Dermoscopy and new imaging techniques:
Gespeichert in:
Format: | Buch |
---|---|
Sprache: | English |
Veröffentlicht: |
Philadelphia [u.a.]
Saunders
2001
|
Schriftenreihe: | Dermatologic clinics
19,2 |
Schlagworte: | |
Online-Zugang: | Inhaltsverzeichnis |
Beschreibung: | X, S. 221 - 399 zahlr. Ill. |
Internformat
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245 | 1 | 0 | |a Dermoscopy and new imaging techniques |c Harold S. Rabinovitz ..., guest ed. |
264 | 1 | |a Philadelphia [u.a.] |b Saunders |c 2001 | |
300 | |a X, S. 221 - 399 |b zahlr. Ill. | ||
336 | |b txt |2 rdacontent | ||
337 | |b n |2 rdamedia | ||
338 | |b nc |2 rdacarrier | ||
490 | 1 | |a Dermatologic clinics |v 19,2 | |
650 | 4 | |a Image Enhancement |x methods | |
650 | 4 | |a Microscopy | |
650 | 4 | |a Microscopy, Confocal | |
650 | 4 | |a Physical Examination |x instrumentation | |
650 | 4 | |a Skin Diseases |x diagnosis | |
700 | 1 | |a Rabinovitz, Harold S. |e Sonstige |4 oth | |
830 | 0 | |a Dermatologic clinics |v 19,2 |w (DE-604)BV000004924 |9 19,2 | |
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Datensatz im Suchindex
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adam_text | DERMOSCOPY AND NEW IMAGING TECHNIQUES
CONTENTS
Preface xi
Harold S. Rabinovitz and Armand B. Cognetta, Jr
Introduction to Dermoscopy 221
Brian Katz and Harold S. Rabinovitz
Dermoscopy, also called dermatoscopy, epiluminescence microscopy, and
surface microscopy, is a noninvasive technique allowing magnified exami¬
nation of pigmented lesions of the skin. By using an illuminated handheld
microscope with oil applied to the skin surface, light reflection is reduced,
rendering the stratum corneum translucent. This translucency allows de¬
tailed visualization of the structures contained within the epidermis, der
moepidermal junction, and papillary dermis, all of which are not visible
to the naked eye.
Histopathologic Correlates of Dermoscopic Criteria 259
Daniela Massi, Vincenzo De Giorgi, and H. Peter Soyer
The correct interpretation of dermoscopic features requires an understand¬
ing of the corresponding histopathologic correlates. This articles addresses
the importance of performing an exact dermoscopic pathologic correlation
when evaluating pigmented lesions of the skin. The histopathologic struc¬
tures underlying most dermoscopic criteria are extensively described.
Typical Dermoscopic Patterns of Benign Melanocytic Nevi 269
Babar K. Rao, Steven Q. Wang, and Frank P. Murphy
Reviewed here are the dermoscopic features and patterns of congenital
and acquired benign melanocytic nevi in parallel with their clinical fea¬
tures. The objective is to present general guidelines to distinguish these
benign pigmented lesions from each other and from melanoma and to
describe dermoscopic features and classic patterns associated with various
types of benign melanocytic nevi.
Epiluminescence Microscopy Features of Melanoma in Relation
to Tumor Thickness: Current Concepts and Clinical Examples 285
Ignazio Stanganelli, Silvia Zago, Alessandro Testori,
Federica Sforzini, Guido Zannetti, and Lauro Bucchi
This article addresses the relationship between Breslow thickness and
epiluminescence microscopy (ELM) features of cutaneous malignant mela
DERMATOLOGIC CLINICS
VOLUME 19 • NUMBER 2 • APRIL 2001 vii
noma (CMM). In the first section, an essential theoretical background of
the relationship is proposed. The second section consists of a brief over¬
view of previous clinical studies addressing this topic. The third section
presents thickness specific ELM images to further clarify the ELM features
of CMM in different growth phases. The expression of ELM features as a
function of tumor thickness seems to be consistent with the model of
histogenesis of the disease.
