Reflectance confocal microscopy terminology glossary for nonmelanocytic skin lesions: A systematic review Review


Authors: Navarrete-Dechent, C.; DeRosa, A. P.; Longo, C.; Liopyris, K.; Oliviero, M.; Rabinovitz, H.; Marghoob, A. A.; Halpern, A. C.; Pellacani, G.; Scope, A.; Jain, M.
Review Title: Reflectance confocal microscopy terminology glossary for nonmelanocytic skin lesions: A systematic review
Abstract: Background: There is lack of uniformity in reflectance confocal microscopy (RCM) terminology for nonmelanocytic lesions (NMLs). Objective: To review published RCM terms for NMLs and identify likely synonymous terms. Methods: We conducted a systematic review of original research articles published up to August 19, 2017, adhering to Preferred Reporting Items for Systemic Reviews and Meta-Analyses guidelines. Two investigators gathered all published RCM terms used to describe basal cell carcinoma (BCC), squamous cell carcinoma (SCC), and seborrheic keratosis/solar lentigo/lichen planus–like keratosis (SK/SL/LPLK). Synonymous terms were grouped on the basis of similarity in definition and histopathologic correlates. Results: The inclusion criteria was met by 31 studies. Average frequency of use per term was 1.6 (range 1-8). By grouping synonymous terms, the number of terms could be reduced from 58 to 18 for BCC, 58 to 36 for SCC, 23 to 12 for SK/SL/LPLK, and from 139 to 66 terms (52.5% reduction) in total. The frequency of term usage stratified by anatomic layer (suprabasal epidermis vs epidermal basal layer, dermoepidermal junction, and superficial dermis) was 27 (25.7%) versus 78 (74.2%) for BCC; 60 (64.5%) versus 33 (34.5%) for SCC, and 15 (45.4%) versus 18 (54.5%) for SK/SL/LPLK, respectively. Limitations: Articles that were not peer reviewed were excluded. Conclusion: Systematic review of published RCM terms provides the basis for future NMLs terminology consensus. © 2018 American Academy of Dermatology, Inc.
Keywords: squamous cell carcinoma; melanoma; reflectance confocal microscopy; actinic keratosis; basal cell carcinoma; diagnosis; seborrheic keratosis; nonmelanoma skin cancer; lichen planus-like keratosis
Journal Title: Journal of the American Academy of Dermatology
Volume: 80
Issue: 5
ISSN: 0190-9622
Publisher: Mosby Elsevier  
Date Published: 2019-05-01
Start Page: 1414
End Page: 1427.e3
Language: English
DOI: 10.1016/j.jaad.2018.12.007
PUBMED: 30529706
PROVIDER: scopus
PMCID: PMC6830574
DOI/URL:
Notes: Review -- Export Date: 1 May 2019 -- Source: Scopus
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  1. Allan C Halpern
    396 Halpern
  2. Alon Scope
    125 Scope
  3. Ashfaq A Marghoob
    534 Marghoob
  4. Manu   Jain
    76 Jain