Optical imaging guided- ‘precision’ biopsy of skin tumors: a novel approach for targeted sampling and histopathologic correlation
Abstract Dermoscopy and reflectance confocal microscopy (RCM) are two noninvasive, optical imaging tools used to facilitate clinical diagnosis. A biopsy technique that produces exact correlation with optical imaging features is not previously reported. To evaluate the applications of a novel feature...
Ausführliche Beschreibung
Autor*in: |
Navarrete-Dechent, Cristian [verfasserIn] Cordova, Miguel [verfasserIn] Sahu, Aditi [verfasserIn] Liopyris, Konstantinos [verfasserIn] Rishpon, Ayelet [verfasserIn] Chen, Curtis [verfasserIn] Rajadhyaksha, Milind [verfasserIn] Busam, Klaus J. [verfasserIn] Marghoob, Ashfaq A. [verfasserIn] Chen, Chih-Shan Jason [verfasserIn] |
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E-Artikel |
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Sprache: |
Englisch |
Erschienen: |
2020 |
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Anmerkung: |
© Springer-Verlag GmbH Germany, part of Springer Nature 2020 |
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Übergeordnetes Werk: |
Enthalten in: Archives of dermatological research - Berlin : Springer, 1869, 313(2020), 7 vom: 25. Aug., Seite 517-529 |
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Übergeordnetes Werk: |
volume:313 ; year:2020 ; number:7 ; day:25 ; month:08 ; pages:517-529 |
Links: |
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DOI / URN: |
10.1007/s00403-020-02126-6 |
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Katalog-ID: |
SPR044622600 |
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520 | |a Abstract Dermoscopy and reflectance confocal microscopy (RCM) are two noninvasive, optical imaging tools used to facilitate clinical diagnosis. A biopsy technique that produces exact correlation with optical imaging features is not previously reported. To evaluate the applications of a novel feature-focused ‘precision biopsy’ technique that correlates clinical–dermoscopy–RCM findings with histopathology. This was a prospective case-series performed during August 2017 and June 2019 at a tertiary care cancer. We included consecutive patients requiring a precise dermoscopy–RCM–histopathologic correlation. We performed prebiopsy dermoscopy and both wide probe and handheld RCM of suspicious lesions. Features of interest were isolated with the aid of paper rings and a 2 mm punch biopsy was performed in the dermoscopy- or RCM-highlighted area. Tissue was processed either en face or with vertical sections. One-to-one correlation with histopathology was obtained. Twenty-three patients with 24 lesions were included in the study. The mean age was 64.6 years (range 22–91 years); there were 16 (69.6%) males, 14 (58.3%) lesions biopsied were on head and neck region. We achieved tissue-conservation diagnosis in 100% (24/24), 13 (54.2%) were clinically equivocal lesions, six (25%) were selected for ‘feature correlation’ of structures on dermoscopy or RCM, and five (20.8%) for ‘correlation of new/unknown’ RCM features seen on follow-up. The precision biopsy technique described herein is a novel method that facilitates direct histopathological correlation of dermoscopy and RCM features. With the aids of optical imaging devices, accurate diagnosis may be achieved by minimally invasive tissue extraction. | ||
650 | 4 | |a Reflectance confocal microscopy |7 (dpeaa)DE-He213 | |
650 | 4 | |a Biopsy |7 (dpeaa)DE-He213 | |
650 | 4 | |a Correlation |7 (dpeaa)DE-He213 | |
650 | 4 | |a Diagnosis |7 (dpeaa)DE-He213 | |
650 | 4 | |a Dermatopathology |7 (dpeaa)DE-He213 | |
650 | 4 | |a Dermoscopy |7 (dpeaa)DE-He213 | |
650 | 4 | |a Optical coherence tomography |7 (dpeaa)DE-He213 | |
650 | 4 | |a Noninvasive |7 (dpeaa)DE-He213 | |
700 | 1 | |a Cordova, Miguel |e verfasserin |4 aut | |
700 | 1 | |a Sahu, Aditi |e verfasserin |4 aut | |
700 | 1 | |a Liopyris, Konstantinos |e verfasserin |4 aut | |
700 | 1 | |a Rishpon, Ayelet |e verfasserin |4 aut | |
