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Dermoscopic Study of Cutaneous Malignant Melanoma: Descriptive Analysis of 45 Cases
Estudio Dermoscópico del Melanoma Maligno Cutáneo: Análisis Descriptivo de 45 Casos
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"magdatm@hcs.es" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor1" ] ] ] 1 => array:3 [ "nombre" => "N" "apellidos" => "Blázquez-Sánchez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] 2 => array:3 [ "nombre" => "I" "apellidos" => "Fernández-Canedo" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] 3 => array:3 [ "nombre" => "M" "apellidos" => "Frieyro-Elicegui" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] 4 => array:3 [ "nombre" => "R" "apellidos" => "Fúnez-Liébana" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] ] 5 => array:3 [ "nombre" => "F" "apellidos" => "Rivas-Ruiz" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff3" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Servicio de Dermatología, Hospital Costa del Sol, Marbella, Málaga, Spain" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:3 [ "entidad" => "Servicio de Anatomía Patológica, Hospital Costa del Sol, Marbella, Málaga, Spain" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] 2 => array:3 [ "entidad" => "Unidad de Investigación, Hospital Costa del Sol, Marbella, Málaga, Spain" "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff3" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "⁎" "correspondencia" => "Correspondencia: Alhaurín, 1, 29640 Fuengirola, Málaga, Spain." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Estudio Dermoscópico del Melanoma Maligno Cutáneo: Análisis Descriptivo de 45 Casos" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaAceptado" => "2007-06-12" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec84102" "palabras" => array:3 [ 0 => "dermoscopy" 1 => "epiluminescence microscopy" 2 => "malignant melanoma" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec84101" "palabras" => array:3 [ 0 => "dermatoscopia" 1 => "microscopía de epiluminiscencia" 2 => "melanoma maligno" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Introduction</span><p class="elsevierStyleSimplePara elsevierViewall">Dermoscopy or epiluminescence microscopy is a novel in vivo technique that can be used for the diagnosis of pigmented cutaneous lesions. The aim of this study was to analyze the dermoscopic patterns observed in a consecutive series of primary cutaneous melanomas.</p> <span class="elsevierStyleSectionTitle">Material and methods</span><p class="elsevierStyleSimplePara elsevierViewall">A cross-sectional study was carried out in which clinical, histological, and dermoscopic characteristics were analyzed in 45 primary melanomas.</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">Two thirds of the series were thin melanomas and 50% were in situ melanomas. According to the ABCD rule, there was clinical suspicion of melanoma in 72% of the lesions. Specific dermoscopic patterns were observed in 93%. A multicomponent pattern was the most commonly observed (71%). A nonspecific pattern was observed in 7% of lesions. The most noteworthy local findings were irregular pigmented patches (80%), irregular dots and globules (68% and 62%), atypical pigmented network (57%), blue-gray veil (42%), and radial streaming and pseudopods (20%). In addition, hypopigmented areas (86%), regression structures (80%), and vascular abnormalities (73%) were also often seen. Acral lesions presented patterns characteristic of these sites.