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Reflectance confocal microscopy terminology glossary for nonmelanocytic skin lesions: A systematic review - 12/04/19

Doi : 10.1016/j.jaad.2018.12.007 
Cristian Navarrete-Dechent, MD a, b, Antonio P. DeRosa, MS, MLIS, AHIP c, Caterina Longo, MD d, e, Konstantinos Liopyris, MD b, Margaret Oliviero, ARNP f, Harold Rabinovitz, MD f, Ashfaq A. Marghoob, MD b, Allan C. Halpern, MD b, Giovanni Pellacani, MD d, Alon Scope, MD b, g, Manu Jain, MD b,
a Department of Dermatology, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile 
b Dermatology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York 
c Samuel J. Wood Library, Weill Cornell Medical College, New York, New York 
d Department of Dermatology, University of Modena and Reggio Emilia, Modena, Italy 
e Azienda Unità Sanitaria Locale, Istituto di Ricovero e Cura a Carattere Scientifico di Reggio Emilia, Centro Oncologico ad Alta Tecnologia Diagnostica-Dermatologia, Reggio Emilia, Italy 
f Dermatology Associates, Plantation, Florida 
g Medical Screening Institute, Sheba Medical Center and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel 

Correspondence to: Manu Jain, MD, Dermatology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, 16 E 60th St, New York, NY 10022.Dermatology ServiceDepartment of MedicineMemorial Sloan Kettering Cancer Center16 E 60th StNew YorkNY10022

Abstract

Background

There is lack of uniformity in reflectance confocal microscopy (RCM) terminology for nonmelanocytic lesions (NMLs).

Objective

To review published RCM terms for NMLs and identify likely synonymous terms.

Methods

We conducted a systematic review of original research articles published up to August 19, 2017, adhering to Preferred Reporting Items for Systemic Reviews and Meta-Analyses guidelines. Two investigators gathered all published RCM terms used to describe basal cell carcinoma (BCC), squamous cell carcinoma (SCC), and seborrheic keratosis/solar lentigo/lichen planus–like keratosis (SK/SL/LPLK). Synonymous terms were grouped on the basis of similarity in definition and histopathologic correlates.

Results

The inclusion criteria was met by 31 studies. Average frequency of use per term was 1.6 (range 1-8). By grouping synonymous terms, the number of terms could be reduced from 58 to 18 for BCC, 58 to 36 for SCC, 23 to 12 for SK/SL/LPLK, and from 139 to 66 terms (52.5% reduction) in total. The frequency of term usage stratified by anatomic layer (suprabasal epidermis vs epidermal basal layer, dermoepidermal junction, and superficial dermis) was 27 (25.7%) versus 78 (74.2%) for BCC; 60 (64.5%) versus 33 (34.5%) for SCC, and 15 (45.4%) versus 18 (54.5%) for SK/SL/LPLK, respectively.

Limitations

Articles that were not peer reviewed were excluded.

Conclusion

Systematic review of published RCM terms provides the basis for future NMLs terminology consensus.

Le texte complet de cet article est disponible en PDF.

Key words : actinic keratosis, basal cell carcinoma, diagnosis, lichen planus-like keratosis, melanoma, nonmelanoma skin cancer, reflectance confocal microscopy, seborrheic keratosis, squamous cell carcinoma

Abbreviations used : AK, BCC, DEJ, LPLK, NML, RCM, SCC, SK, SL


Plan


 Dr Scope and Dr Jain share senior authorship.
 Funding sources: Supported in part by a grant from the National Cancer Institute of the National Institutes of Health (P30-CA008748) given to the Memorial Sloan Kettering Cancer Center. Dr Scope's reflectance confocal microscopy research is supported by the Israel Science Foundation (ISF-1546-16).
 Conflicts of interest: Dr Halpern served on the Synos health advisory board and received honoraria. Dr Rabinovitz and Ms Oliviero served as speakers for Caliber ID, the company that manufactures the reflectance confocal microscope, and received equipment. All other authors have no conflicts of interest to disclose.
 Supplemental Figs 1-3 available at www.jaad.org.
 Reprints not available from the authors.


© 2018  American Academy of Dermatology, Inc.. Publié par Elsevier Masson SAS. Tous droits réservés.
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Vol 80 - N° 5

P. 1414 - mai 2019 Retour au numéro
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