700 | 1 | |a Chen, Curtis |e verfasserin |4 aut | |
700 | 1 | |a Rajadhyaksha, Milind |e verfasserin |4 aut | |
700 | 1 | |a Busam, Klaus J. |e verfasserin |4 aut | |
700 | 1 | |a Marghoob, Ashfaq A. |e verfasserin |4 aut | |
700 | 1 | |a Chen, Chih-Shan Jason |e verfasserin |4 aut | |
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10.1007/s00403-020-02126-6 doi (DE-627)SPR044622600 (SPR)s00403-020-02126-6-e DE-627 ger DE-627 rakwb eng 610 ASE 44.93 bkl Navarrete-Dechent, Cristian verfasserin aut Optical imaging guided- ‘precision’ biopsy of skin tumors: a novel approach for targeted sampling and histopathologic correlation 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Springer-Verlag GmbH Germany, part of Springer Nature 2020 Abstract Dermoscopy and reflectance confocal microscopy (RCM) are two noninvasive, optical imaging tools used to facilitate clinical diagnosis. A biopsy technique that produces exact correlation with optical imaging features is not previously reported. To evaluate the applications of a novel feature-focused ‘precision biopsy’ technique that correlates clinical–dermoscopy–RCM findings with histopathology. This was a prospective case-series performed during August 2017 and June 2019 at a tertiary care cancer. We included consecutive patients requiring a precise dermoscopy–RCM–histopathologic correlation. We performed prebiopsy dermoscopy and both wide probe and handheld RCM of suspicious lesions. Features of interest were isolated with the aid of paper rings and a 2 mm punch biopsy was performed in the dermoscopy- or RCM-highlighted area. Tissue was processed either en face or with vertical sections. One-to-one correlation with histopathology was obtained. Twenty-three patients with 24 lesions were included in the study. The mean age was 64.6 years (range 22–91 years); there were 16 (69.6%) males, 14 (58.3%) lesions biopsied were on head and neck region. We achieved tissue-conservation diagnosis in 100% (24/24), 13 (54.2%) were clinically equivocal lesions, six (25%) were selected for ‘feature correlation’ of structures on dermoscopy or RCM, and five (20.8%) for ‘correlation of new/unknown’ RCM features seen on follow-up. The precision biopsy technique described herein is a novel method that facilitates direct histopathological correlation of dermoscopy and RCM features. With the aids of optical imaging devices, accurate diagnosis may be achieved by minimally invasive tissue extraction. Reflectance confocal microscopy (dpeaa)DE-He213 Biopsy (dpeaa)DE-He213 Correlation (dpeaa)DE-He213 Diagnosis (dpeaa)DE-He213 Dermatopathology (dpeaa)DE-He213 Dermoscopy (dpeaa)DE-He213 Optical coherence tomography (dpeaa)DE-He213 Noninvasive (dpeaa)DE-He213 Cordova, Miguel verfasserin aut Sahu, Aditi verfasserin aut Liopyris, Konstantinos verfasserin aut Rishpon, Ayelet verfasserin aut Chen, Curtis verfasserin aut Rajadhyaksha, Milind verfasserin aut Busam, Klaus J. verfasserin aut Marghoob, Ashfaq A. verfasserin aut Chen, Chih-Shan Jason verfasserin aut Enthalten in Archives of dermatological research Berlin : Springer, 1869 313(2020), 7 vom: 25. Aug., Seite 517-529 (DE-627)253390044 (DE-600)1458448-7 1432-069X nnns volume:313 year:2020 number:7 day:25 month:08 pages:517-529 https://dx.doi.org/10.1007/s00403-020-02126-6 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.93 ASE AR 313 2020 7 25 08 517-529 |
spelling |
10.1007/s00403-020-02126-6 doi (DE-627)SPR044622600 (SPR)s00403-020-02126-6-e DE-627 ger DE-627 rakwb eng 610 ASE 44.93 bkl Navarrete-Dechent, Cristian verfasserin aut Optical imaging guided- ‘precision’ biopsy of skin tumors: a novel approach for targeted sampling and histopathologic correlation 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Springer-Verlag GmbH Germany, part of Springer Nature 2020 Abstract Dermoscopy and reflectance confocal microscopy (RCM) are two noninvasive, optical imaging tools used to facilitate clinical diagnosis. A biopsy technique that produces exact correlation