Dermoscopy of acral melanoma: A multicenter study on behalf of the international dermoscopy society Journal Article


Authors: Braun, R. P.; Thomas, L.; Dusza, S. W.; Gaide, O.; Menzies, S.; Dalle, S.; Blum, A.; Argenziano, G.; Zalaudek, I.; Kopf, A.; Rabinovitz, H.; Oliviero, M.; Perrinaud, A.; Cabo, H.; Pizzichetta, M.; Pozo, L.; Langford, D.; Tanaka, M.; Saida, T.; Perusquía Ortiz, A. M.; Kreusch, J.; De Giorgi, V.; Piccolo, D.; Grichnik, J. M.; Kittler, H.; Puig, S.; Malvehy, J.; Seidenari, S.; Stanganelli, I.; French, L.; Marghoob, A. A.
Article Title: Dermoscopy of acral melanoma: A multicenter study on behalf of the international dermoscopy society
Abstract: Background: Most studies on dermoscopy of acral lesions were conducted in Asian populations. In this study, we analyzed these features in a predominantly Caucasian population. Objective: Estimate the prevalence of dermoscopic features in acral lesions, and assess their level of agreement between observers. Methods: In this retrospective multicenter study, 167 acral lesions (66 melanomas) were evaluated for 13 dermoscopic patterns by 26 physicians, via a secured Internet platform. Results: Parallel furrow pattern, bizarre pattern, and diffuse pigmentation with variable shades of brown had the highest prevalence. The agreement for lesion patterns between physicians was variable. Agreement was dependent on the level of diagnostic difficulty. Conclusion: Lesions with a diameter >1 cm were more likely to be melanoma. We found as well that a benign pattern can be seen in parts of melanomas. For this reason one should evaluate an acral lesion for the presence of malignant patterns first. © 2013 S. Karger AG, Basel.
Keywords: dermoscopy; acral melanoma; caucasian population
Journal Title: Dermatology
Volume: 227
Issue: 4
ISSN: 1018-8665
Publisher: S. Karger AG  
Date Published: 2014-01-01
Start Page: 373
End Page: 380
Language: English
DOI: 10.1159/000356178
PROVIDER: scopus
PUBMED: 24296632
DOI/URL:
Notes: Export Date: 3 February 2014 -- CODEN: DERAE -- Source: Scopus
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  1. Stephen Dusza
    290 Dusza
  2. Ashfaq A Marghoob
    534 Marghoob