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        "titulo" => "Abstract"
        "resumen" => "<span class="elsevierStyleSectionTitle">Introduction</span><p class="elsevierStyleSimplePara elsevierViewall">Atypical melanocytic nevi are acquired melanocytic lesions that were described for the first time by Clark in studies of melanocytic nevi in patients with melanomas&#46; Today&#44; the use of dermatoscopy has made identification of this type of nevus much easier&#46;</p> <span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">Our aim was to study the correlation between the clinical&#44; dermatoscopic&#44; and histopathologic findings of melanocytic nevi and compare our findings with those of previous studies&#46; We also aimed to investigate the value of dermatoscopy for identifying atypical melanocytic nevi&#46;</p> <span class="elsevierStyleSectionTitle">Material and methods</span><p class="elsevierStyleSimplePara elsevierViewall">In this cross-sectional&#44; observational study&#44; 200 melanocytic lesions were analyzed in 166 patients examined between January 1&#44; 2005 and December 31&#44; 2005&#46; We recorded the clinical&#44; dermatoscopic&#44; and histopathologic characteristics of each lesion and established the correlation between the different findings on a case-by-case basis&#46; We then determined the agreement between diagnoses and assessed the value of dermatoscopy for identifying atypical melanocytic melanoma&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">The clinical characteristics associated with atypical histology were a macular component &#40;<span class="elsevierStyleItalic">P</span>&#60;&#46;001&#41;&#44; irregular borders&#44; and presence of 3 or more colors&#46; Asymmetry&#44; diameter greater than 5 or 6 mm&#44; and progression were not associated with atypical histopathologic characteristics &#40;<span class="elsevierStyleItalic">P</span>&#62;&#46;05&#41;&#46; Agreement between clinical and histologic diagnosis was weak &#40;&#954;&#61;0&#46;38&#41;&#44; whereas the agreement between dermatoscopic and histologic diagnosis was moderate &#40;&#954;&#61;0&#46;52&#41;&#46; The area under the receiver operating characteristic curve for the model that included dermatoscopy was larger than that for the model that only included clinical data&#44; and this difference was statistically significant&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">Atypical clinical features were not found to correspond to atypical histology&#46; Dermatoscopy improved the accuracy of clinical diagnosis of atypical melanocytic nevus&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Introducci&#243;n</span><p class="elsevierStyleSimplePara elsevierViewall">Los nevus melanoc&#237;ticos at&#237;picos &#40;NMA&#41; son lesiones melanoc&#237;ticas adquiridas descritas por primera vez por Clark en estudios de nevus melanoc&#237;ticos &#40;NM&#41; en pacientes con melanomas&#46; Actualmente&#44; el uso de la dermatoscopia ha facilitado en gran medida la identificaci&#243;n de esta variante de nevus&#46;</p> <span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Estudiar la correlaci&#243;n entre los hallazgos cl&#237;nicos&#44; dermatosc&#243;picos e histopatol&#243;gicos de los NM a estudio y comparar nuestros resultados con trabajos previos&#46; Establecer el valor de la dermatoscopia para la identificaci&#243;n de NMA&#46;</p> <span class="elsevierStyleSectionTitle">Material y m&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">Estudio observacional&#44; transversal de 200 lesiones melanoc&#237;ticas correspondientes a 166 pacientes&#44; llevado a cabo desde el 1 de enero de 2005 hasta el 31 de diciembre de 2005&#46; Describimos las caracter&#237;sticas cl&#237;nicas&#44; dermatosc&#243;picas e histopatol&#243;gicas de cada lesi&#243;n y establecimos la correlaci&#243;n entre los diferentes hallazgos obtenidos&#44; caso por caso&#46; Posteriormente determinamos la concordancia entre diagn&#243;sticos y establecimos el valor de la dermatoscopia para la identificaci&#243;n