with optical imaging features is not previously reported. To evaluate the applications of a novel feature-focused ‘precision biopsy’ technique that correlates clinical–dermoscopy–RCM findings with histopathology. This was a prospective case-series performed during August 2017 and June 2019 at a tertiary care cancer. We included consecutive patients requiring a precise dermoscopy–RCM–histopathologic correlation. We performed prebiopsy dermoscopy and both wide probe and handheld RCM of suspicious lesions. Features of interest were isolated with the aid of paper rings and a 2 mm punch biopsy was performed in the dermoscopy- or RCM-highlighted area. Tissue was processed either en face or with vertical sections. One-to-one correlation with histopathology was obtained. Twenty-three patients with 24 lesions were included in the study. The mean age was 64.6 years (range 22–91 years); there were 16 (69.6%) males, 14 (58.3%) lesions biopsied were on head and neck region. We achieved tissue-conservation diagnosis in 100% (24/24), 13 (54.2%) were clinically equivocal lesions, six (25%) were selected for ‘feature correlation’ of structures on dermoscopy or RCM, and five (20.8%) for ‘correlation of new/unknown’ RCM features seen on follow-up. The precision biopsy technique described herein is a novel method that facilitates direct histopathological correlation of dermoscopy and RCM features. With the aids of optical imaging devices, accurate diagnosis may be achieved by minimally invasive tissue extraction. Reflectance confocal microscopy (dpeaa)DE-He213 Biopsy (dpeaa)DE-He213 Correlation (dpeaa)DE-He213 Diagnosis (dpeaa)DE-He213 Dermatopathology (dpeaa)DE-He213 Dermoscopy (dpeaa)DE-He213 Optical coherence tomography (dpeaa)DE-He213 Noninvasive (dpeaa)DE-He213 Cordova, Miguel verfasserin aut Sahu, Aditi verfasserin aut Liopyris, Konstantinos verfasserin aut Rishpon, Ayelet verfasserin aut Chen, Curtis verfasserin aut Rajadhyaksha, Milind verfasserin aut Busam, Klaus J. verfasserin aut Marghoob, Ashfaq A. verfasserin aut Chen, Chih-Shan Jason verfasserin aut Enthalten in Archives of dermatological research Berlin : Springer, 1869 313(2020), 7 vom: 25. Aug., Seite 517-529 (DE-627)253390044 (DE-600)1458448-7 1432-069X nnns volume:313 year:2020 number:7 day:25 month:08 pages:517-529 https://dx.doi.org/10.1007/s00403-020-02126-6 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.93 ASE AR 313 2020 7 25 08 517-529 |
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10.1007/s00403-020-02126-6 doi (DE-627)SPR044622600 (SPR)s00403-020-02126-6-e DE-627 ger DE-627 rakwb eng 610 ASE 44.93 bkl Navarrete-Dechent, Cristian verfasserin aut Optical imaging guided- ‘precision’ biopsy of skin tumors: a novel approach for targeted sampling and histopathologic correlation 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Springer-Verlag GmbH Germany, part of Springer Nature 2020 Abstract Dermoscopy and reflectance confocal microscopy (RCM) are two noninvasive, optical imaging tools used to facilitate clinical diagnosis. A biopsy technique that produces exact correlation with optical imaging features is not previously reported. To evaluate the applications of a novel feature-focused ‘precision biopsy’ technique that correlates clinical–dermoscopy–RCM findings with histopathology. This was a prospective case-series performed during August 2017 and June 2019 at a tertiary care cancer. We included consecutive patients requiring a precise dermoscopy–RCM–histopathologic correlation. We performed prebiopsy dermoscopy and both wide probe and handheld RCM of suspicious lesions. Features of interest were isolated with the aid of paper rings and a 2 mm punch biopsy was performed in the dermoscopy- or RCM-highlighted area. Tissue was processed either en face or with vertical sections. One-to-one correlation with histopathology was obtained. Twenty-three patients with 24 lesions were included in the study. The mean age was 64.6 years (range 22–91 years); there were 16 (69.6%) males, 14 (58.3%) lesions biopsied were on head and neck region. We achieved tissue-conservation diagnosis in 100% (24/24), 13 (54.2%) were clinically equivocal lesions, six (25%) were selected for ‘feature correlation’ of structures on dermoscopy or RCM, and five (20.8%) for ‘correlation of new/unknown’ RCM features seen on follow-up. The precision biopsy technique described herein is a novel method that facilitates direct histopathological correlation of dermoscopy and RCM features. With the aids of optical imaging devices, accurate diagnosis may be achieved by minimally invasive tissue extraction. Reflectance confocal microscopy (dpeaa)DE-He213 Biopsy (dpeaa)DE-He213 Correlation (dpeaa)DE-He213 Diagnosis (dpeaa)DE-He213 Dermatopathology (dpeaa)DE-He213 Dermoscopy (dpeaa)DE-He213 Optical coherence tomography (dpeaa)DE-He213 Noninvasive (dpeaa)DE-He213 Cordova, Miguel verfasserin aut Sahu, Aditi verfasserin aut Liopyris, Konstantinos verfasserin aut Rishpon, Ayelet verfasserin aut Chen, Curtis verfasserin aut Rajadhyaksha, Milind verfasserin aut Busam, Klaus J. verfasserin aut Marghoob, Ashfaq A. verfasserin aut Chen, Chih-Shan Jason verfasserin aut Enthalten in Archives of dermatological research Berlin : Springer, 1869 313(2020), 7 vom: 25. Aug., Seite 517-529 (DE-627)253390044 (DE-600)1458448-7 1432-069X nnns volume:313 year:2020 number:7 day:25 month:08 pages:517-529 https://dx.doi.org/10.1007/s00403-020-02126-6 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.93 ASE AR 313 2020 7 25 08 517-529 |
allfieldsGer |
10.1007/s00403-020-02126-6 doi (DE-627)SPR044622600 (SPR)s00403-020-02126-6-e DE-627 ger DE-627 rakwb eng 610 ASE 44.93 bkl Navarrete-Dechent, Cristian verfasserin aut Optical imaging guided- ‘precision’ biopsy of skin tumors: a novel approach for targeted sampling and histopathologic correlation 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Springer-Verlag GmbH Germany, part of Springer Nature 2020 Abstract Dermoscopy and reflectance confocal microscopy (RCM) are two noninvasive, optical imaging tools used to facilitate clinical diagnosis. A biopsy technique that produces exact correlation with optical imaging features is not previously reported. To evaluate the applications of a novel feature-focused ‘precision biopsy’ technique that correlates clinical–dermoscopy–RCM findings with histopathology. This was a prospective case-series performed during August 2017 and June 2019 at a tertiary care cancer. We included consecutive patients requiring a precise dermoscopy–RCM–histopathologic correlation. We performed prebiopsy dermoscopy and both wide probe and handheld RCM of suspicious lesions. Features of interest were isolated with the aid of paper rings and a 2 mm punch biopsy was performed in the dermoscopy- or RCM-highlighted area. Tissue was processed either en face or with vertical sections. One-to-one correlation with histopathology was obtained. Twenty-three patients with 24 lesions were included in the study. The mean age was 64.6 years (range 22–91 years); there were 16 (69.6%) males, 14 (58.3%) lesions biopsied were on head and neck region. We achieved tissue-conservation diagnosis in 100% (24/24), 13 (54.2%) were clinically equivocal lesions, six (25%) were selected for ‘feature correlation’ of structures on dermoscopy or RCM, and five (20.8%) for ‘correlation of new/unknown’ RCM features seen on follow-up. The precision biopsy technique described herein is a novel method that facilitates direct histopathological correlation of dermoscopy and RCM features. With the aids of optical imaging devices, accurate diagnosis may be achieved by minimally invasive tissue extraction. Reflectance confocal microscopy (dpeaa)DE-He213 Biopsy (dpeaa)DE-He213 Correlation (dpeaa)DE-He213 Diagnosis (dpeaa)DE-He213 Dermatopathology (dpeaa)DE-He213 Dermoscopy (dpeaa)DE-He213 Optical coherence tomography (dpeaa)DE-He213 Noninvasive (dpeaa)DE-He213 Cordova, Miguel verfasserin aut Sahu, Aditi verfasserin aut Liopyris, Konstantinos verfasserin aut Rishpon, Ayelet verfasserin aut Chen, Curtis verfasserin aut Rajadhyaksha, Milind verfasserin aut Busam, Klaus J. verfasserin aut Marghoob, Ashfaq A. verfasserin aut Chen, Chih-Shan Jason verfasserin aut Enthalten in Archives of dermatological research Berlin : Springer, 1869 313(2020), 7 vom: 25. Aug., Seite 517-529 (DE-627)253390044 (DE-600)1458448-7 1432-069X nnns volume:313 year:2020 number:7 day:25 month:08 pages:517-529 https://dx.doi.org/10.1007/s00403-020-02126-6 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.93 ASE AR 313 2020 7 25 08 517-529 |