</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p class="elsevierStyleSimplePara elsevierViewall">Analysis of dermoscopic patterns aids early definitive diagnosis of melanoma and is particularly useful in the case of clinically indolent lesions. Dermoscopic findings provide information complementary to that obtained by conventional histology.</p>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Introducción</span><p class="elsevierStyleSimplePara elsevierViewall">La dermatoscopia o microscopía de epiluminiscencia es una novedosa técnica de microscopía <span class="elsevierStyleItalic">in vivo</span> útil para el diagnóstico de las lesiones pigmentadas cutáneas. El objetivo del presente trabajo es analizar los patrones dermoscópicos de una serie consecutiva de melanomas cutáneos primarios.</p> <span class="elsevierStyleSectionTitle">Material y métodos</span><p class="elsevierStyleSimplePara elsevierViewall">Se trata de un estudio de corte transversal, en el que se analizan las características clínicas, histológicas y dermoscópicas de 45 melanomas primarios.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Las dos terceras partes de la serie eran melanomas de espesor fino y el 50% melanomas <span class="elsevierStyleItalic">in situ</span>. Clínicamente, el 72% de las lesiones eran sospechosas de melanoma (regla ABCD). Dermoscópicamente, el 93% presentaron patrones dermoscópicos específicos. El patrón global más frecuente fue el multicomponente (71%). El 7% de las lesiones mostraron un patrón inespecífico. Los hallazgos locales más destacables fueron las manchas de pigmento irregulares (80%), el retículo pigmentado atípico (57%), los puntos y glóbulos irregulares (68 y 62%), las proyecciones radiales/pseudópodos (20%) y el velo azul-gris (42%). Además, destacó la presencia de áreas hipopigmentadas (86%), estructuras de regresión (80%) y vascularización atípica (73%). Las lesiones acras mostraron patrones característicos de estas localizaciones.</p> <span class="elsevierStyleSectionTitle">Conclusión</span><p class="elsevierStyleSimplePara elsevierViewall">El análisis de patrones dermoscópicos facilita el diagnóstico de certeza del melanoma en estadios precoces, y es particularmente útil en lesiones poco expresivas clínicamente. La identificación de hallazgos dermoscópicos ofrece información complementaria al estudio histológico convencional.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:24 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Epidemiología del melanoma en España" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "S. Sáenz" 1 => "J. Conejo Mir" 2 => "A. Cayuela" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Actas Dermosifilogr" "fecha" => "2005" "volumen" => "96" "paginaInicial" => "411" "paginaFinal" => "418" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "James CS. Overview of melanoma. 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Noviembre | 5 | 7 | 12 |
| 2024 Octubre | 63 | 51 | 114 |
| 2024 Septiembre | 62 | 42 | 104 |
| 2024 Agosto | 82 | 61 | 143 |
| 2024 Julio | 74 | 49 | 123 |
| 2024 Junio | 75 | 58 | 133 |
| 2024 Mayo | 78 | 43 | 121 |
| 2024 Abril | 46 | 37 | 83 |
| 2024 Marzo | 49 | 34 | 83 |
| 2024 Febrero | 58 | 30 | 88 |
| 2024 Enero | 52 | 50 | 102 |
| 2023 Diciembre | 49 | 54 | 103 |
| 2023 Noviembre | 57 | 41 | 98 |
| 2023 Octubre | 45 | 27 | 72 |
| 2023 Septiembre | 38 | 28 | 66 |
| 2023 Agosto | 25 | 21 | 46 |
| 2023 Julio | 27 | 54 | 81 |
| 2023 Junio | 39 | 33 | 72 |
| 2023 Mayo | 34 | 32 | 66 |
| 2023 Abril | 26 | 36 | 62 |
| 2023 Marzo | 24 | 28 | 52 |
| 2023 Febrero | 17 | 25 | 42 |
| 2023 Enero | 22 | 27 | 49 |
| 2022 Diciembre | 30 | 45 | 75 |
| 2022 Noviembre | 11 | 28 | 39 |
