Reflectance confocal microscopy for margin assessment and management of lentigo maligna Journal Article
| Authors: | Menge, T. D.; Hibler, B. P.; Cordova, M.; Rossi, A. M. |
| Article Title: | Reflectance confocal microscopy for margin assessment and management of lentigo maligna |
| Abstract: | Purpose of Review: Lentigo maligna (LM) is a form of melanoma in situ and represents a diagnostic and therapeutic challenge due to its poorly defined, irregular borders; propensity for subclinical extension; and location on the background of severely sun-damaged skin. Reflectance confocal microscopy (RCM) is a non-invasive optical imaging tool that allows clinicians to detect LM and assess margin status in vivo. Recent Findings: RCM is very accurate for diagnosing LM and guiding biopsies, with sensitivities ranging from 93 to 100% and specificities 71–82%. It has also been used pre-operatively to map lesions, intra-operatively for real-time evaluation of surgical margins, and post treatment to monitor for recurrence. Summary: The advent of newer technologies, including RCM, has advanced our ability to better diagnose and manage LM. RCM offers clinicians the ability to guide biopsies, accurately detect subclinical disease, and readily map LM margins. Future research is aimed at using RCM to allow clinicians to better spare healthy tissue and to reduce disease recurrence without subjecting patients to the lost time, cost, and potential morbidity associated with multiple surgeries. © 2017, Springer Science+Business Media, LLC. |
| Keywords: | surgical technique; histopathology; review; cancer recurrence; cancer patient; cancer diagnosis; diagnostic accuracy; sensitivity and specificity; melanoma; reflectance confocal microscopy; imiquimod; lentigo maligna; malignant lentigo; tumor biopsy; epiluminescence microscopy; clinical evaluation; imaging; margins; mohs micrographic surgery; image reconstruction; surgical margin; dermatologist; mapping; human; priority journal; confocal laser scanning microscope; spaghetti technique |
| Journal Title: | Current Dermatology Reports |
| Volume: | 6 |
| Issue: | 3 |
| ISSN: | 2162-4933 |
| Publisher: | Springer |
| Date Published: | 2017-09-01 |
| Start Page: | 222 |
| End Page: | 229 |
| Language: | English |
| DOI: | 10.1007/s13671-017-0194-5 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | Review -- Export Date: 2 August 2019 -- Source: Scopus |
Altmetric
Citation Impact
BMJ Impact Analytics
Related MSK Work