allfieldsSound |
10.1007/s00403-020-02126-6 doi (DE-627)SPR044622600 (SPR)s00403-020-02126-6-e DE-627 ger DE-627 rakwb eng 610 ASE 44.93 bkl Navarrete-Dechent, Cristian verfasserin aut Optical imaging guided- ‘precision’ biopsy of skin tumors: a novel approach for targeted sampling and histopathologic correlation 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Springer-Verlag GmbH Germany, part of Springer Nature 2020 Abstract Dermoscopy and reflectance confocal microscopy (RCM) are two noninvasive, optical imaging tools used to facilitate clinical diagnosis. A biopsy technique that produces exact correlation with optical imaging features is not previously reported. To evaluate the applications of a novel feature-focused ‘precision biopsy’ technique that correlates clinical–dermoscopy–RCM findings with histopathology. This was a prospective case-series performed during August 2017 and June 2019 at a tertiary care cancer. We included consecutive patients requiring a precise dermoscopy–RCM–histopathologic correlation. We performed prebiopsy dermoscopy and both wide probe and handheld RCM of suspicious lesions. Features of interest were isolated with the aid of paper rings and a 2 mm punch biopsy was performed in the dermoscopy- or RCM-highlighted area. Tissue was processed either en face or with vertical sections. One-to-one correlation with histopathology was obtained. Twenty-three patients with 24 lesions were included in the study. The mean age was 64.6 years (range 22–91 years); there were 16 (69.6%) males, 14 (58.3%) lesions biopsied were on head and neck region. We achieved tissue-conservation diagnosis in 100% (24/24), 13 (54.2%) were clinically equivocal lesions, six (25%) were selected for ‘feature correlation’ of structures on dermoscopy or RCM, and five (20.8%) for ‘correlation of new/unknown’ RCM features seen on follow-up. The precision biopsy technique described herein is a novel method that facilitates direct histopathological correlation of dermoscopy and RCM features. With the aids of optical imaging devices, accurate diagnosis may be achieved by minimally invasive tissue extraction. Reflectance confocal microscopy (dpeaa)DE-He213 Biopsy (dpeaa)DE-He213 Correlation (dpeaa)DE-He213 Diagnosis (dpeaa)DE-He213 Dermatopathology (dpeaa)DE-He213 Dermoscopy (dpeaa)DE-He213 Optical coherence tomography (dpeaa)DE-He213 Noninvasive (dpeaa)DE-He213 Cordova, Miguel verfasserin aut Sahu, Aditi verfasserin aut Liopyris, Konstantinos verfasserin aut Rishpon, Ayelet verfasserin aut Chen, Curtis verfasserin aut Rajadhyaksha, Milind verfasserin aut Busam, Klaus J. verfasserin aut Marghoob, Ashfaq A. verfasserin aut Chen, Chih-Shan Jason verfasserin aut Enthalten in Archives of dermatological research Berlin : Springer, 1869 313(2020), 7 vom: 25. Aug., Seite 517-529 (DE-627)253390044 (DE-600)1458448-7 1432-069X nnns volume:313 year:2020 number:7 day:25 month:08 pages:517-529 https://dx.doi.org/10.1007/s00403-020-02126-6 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.93 ASE AR 313 2020 7 25 08 517-529 |
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Enthalten in Archives of dermatological research 313(2020), 7 vom: 25. Aug., Seite 517-529 volume:313 year:2020 number:7 day:25 month:08 pages:517-529 |
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Enthalten in Archives of dermatological research 313(2020), 7 vom: 25. Aug., Seite 517-529 volume:313 year:2020 number:7 day:25 month:08 pages:517-529 |