de NMA&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Las caracter&#237;sticas cl&#237;nicas que se asociaron a atipia histol&#243;gica fueron componente macular &#40;p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#44; bordes irregulares y presencia de tres o m&#225;s colores&#46; La asimetr&#237;a&#44; di&#225;metro mayor de 5 o 6<span class="elsevierStyleHsp" style=""></span>mm o la evoluci&#243;n no se correspondieron con atipia desde el punto de vista histopatol&#243;gico &#40;p<span class="elsevierStyleHsp" style=""></span>&#62;<span class="elsevierStyleHsp" style=""></span>0&#44;05&#41;&#46; La concordancia entre diagn&#243;stico cl&#237;nico e histol&#243;gico fue baja &#40;&#237;ndice kappa ponderado &#91;Kp&#93;&#58; 0&#44;38&#41;&#44; mientras que entre diagn&#243;stico dermatosc&#243;pico e histol&#243;gico fue moderada &#40;&#237;ndice Kp&#58; 0&#44;52&#41;&#46; Mediante curvas ROC &#40;receiver operating characteristic&#41; comprobamos que el modelo que conten&#237;a la dermatoscopia presentaba un incremento bajo la curva estad&#237;sticamente significativo respecto al modelo que s&#243;lo inclu&#237;a los datos cl&#237;nicos&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">La atipia cl&#237;nica no es equivalente a atipia histol&#243;gica&#46; La dermatoscopia mejora la precisi&#243;n del diagn&#243;stico cl&#237;nico de NMA&#46;</p>"
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Original articles
Correlation Between Clinical, Dermatoscopic, and Histopathologic Variables in Atypical Melanocytic Nevi
Estudio de Correlación Clínica, Dermatoscópica e Histopatológica de Nevus Melanocíticos Atípicos
A.M. Morales-Callaghana,
Autor para correspondencia
acallaghan@aedv.es

Correspondence: Ana María Morales-Callaghan, C/ Barcelona, 67, 1a, 50017 Zaragoza, Spain.
, J. Castrodeza-Sanzb, G. Martínez-Garcíac, I. Peral-Martínezc, A. Miranda-Romeroa
a Servicio de Dermatología, Hospital Clínico Universitario de Valladolid, Valladolid, Spain
b Servicio de Medicina Preventiva, Hospital Clínico Universitario de Valladolid, Valladolid, Spain
c Servicio de Anatomía Patológica, Hospital Clínico Universitario de Valladolid, Valladolid, Spain
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        "titulo" => "Estudio de Correlaci&#243;n Cl&#237;nica&#44; Dermatosc&#243;pica e Histopatol&#243;gica de Nevus Melanoc&#237;ticos At&#237;picos"
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            0 => "atypical melanocytic nevus"
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        "titulo" => "Abstract"
        "resumen" => "<span class="elsevierStyleSectionTitle">Introduction</span><p class="elsevierStyleSimplePara elsevierViewall">Atypical melanocytic nevi are acquired melanocytic lesions that were described for the first time by Clark in studies of melanocytic nevi in patients with melanomas&#46; Today&#44; the use of dermatoscopy has made identification of this type of nevus much easier&#46;</p> <span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">Our aim was to study the correlation between the clinical&#44; dermatoscopic&#44; and histopathologic findings of melanocytic nevi and compare our findings with those of previous studies&#46; We also aimed to investigate the value of dermatoscopy for identifying atypical melanocytic nevi&#46;</p> <span class="elsevierStyleSectionTitle">Material and methods</span><p class="elsevierStyleSimplePara elsevierViewall">In this cross-sectional&#44; observational study&#44; 200 melanocytic lesions were analyzed in 166 patients examined between January 1&#44; 2005 and December 31&#44; 2005&#46; We recorded the clinical&#44; dermatoscopic&#44; and histopathologic characteristics of each lesion and established the correlation between the different findings on a case-by-case basis&#46; We then determined the agreement between diagnoses and assessed the value of dermatoscopy for identifying atypical melanocytic melanoma&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">The clinical characteristics associated with atypical