A Method for the Diagnosis of Primary Cutaneous Melanoma
Using Surface Microscopy 299
Scott W. Menzies
For a melanoma to be diagnosed, it must have neither of two morphologi¬
cal negative features and one or more of nine positve features. The nega¬
tive features are symmetry of pattern and a single color. The positive
features are blue white veil, multiple brown dots, pseudopods, radial
streaming, scar like pigmentation, peripheral black dots or globules, five
or six colors, multiple blue gray dots, and a broadened network. This
method gives a 92% sensitivity and 71% specificity for the diagnosis of
melanoma.
Dermatoscopy of Lentigo Maligna 307
Armand B. Cognetta, Jr, Wilhelm Stolz, Brian Katz, Julie Tullos,
and Sunita Gossarn
Lentigo maligna and Lentigo maligna melanoma are pigmented neoplasms
usually found on the face of elderly individuals. The unique location
and specific histology of the face requires new criteria for dermatoscopic
diagnosis. The clinical recognition of these lesions is enhanced with the
criteria and findings delineated here.
Difficult Early Melanomas 319
James M. Grichrrik
Early detection and treatment of early melanoma can result in cure; how¬
ever, detection of these early tumors can be quite difficult. Dermatoscopy
allows for a more detailed visual examination allowing for the identifica¬
tion of structural details that may favor a malignant or benign diagnosis.
There are, however, lesions that remain difficult even with dermatoscopy.
These difficult lesions are illustrated in the article. For difficult early
lesions it is important to use all the clinical information available when
making management decisions.
Risk Stratification: A Practical Approach to Using
Epiluminescence Microscopy/Dermoscopy in Melanoma
Screening 327
Robert O. Kenet and Barney J. Kenet
When screening for melanoma, management is more important than the
precise diagnosis. Risk stratification is an approach to dermoscopic inter¬
pretation that does not force a diagnosis when the diagnosis is not clear.
It is based on the notion that melanoma tends to cause the pigment
network of melanocytic lesions to become progressively more heteroge¬
neous (irregular) and eccentric (relatively darker near the periphery of the
lesion). Dermoscopic risk stratification consists of four steps: (1) inspect
each lesion carefully for a pigmented network; (2) if a network is seen,
group lesions by their relative degrees of heterogeneity and eccentricity of
pigmentation (higher degrees of heterogeneity or eccentricity suggest a
i CONTENTS
higher relative risk of melanoma); (3) if a network is not seen, look for
clear cut, subtle, or variant patterns of benign lesions and melanoma
mimickers; and (4), use the resulting risk class combined with all available
clinical information to guide management.
Differentiation of Atypical Moles (Dysplastic Nevi) from Early
Melanomas by Dermoscopy 337
Thomas G. Salopek, Alfred W. Kopf, Catherine M. Stefanato,
Katrien Vossaert, Mark Silverman, and Sandhya Yadav
Several dermoscopic features have been identified as characteristic for
melanoma; however, the reliability of these criteria in differentiating early
melanomas from atypical moles has yet to be determined. The authors
found the following dermoscopic features to be useful (i.e., highly specific)
in differentiating early melanoma from atypical moles: a pigment network
that ends abruptly; the presence of white scar like areas; depigmented
areas; and whitish veil. Although pseudopods, brown globules, and black
dots of variable size were also specific for melanoma, they were infre¬
quently seen with early melanomas to be beneficial in distinguishing them
from atypical moles. Newly identified dermoscopic features that were
found to be helpful in differentiating atypical moles from early melanoma
included: the presence of red, blue, gray, or white color; the presence of
four or more colors; moderate to marked border irregularity, and the
presence of multiple, variably sized homogeneous areas. The presence of
any combination of these specific features should elevate the index of
suspicion for melanoma and should prompt a biopsy to avoid missing
this cancer.
Seborrheic Keratoses, Solar Lentigines, and Lichenoid
Keratoses: Dermatoscopic Features and Correlation to Histology
and Clinical Signs 347
George W. Elgart
Dermoscopy is playing an increasing role in the practice of dermatology.