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Article |
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Reflectance confocal microscopy Biopsy Correlation Diagnosis Dermatopathology Dermoscopy Optical coherence tomography Noninvasive |
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Archives of dermatological research |
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Navarrete-Dechent, Cristian @@aut@@ Cordova, Miguel @@aut@@ Sahu, Aditi @@aut@@ Liopyris, Konstantinos @@aut@@ Rishpon, Ayelet @@aut@@ Chen, Curtis @@aut@@ Rajadhyaksha, Milind @@aut@@ Busam, Klaus J. @@aut@@ Marghoob, Ashfaq A. @@aut@@ Chen, Chih-Shan Jason @@aut@@ |
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2020-08-25T00:00:00Z |
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<?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>01000caa a22002652 4500</leader><controlfield tag="001">SPR044622600</controlfield><controlfield tag="003">DE-627</controlfield><controlfield tag="005">20230520004430.0</controlfield><controlfield tag="007">cr uuu---uuuuu</controlfield><controlfield tag="008">210723s2020 xx |||||o 00| ||eng c</controlfield><datafield tag="024" ind1="7" ind2=" "><subfield code="a">10.1007/s00403-020-02126-6</subfield><subfield code="2">doi</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-627)SPR044622600</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(SPR)s00403-020-02126-6-e</subfield></datafield><datafield tag="040" ind1=" " ind2=" "><subfield code="a">DE-627</subfield><subfield code="b">ger</subfield><subfield code="c">DE-627</subfield><subfield code="e">rakwb</subfield></datafield><datafield tag="041" ind1=" " ind2=" "><subfield code="a">eng</subfield></datafield><datafield tag="082" ind1="0" ind2="4"><subfield code="a">610</subfield><subfield code="q">ASE</subfield></datafield><datafield tag="084" ind1=" " ind2=" "><subfield code="a">44.93</subfield><subfield code="2">bkl</subfield></datafield><datafield tag="100" ind1="1" ind2=" "><subfield code="a">Navarrete-Dechent, Cristian</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Optical imaging guided- ‘precision’ biopsy of skin tumors: a novel approach for targeted sampling and histopathologic correlation</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2020</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="500" ind1=" " ind2=" "><subfield code="a">© Springer-Verlag GmbH Germany, part of Springer Nature 2020</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Abstract Dermoscopy and reflectance confocal microscopy (RCM) are two noninvasive, optical imaging tools used to facilitate clinical diagnosis. A biopsy technique that produces exact correlation with optical imaging features is not previously reported. To evaluate the applications of a novel feature-focused ‘precision biopsy’ technique that correlates clinical–dermoscopy–RCM findings with histopathology. This was a prospective case-series performed during August 2017 and June 2019 at a tertiary care cancer. We included consecutive patients requiring a precise dermoscopy–RCM–histopathologic correlation. We performed prebiopsy dermoscopy and both wide probe and handheld RCM of suspicious lesions. Features of interest were isolated with the aid of paper rings and a 2 mm punch biopsy was performed in the dermoscopy- or RCM-highlighted area. Tissue was processed either en face or with vertical sections. One-to-one correlation with histopathology was obtained. Twenty-three patients with 24 lesions were included in the study. The mean age was 64.6 years (range 22–91 years); there were 16 (69.6%) males, 14 (58.3%) lesions biopsied were on head and neck region. We achieved tissue-conservation diagnosis in 100% (24/24), 13 (54.2%) were clinically equivocal lesions, six (25%) were selected for ‘feature correlation’ of structures on dermoscopy or RCM, and five (20.8%) for ‘correlation of new/unknown’ RCM features seen on follow-up. The precision biopsy technique described herein is a novel method that facilitates direct histopathological correlation of dermoscopy and RCM features. 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|
