Reflectance confocal microscopy terminology glossary for melanocytic skin lesions: A systematic review

JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY

卷:84

Review

Navarrete-Dechent, Cristian^1,2  Liopyris, Konstantinos^2,3  Monnier, Jilliana²  Aleissa, Saud²  Boyce, Lindsay M.⁴  Longo, Caterina^5,6  Oliviero, Margaret⁷  Rabinovitz, Harold⁷  Marghoob, Ashfaq A.²  Halpern, Allan C.²  Pellacani, Giovanni⁵  Scope, Alon^2,8,9  Jain, Manu² 

[1] Pontificia Univ Catolica Chile, Dept Dermatol, Escuela Med, Santiago, Chile

[2] Mem Sloan Kettering Canc Ctr, Dept Med, Dermatol Serv, 16 E 60th St, New York, NY 10022 USA

[3] Univ Athens, Andreas Syggros Hosp Skin & Venereal Dis, Dept Dermatol, Athens, Greece

[4] Mem Sloan Kettering Canc Ctr, Lib, New York, NY 10022 USA

[5] Univ Modena & Reggio Emilia, Dept Dermatol, Modena, Italy

[6] Ctr Oncol Alta Tecnol Diagnost Dermatol, Azienda Unita Sanit Locale, Ist Ricovero & Cura Carattere Sci Reggio Emilia, Modena, Italy

[7] Dermatol Assoc, Plantat, Sarasota, FL USA

[8] Tel Aviv Univ, Kittner Skin Canc Screening & Res Inst, Sheba Med Ctr, Tel Aviv, Israel

[9] Tel Aviv Univ, Sackler Fac Med, Tel Aviv, Israel

关键词: diagnosis;    melanocytic;    melanoma;    nevus;    noninvasive;    reflectance confocal microscopy;    systematic review;   

DOI  :  10.1016/j.jaad.2020.05.097

来源: Elsevier

【 摘 要 】

Background: There is lack of uniformity in the reflectance confocal microscopy (RCM) terminology for melanocytic lesions. Objective: To review published RCM terms for melanocytic lesions and identify redundant, synonymous terms. Methods: A systematic review of original research articles adhering to Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines was conducted until August 15, 2018. Two investigators gathered all published RCM terms used to describe melanoma and melanocytic nevi. Synonymous terms were grouped based on similarity in definition and in histopathologic correlation. Results: Out of 156 full-text screened articles, 59 studies met the inclusion criteria. We identified 209 terms; 191 (91.4%) corresponding to high-magnification/cellular-level terms and 18 (8.6%) corresponding to lowmagnification/architectural patterns terms. The overall average use frequency of RCM terms was 3.1 times (range, 1-31). By grouping of individual RCM terms based on likely synonymous definitions and by eliminating terms lacking clear definition, the total number of RCM terms could be potentially reduced from 209 to 40 terms (80.8% reduction). Limitations: Non-English and nonepeer-reviewed articles were excluded. Conclusions: This systematic review of published RCM terms identified significant terminology redundancy. It provides the basis for subsequent terminology consensus on melanocytic neoplasms.

【 授权许可】

Free