histology were a macular component &#40;<span class="elsevierStyleItalic">P</span>&#60;&#46;001&#41;&#44; irregular borders&#44; and presence of 3 or more colors&#46; Asymmetry&#44; diameter greater than 5 or 6 mm&#44; and progression were not associated with atypical histopathologic characteristics &#40;<span class="elsevierStyleItalic">P</span>&#62;&#46;05&#41;&#46; Agreement between clinical and histologic diagnosis was weak &#40;&#954;&#61;0&#46;38&#41;&#44; whereas the agreement between dermatoscopic and histologic diagnosis was moderate &#40;&#954;&#61;0&#46;52&#41;&#46; The area under the receiver operating characteristic curve for the model that included dermatoscopy was larger than that for the model that only included clinical data&#44; and this difference was statistically significant&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">Atypical clinical features were not found to correspond to atypical histology&#46; Dermatoscopy improved the accuracy of clinical diagnosis of atypical melanocytic nevus&#46;</p>"
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      "es" => array:2 [
        "titulo" => "Resumen"
        "resumen" => "<span class="elsevierStyleSectionTitle">Introducci&#243;n</span><p class="elsevierStyleSimplePara elsevierViewall">Los nevus melanoc&#237;ticos at&#237;picos &#40;NMA&#41; son lesiones melanoc&#237;ticas adquiridas descritas por primera vez por Clark en estudios de nevus melanoc&#237;ticos &#40;NM&#41; en pacientes con melanomas&#46; Actualmente&#44; el uso de la dermatoscopia ha facilitado en gran medida la identificaci&#243;n de esta variante de nevus&#46;</p> <span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Estudiar la correlaci&#243;n entre los hallazgos cl&#237;nicos&#44; dermatosc&#243;picos e histopatol&#243;gicos de los NM a estudio y comparar nuestros resultados con trabajos previos&#46; Establecer el valor de la dermatoscopia para la identificaci&#243;n de NMA&#46;</p> <span class="elsevierStyleSectionTitle">Material y m&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">Estudio observacional&#44; transversal de 200 lesiones melanoc&#237;ticas correspondientes a 166 pacientes&#44; llevado a cabo desde el 1 de enero de 2005 hasta el 31 de diciembre de 2005&#46; Describimos las caracter&#237;sticas cl&#237;nicas&#44; dermatosc&#243;picas e histopatol&#243;gicas de cada lesi&#243;n y establecimos la correlaci&#243;n entre los diferentes hallazgos obtenidos&#44; caso por caso&#46; Posteriormente determinamos la concordancia entre diagn&#243;sticos y establecimos el valor de la dermatoscopia para la identificaci&#243;n de NMA&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Las caracter&#237;sticas cl&#237;nicas que se asociaron a atipia histol&#243;gica fueron componente macular &#40;p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#44; bordes irregulares y presencia de tres o m&#225;s colores&#46; La asimetr&#237;a&#44; di&#225;metro mayor de 5 o 6<span class="elsevierStyleHsp" style=""></span>mm o la evoluci&#243;n no se correspondieron con atipia desde el punto de vista histopatol&#243;gico &#40;p<span class="elsevierStyleHsp" style=""></span>&#62;<span class="elsevierStyleHsp" style=""></span>0&#44;05&#41;&#46; La concordancia entre diagn&#243;stico cl&#237;nico e histol&#243;gico fue baja &#40;&#237;ndice kappa ponderado &#91;Kp&#93;&#58; 0&#44;38&#41;&#44; mientras que entre diagn&#243;stico dermatosc&#243;pico e histol&#243;gico fue moderada &#40;&#237;ndice Kp&#58; 0&#44;52&#41;&#46; Mediante curvas ROC &#40;receiver operating characteristic&#41; comprobamos que el modelo que conten&#237;a la dermatoscopia presentaba un incremento bajo la curva estad&#237;sticamente significativo respecto al modelo que s&#243;lo inclu&#237;a los datos cl&#237;nicos&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">La atipia cl&#237;nica no es equivalente a atipia histol&#243;gica&#46; La dermatoscopia mejora la precisi&#243;n del diagn&#243;stico cl&#237;nico de NMA&#46;</p>"
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