author |
Navarrete-Dechent, Cristian |
spellingShingle |
Navarrete-Dechent, Cristian ddc 610 bkl 44.93 misc Reflectance confocal microscopy misc Biopsy misc Correlation misc Diagnosis misc Dermatopathology misc Dermoscopy misc Optical coherence tomography misc Noninvasive Optical imaging guided- ‘precision’ biopsy of skin tumors: a novel approach for targeted sampling and histopathologic correlation |
authorStr |
Navarrete-Dechent, Cristian |
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@@773@@(DE-627)253390044 |
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electronic Article |
dewey-ones |
610 - Medicine & health |
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springer |
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Not Illustrated |
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1432-069X |
topic_title |
610 ASE 44.93 bkl Optical imaging guided- ‘precision’ biopsy of skin tumors: a novel approach for targeted sampling and histopathologic correlation Reflectance confocal microscopy (dpeaa)DE-He213 Biopsy (dpeaa)DE-He213 Correlation (dpeaa)DE-He213 Diagnosis (dpeaa)DE-He213 Dermatopathology (dpeaa)DE-He213 Dermoscopy (dpeaa)DE-He213 Optical coherence tomography (dpeaa)DE-He213 Noninvasive (dpeaa)DE-He213 |
topic |
ddc 610 bkl 44.93 misc Reflectance confocal microscopy misc Biopsy misc Correlation misc Diagnosis misc Dermatopathology misc Dermoscopy misc Optical coherence tomography misc Noninvasive |
topic_unstemmed |
ddc 610 bkl 44.93 misc Reflectance confocal microscopy misc Biopsy misc Correlation misc Diagnosis misc Dermatopathology misc Dermoscopy misc Optical coherence tomography misc Noninvasive |
topic_browse |
ddc 610 bkl 44.93 misc Reflectance confocal microscopy misc Biopsy misc Correlation misc Diagnosis misc Dermatopathology misc Dermoscopy misc Optical coherence tomography misc Noninvasive |
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Elektronische Aufsätze Aufsätze Elektronische Ressource |
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Archives of dermatological research |
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253390044 |
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Optical imaging guided- ‘precision’ biopsy of skin tumors: a novel approach for targeted sampling and histopathologic correlation |
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Optical imaging guided- ‘precision’ biopsy of skin tumors: a novel approach for targeted sampling and histopathologic correlation |
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Navarrete-Dechent, Cristian |
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Navarrete-Dechent, Cristian Cordova, Miguel Sahu, Aditi Liopyris, Konstantinos Rishpon, Ayelet Chen, Curtis Rajadhyaksha, Milind Busam, Klaus J. Marghoob, Ashfaq A. Chen, Chih-Shan Jason |
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optical imaging guided- ‘precision’ biopsy of skin tumors: a novel approach for targeted sampling and histopathologic correlation |
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Optical imaging guided- ‘precision’ biopsy of skin tumors: a novel approach for targeted sampling and histopathologic correlation |
abstract |
Abstract Dermoscopy and reflectance confocal microscopy (RCM) are two noninvasive, optical imaging tools used to facilitate clinical diagnosis. A biopsy technique that produces exact correlation with optical imaging features is not previously reported. To evaluate the applications of a novel feature-focused ‘precision biopsy’ technique that correlates clinical–dermoscopy–RCM findings with histopathology. This was a prospective case-series performed during August 2017 and June 2019 at a tertiary care cancer. We included consecutive patients requiring a precise dermoscopy–RCM–histopathologic correlation. We performed prebiopsy dermoscopy and both wide probe and