a versatile ancillary tool in pretreatment decision-making, intraoperative surgical mapping, and posttreatment monitoring of complex facial LM/LMM. Copyright Cutis 2017.
Journal Title: Cutis
Volume: 99
Issue: 5
ISSN: 0011-4162
Publisher: Frontline Medical Communications, Inc.  
Date Published: 2017-05-01
Start Page: 346
End Page: 352
Language: English
PROVIDER: scopus
PUBMED: 28632796
PMCID: PMC5569302
DOI/URL:
Notes: Erratum issued, see: Cutis. 2017 Jun;99(6):435 -- Article -- Export Date: 3 July 2017 -- Source: Scopus
Citation Impact
MSK Authors
  1. Kishwer S Nehal
    278 Nehal
  2. Anthony Rossi
    233 Rossi
  3. Miguel A Cordova
    88 Cordova
  4. Brian Phillip Hibler
    55 Hibler
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