| 2022 Octubre | 13 | 17 | 30 |
| 2022 Septiembre | 13 | 33 | 46 |
| 2022 Agosto | 21 | 33 | 54 |
| 2022 Julio | 12 | 27 | 39 |
| 2022 Junio | 14 | 27 | 41 |
| 2022 Mayo | 27 | 45 | 72 |
| 2022 Abril | 27 | 43 | 70 |
| 2022 Marzo | 31 | 56 | 87 |
| 2022 Febrero | 31 | 22 | 53 |
| 2022 Enero | 24 | 47 | 71 |
| 2021 Diciembre | 26 | 39 | 65 |
| 2021 Noviembre | 24 | 45 | 69 |
| 2021 Octubre | 35 | 52 | 87 |
| 2021 Septiembre | 24 | 41 | 65 |
| 2021 Agosto | 24 | 31 | 55 |
| 2021 Julio | 29 | 37 | 66 |
| 2021 Junio | 28 | 37 | 65 |
| 2021 Mayo | 28 | 29 | 57 |
| 2021 Abril | 46 | 56 | 102 |
| 2021 Marzo | 47 | 27 | 74 |
| 2021 Febrero | 51 | 29 | 80 |
| 2021 Enero | 29 | 15 | 44 |
| 2020 Diciembre | 32 | 20 | 52 |
| 2020 Noviembre | 29 | 21 | 50 |
| 2020 Octubre | 26 | 5 | 31 |
| 2020 Septiembre | 41 | 23 | 64 |
| 2020 Agosto | 26 | 22 | 48 |
| 2020 Julio | 11 | 6 | 17 |
| 2020 Junio | 24 | 22 | 46 |
| 2020 Mayo | 36 | 29 | 65 |
| 2020 Abril | 29 | 13 | 42 |
| 2020 Marzo | 26 | 20 | 46 |
| 2020 Febrero | 1 | 5 | 6 |
| 2020 Enero | 0 | 13 | 13 |
| 2019 Diciembre | 0 | 21 | 21 |
| 2019 Noviembre | 0 | 9 | 9 |
| 2019 Octubre | 0 | 30 | 30 |
| 2019 Septiembre | 0 | 33 | 33 |
| 2019 Agosto | 0 | 18 | 18 |
| 2019 Julio | 0 | 38 | 38 |
| 2019 Junio | 0 | 20 | 20 |
| 2019 Mayo | 1 | 63 | 64 |
| 2019 Abril | 1 | 32 | 33 |
| 2019 Marzo | 0 | 8 | 8 |
| 2019 Febrero | 0 | 11 | 11 |
| 2019 Enero | 0 | 6 | 6 |
| 2018 Diciembre | 0 | 4 | 4 |
| 2018 Noviembre | 0 | 3 | 3 |
| 2018 Septiembre | 0 | 1 | 1 |
| 2018 Agosto | 0 | 3 | 3 |
| 2018 Julio | 0 | 6 | 6 |
| 2018 Junio | 0 | 7 | 7 |
| 2018 Mayo | 0 | 9 | 9 |
| 2018 Abril | 0 | 1 | 1 |
| 2018 Marzo | 0 | 3 | 3 |
| 2018 Febrero | 20 | 9 | 29 |
| 2018 Enero | 17 | 19 | 36 |
| 2017 Diciembre | 29 | 17 | 46 |
| 2017 Noviembre | 23 | 13 | 36 |
| 2017 Octubre | 13 | 27 | 40 |
| 2017 Septiembre | 19 | 18 | 37 |
| 2017 Agosto | 34 | 19 | 53 |
| 2017 Julio | 35 | 24 | 59 |
| 2017 Junio | 45 | 34 | 79 |
| 2017 Mayo | 41 | 27 | 68 |
| 2017 Abril | 15 | 20 | 35 |
| 2017 Marzo | 26 | 38 | 64 |
| 2017 Febrero | 27 | 26 | 53 |
| 2017 Enero | 22 | 30 | 52 |
| 2016 Diciembre | 47 | 17 | 64 |
| 2016 Noviembre | 23 | 18 | 41 |
| 2016 Octubre | 30 | 21 | 51 |
| 2016 Septiembre | 34 | 34 | 68 |
| 2016 Agosto | 40 | 15 | 55 |
| 2016 Julio | 32 | 11 | 43 |
| 2016 Junio | 13 | 4 | 17 |
| 2016 Mayo | 7 | 9 | 16 |
| 2016 Abril | 11 | 20 | 31 |
| 2016 Marzo | 5 | 17 | 22 |
| 2016 Febrero | 6 | 15 | 21 |
| 2016 Enero | 10 | 20 | 30 |
| 2015 Diciembre | 6 | 10 | 16 |
| 2015 Noviembre | 18 | 1 | 19 |
| 2015 Octubre | 8 | 13 | 21 |
| 2015 Septiembre | 5 | 12 | 17 |
| 2015 Agosto | 7 | 2 | 9 |
| 2015 Julio | 28 | 20 | 48 |
| 2015 Junio | 28 | 18 | 46 |
| 2015 Mayo | 76 | 21 | 97 |
| 2015 Abril | 29 | 17 | 46 |
| 2015 Marzo | 49 | 15 | 64 |
| 2015 Febrero | 27 | 16 | 43 |
| 2015 Enero | 29 | 12 | 41 |
| 2014 Diciembre | 32 | 7 | 39 |
| 2014 Noviembre | 23 | 12 | 35 |
| 2014 Octubre | 39 | 7 | 46 |
| 2014 Septiembre | 26 | 9 | 35 |
| 2014 Agosto | 40 | 16 | 56 |
| 2014 Julio | 39 | 15 | 54 |
| 2014 Junio | 47 | 10 | 57 |
| 2014 Mayo | 44 | 13 | 57 |
| 2014 Abril | 33 | 6 | 39 |
| 2014 Marzo | 43 | 29 | 72 |
| 2014 Febrero | 29 | 19 | 48 |
| 2014 Enero | 32 | 19 | 51 |
| 2013 Diciembre | 33 | 18 | 51 |
| 2013 Noviembre | 29 | 28 | 57 |
| 2013 Octubre | 33 | 27 | 60 |
| 2013 Septiembre | 33 | 29 | 62 |
| 2013 Agosto | 25 | 34 | 59 |
| 2013 Julio | 30 | 37 | 67 |
| 2013 Junio | 38 | 43 | 81 |
| 2013 Mayo | 31 | 42 | 73 |
| 2013 Abril | 38 | 39 | 77 |
| 2013 Marzo | 34 | 23 | 57 |
| 2013 Febrero | 31 | 14 | 45 |
| 2013 Enero | 16 | 6 | 22 |
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