This technique offers a huge potential to enhance the clinical interpretation
of neoplasms and various inflammatory lesions of the skin, especially in
the differential diagnosis of pigmented tumors. Pigmented melanocytic
lesions represent an important portion of dermatologic practice, and this
segment is responsible for a large percentage of office skin surgery. In this
article, the dermoscopic appearance of seborrheic keratoses, lentigines,
and lichenoid keratoses are reviewed. The correlation between the histo
logic and dermoscopic features of these lesions is stressed.
Digital Dermoscopy 359
Matthew G. Fleming
Digital dermatoscopic images are acquired with digital cameras or video
camera and frame grabber combinations. These images can be compressed,
transmitted, or archived; combined with clinical anamnestic information
for medical record purposes; or attached to body surface diagrams for
mole mapping applications. Image analysis software, which might inter¬
pret the images to produce a computer assisted or fully automated diagno¬
sis, is under development.
In Vivo Confocal Microscopy in Dermatology 369
Bryan Selkin, Milind Rajadhyaksha, Salvador Gonzalez, and
Richard G. Langley
Confocal microscopy is an optical imaging tool that allows for high resolu¬
tion, noninvasive imaging in vivo. Thin sections of human tissue can be
CONTENTS
imaged allowing visualization of cellular and nuclear detail without bi¬
opsy. This technique recently has been used to image benign and malig¬
nant pigmented skin lesions, nonmelanoma skin cancer, inflammatory skin
conditions, and dynamic skin processes.
Telemedidne and the Internet: A Collaboration and History of
Communication Technologies 379
Michael Lawrence Nestor
This article reviews the simultaneous history and background of the World
Wide Web and medical telemedicine. From this we can see the Internet s
usefulness as a communications and networking vehicle and the implica¬
tions that may be derived for telemedicine, dermatology, and medical
informatics in general.
Current Therapy
An Anatomic Approach to the Rejuvenation of the Neck 387
Maritza I. Perez
Rejuvenation of the neck is a difficult task. The two major factors deemed
responsible for the pitfalls encountered when dealing with this anatomic
area are the thinness of the skin of the neck and the paucity of adnexal
structures of the neck skin as compared with facial skin. Another factor
that affects the appearance of the neck and the outcome of procedures
performed on the neck is that its anatomic structures are continuously
under gravitational influence with a very thin layer of muscular support,
the platysma muscle. The anatomic landmarks and the progressive signs
of the aging neck are reviewed in this article. Several treatments are
proposed as therapies that produce satisfactory to excellent results in neck
rejuvenation.
Index 397
Subscription Information Inside back cover
CONTENTS
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physical | X, S. 221 - 399 zahlr. Ill. |
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series2 | Dermatologic clinics |
spelling | Dermoscopy and new imaging techniques Harold S. Rabinovitz ..., guest ed. Philadelphia [u.a.] Saunders 2001 X, S. 221 - 399 zahlr. Ill. txt rdacontent n rdamedia nc rdacarrier Dermatologic clinics 19,2 Image Enhancement methods Microscopy Microscopy, Confocal Physical Examination instrumentation Skin Diseases diagnosis Rabinovitz, Harold S. Sonstige oth Dermatologic clinics 19,2 (DE-604)BV000004924 19,2 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=009582070&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
spellingShingle | Dermoscopy and new imaging techniques Dermatologic clinics Image Enhancement methods Microscopy Microscopy, Confocal Physical Examination instrumentation Skin Diseases diagnosis |
title | Dermoscopy and new imaging techniques |
title_auth | Dermoscopy and new imaging techniques |
title_exact_search | Dermoscopy and new imaging techniques |
title_full | Dermoscopy and new imaging techniques Harold S. Rabinovitz ..., guest ed. |
title_fullStr | Dermoscopy and new imaging techniques Harold S. Rabinovitz ..., guest ed. |
title_full_unstemmed | Dermoscopy and new imaging techniques Harold S. Rabinovitz ..., guest ed. |
title_short | Dermoscopy and new imaging techniques |
title_sort | dermoscopy and new imaging techniques |
topic | Image Enhancement methods Microscopy Microscopy, Confocal Physical Examination instrumentation Skin Diseases diagnosis |
topic_facet | Image Enhancement methods Microscopy Microscopy, Confocal Physical Examination instrumentation Skin Diseases diagnosis |
url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=009582070&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
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