Arborizing Vessels on Dermoscopy in Various Skin Diseases Other Than Basal Cell Carcinoma
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Background: Arborizing vessels (AVs) are dermoscopically defined as telangiectasias with distinct treelike branching, and are a characteristic feature of basal cell carcinoma (BCC). However, AVs are observed in various conditions other than BCC. Objective: The aim of this study was to investigate skin diseases showing AV and investigates dermoscopic differences between BCC and non-BCC. Methods: Dermoscopic images showing AV were prospectively collected and classified into BCC/non-BCC. Non-BCC was further classified into tumors (benign cystic, benign non-cystic, premalignant, and malignant) and non-tumors. We compared AV focusing, widest diameter of stem vessels, widest diameter ratio of stem vessel to first branch, and number of ramifications between groups. Results: Among 124 images, 54.0% were BCC and 46.0% were non-BCC. Non-BCC included epidermal cysts, hypertrophic scars/keloids, intradermal nevi, actinic keratoses, etc. The proportion of focused AV in BCC was significantly higher and the proportion of unfocused AV in BCC was lower than that of premalignant and malignant non-BCC. The widest diameter ratio of stem vessel to first branch was higher in non-BCC. Number of ramifications was significantly less in benign cystic non-BCC than BCC. Conclusion: Various skin diseases showed AV, so that diagnoses other than BCC should be considered. The findings in this study could help discriminate BCC from non-BCC.
Abstract
Background: Arborizing vessels (AVs) are dermoscopically defined as telangiectasias with distinct treelike branching, and are a characteristic feature of basal cell carcinoma (BCC). However, AVs are observed in various conditions other than BCC. Objective: The aim of this study was to investigate skin diseases showing AV and investigates dermoscopic differences between BCC and non-BCC. Methods: Dermoscopic images showing AV were prospectively collected and classified into BCC/non-BCC. Non-BCC was further classified into tumors (benign cystic, benign non-cystic, premalignant, and malignant) and non-tumors. We compared AV focusing, widest diameter of stem vessels, widest diameter ratio of stem vessel to first branch, and number of ramifications between groups. Results: Among 124 images, 54.0% were BCC and 46.0% were non-BCC. Non-BCC included epidermal cysts, hypertrophic scars/keloids, intradermal nevi, actinic keratoses, etc. The proportion of focused AV in BCC was significantly higher and the proportion of unfocused AV in BCC was lower than that of premalignant and malignant non-BCC. The widest diameter ratio of stem vessel to first branch was higher in non-BCC. Number of ramifications was significantly less in benign cystic non-BCC than BCC. Conclusion: Various skin diseases showed AV, so that diagnoses other than BCC should be considered. The findings in this study could help discriminate BCC from non-BCC.
참고문헌 (17)
- Argenziano G, "Vascular structures in skin tumors: a dermoscopy study", Arch Dermatol, 140, pp.1485~1489 (2004)
- Menzies SW, "Surface microscopy of pigmented basal cell carcinoma", Arch Dermatol, 136, pp.1012~1016 (2000)
- Giacomel J, "Dermoscopy of basosquamous carcinoma", Br J Dermatol, 169, pp.358~364 (2013)
- Llambrich A, "Dermoscopy of cutaneous leishmaniasis", Br J Dermatol, 160, pp.756~761 (2009)
- Fujimura T, "Dermoscopy findings of pseudolymphomatous folliculitis", Case Rep Dermatol, 4, pp.154~157 (2012)
- Dalle S, "Dermoscopy of Merkel cell carcinoma", Dermatology, 224, pp.140~144 (2012)
- Moscarella E, "Clinical, dermoscopic and reflectance confocal microscopy features of sebaceous neoplasms in Muir-Torre syndrome", J Eur Acad Dermatol Venereol, 27, pp.699~705 (2013)
- Zaballos P, "Dermoscopy of apocrine hidrocystomas: a morphological study", J Eur Acad Dermatol Venereol, 28, pp.378~381 (2014)
- Khelifa E, "Dermoscopy of desmoplastic trichoepithelioma reveals other criteria to distinguish it from basal cell carcinoma", Dermatology, 226, pp.101~104 (2013)
- Bernard J, "Dermoscopy of dermatofibrosarcoma protuberans:a study of 15 cases", Br J Dermatol, 169, pp.85~90 (2013)
- Aydingoz IE, "Arborizing vessels under dermoscopy: a case of cellular neurothekeoma instead of basal cell carcinoma", Dermatol Online J, 19, pp.5~ (2013)
- Salerni G, "Dermatoscopic pattern of digital mucous cyst: report of three cases", Dermatol Pract Concept, 4, pp.65~67 (2014)
- 유민건, "Keloids and Hypertrophic Scars: Characteristic Vascular Structures Visualized by Using Dermoscopy", Annals of Dermatology, 26(5), pp.603~609 (2014), 대한피부과학회
- Collgros H, "A pearly papule with arborizing vessels", J Am Acad Dermatol, 72(1 Suppl), pp.S25~S26 (2015)
- Zalaudek I, "How to diagnose nonpigmented skin tumors:a review of vascular structures seen with dermoscopy: part II. Nonmelanocytic skin tumors", J Am Acad Dermatol, 63, pp.377~386 (2010)
- Sakakibara A, "Dermoscopic evaluation of vascular structures of various skin tumors in Japanese patients", J Dermatol, 37, pp.316~322 (2010)
- Menzies SW, "Dermoscopy of pigmented basal cell carcinoma", Clin Dermatol, 20, pp.268~269 (2002)