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Dermoscopy of scalp tumours: a multi‐centre study conducted by the international dermoscopy society
Authors:I Stanganelli  G Argenziano  F Sera  A Blum  F Ozdemir  IK Karaarslan  D Piccolo  K Peris  H Kirchesch  R Bono  MA Pizzichetta  S Gasparini  RP Braun  O Correia  L Thomas  P Zaballos  S Puig  J Malvehy  M Scalvenzi  H Rabinovitz  A Bergamo  G Pellacani  C Longo  M Pavlovic  C Rosendahl  R Hofmann‐Wellenhof  H Cabo  AA Marghoob  D Langford  S Astorino  AM Manganoni  J‐Y Gourhant  J Keir  JM Grichnik  G Fumo  H Dong  AM Sortino Rachou  G Ferrara  I Zalaudek
Affiliation:1. Skin Cancer Unit, Istituto Tumori Romagna (IRST), Meldola (FC), Italy;2. Dermatology Unit, Medical Department, Arcispedale Santa Maria Nuova, Reggio Emilia, Italy;3. MRC Centre for Pedriatic Epidemiology and Biostatistics, UCL, Institute of Child Health, London, UK;4. Department of Dermatology, Private and Teaching Practice of Dermatology, Konstanz, Germany;5. Department of Dermatology, Dermoscopy Unit, University of Ege (Aegean), Bornova Izmir, Turkey;6. Department of Dermatology, University of L’Aquila, L’Aquila, Italy;7. Department of Dermatology, University of Koeln, Koeln, Germany;8. Istituto Dermopatico dell’Immacolata, Rome, Italy;9. Preventive Oncology Service, Centro di Riferimento Oncologico, Aviano (PN), Italy;10. Private Dermatologist, Terni, Italy;11. Leitender Arzt, Universit?tsSpital Zürich, Dermatologische Klinik, Zürich;12. Switzerland;13. Centro de Dermatologia Epidermis, University of Porto, Porto, Portugal;14. Department of Dermatology, Lyon 1 University Centre Hospitalier, Lyon Sud, France;15. Department of Dermatology, Hospital de Sant Pau i Santa Tecla, Tarragona, Spain;16. Dermatology Department, Melanoma Unit, Hospital Clínic i Provincial de Barcelona, Institut d’Investigacions Biomediques August Pi i Sunyer and Centro de Investigación Biomédica en Red de Enfermedades Raras, Barcelona, Spain;17. Department of Dermatology, Federico II University of Naples, Naples, Italy;18. Skin and Cancer Associates, Plantation, FL, USA;19. Unità Operativa di Dermatologia, Ospedale Santa Chiara, Trento, Italy;20. Department of Dermatology, University of Modena and Reggio Emilia, Modena, Italy;21. Dermatology Centre Parmova, SI‐Ljubljana, Slovenia;22. School of Medicine, University of Queensland, Brisbane, Australia;23. Division of Dermatology, Medical University of Graz, Graz, Austria;24. Oncologic Hospital A. Roffo, Universty of Buenos Aires, Buenos Aires, Argentina;25. Dermatology Service, Memorial Sloan‐Kettering Cancer Center, New York, New York, USA;26. Aikmans Road Clinic, Christchurch, New Zealand;27. Department of Dermatology;28. Celio Military Hospital of Rome, Rome, Italy;29. Department of Dermatology, University Hospital Spedali Civili, Brescia, Italy;30. Dermatology Center, Nemours, France;31. Northern Rivers Skin Cancer Clinic, Ballina, NSW, Australia;32. Melanoma Program Sylvester Comprehensive Cancer Center, Department of Dermatology, Miller School of Medicine, University of Miami, Miami, FL, USA;33. Department of Dermatology, University of Cagliari, Cagliari, Italy;34. Department of Dermatology, The First Teaching Hospital, University of Zhengzhou, China;35. Hospital 9 de Julho, Sao Paulo, SP, Brazil;36. Pathologic Anatomy Unit, Gaetano Rummo General Hospital, Benevento, Italy
Abstract:Background Little is known about the dermoscopic features of scalp tumours. Objective To determine the dermoscopic features of scalp tumours. Methods Retrospective analysis of dermoscopic images of histopathologically diagnosed scalp tumours from International Dermoscopy Society members. Results A total of 323 tumours of the scalp from 315 patients (mean age: 52 years; range 3–88 years) were analysed. Scalp nevi were significantly associated with young age (<30 years) and exhibited a globular or network pattern with central or perifollicular hypopigmentation. Melanoma and non‐melanoma skin cancer were associated with male gender, androgenetic alopecia, age >65 years and sun damage. Atypical network and regression were predictive for thin (≤1 mm) melanomas, whereas advanced melanomas (tumour thickness > 1 mm) revealed blue white veil, unspecific patterns and irregular black blotches or dots. Conclusions The data collected provide a new knowledge regarding the clinical and dermoscopy features of pigmented scalp tumours.
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