handheld RCM of suspicious lesions. Features of interest were isolated with the aid of paper rings and a 2 mm punch biopsy was performed in the dermoscopy- or RCM-highlighted area. Tissue was processed either en face or with vertical sections. One-to-one correlation with histopathology was obtained. Twenty-three patients with 24 lesions were included in the study. The mean age was 64.6 years (range 22–91 years); there were 16 (69.6%) males, 14 (58.3%) lesions biopsied were on head and neck region. We achieved tissue-conservation diagnosis in 100% (24/24), 13 (54.2%) were clinically equivocal lesions, six (25%) were selected for ‘feature correlation’ of structures on dermoscopy or RCM, and five (20.8%) for ‘correlation of new/unknown’ RCM features seen on follow-up. The precision biopsy technique described herein is a novel method that facilitates direct histopathological correlation of dermoscopy and RCM features. With the aids of optical imaging devices, accurate diagnosis may be achieved by minimally invasive tissue extraction. © Springer-Verlag GmbH Germany, part of Springer Nature 2020 |
abstractGer |
Abstract Dermoscopy and reflectance confocal microscopy (RCM) are two noninvasive, optical imaging tools used to facilitate clinical diagnosis. A biopsy technique that produces exact correlation with optical imaging features is not previously reported. To evaluate the applications of a novel feature-focused ‘precision biopsy’ technique that correlates clinical–dermoscopy–RCM findings with histopathology. This was a prospective case-series performed during August 2017 and June 2019 at a tertiary care cancer. We included consecutive patients requiring a precise dermoscopy–RCM–histopathologic correlation. We performed prebiopsy dermoscopy and both wide probe and handheld RCM of suspicious lesions. Features of interest were isolated with the aid of paper rings and a 2 mm punch biopsy was performed in the dermoscopy- or RCM-highlighted area. Tissue was processed either en face or with vertical sections. One-to-one correlation with histopathology was obtained. Twenty-three patients with 24 lesions were included in the study. The mean age was 64.6 years (range 22–91 years); there were 16 (69.6%) males, 14 (58.3%) lesions biopsied were on head and neck region. We achieved tissue-conservation diagnosis in 100% (24/24), 13 (54.2%) were clinically equivocal lesions, six (25%) were selected for ‘feature correlation’ of structures on dermoscopy or RCM, and five (20.8%) for ‘correlation of new/unknown’ RCM features seen on follow-up. The precision biopsy technique described herein is a novel method that facilitates direct histopathological correlation of dermoscopy and RCM features. With the aids of optical imaging devices, accurate diagnosis may be achieved by minimally invasive tissue extraction. © Springer-Verlag GmbH Germany, part of Springer Nature 2020 |
abstract_unstemmed |
Abstract Dermoscopy and reflectance confocal microscopy (RCM) are two noninvasive, optical imaging tools used to facilitate clinical diagnosis. A biopsy technique that produces exact correlation with optical imaging features is not previously reported. To evaluate the applications of a novel feature-focused ‘precision biopsy’ technique that correlates clinical–dermoscopy–RCM findings with histopathology. This was a prospective case-series performed during August 2017 and June 2019 at a tertiary care cancer. We included consecutive patients requiring a precise dermoscopy–RCM–histopathologic correlation. We performed prebiopsy dermoscopy and both wide probe and handheld RCM of suspicious lesions. Features of interest were isolated with the aid of paper rings and a 2 mm punch biopsy was performed in the dermoscopy- or RCM-highlighted area. Tissue was processed either en face or with vertical sections. One-to-one correlation with histopathology was obtained. Twenty-three patients with 24 lesions were included in the study. The mean age was 64.6 years (range 22–91 years); there were 16 (69.6%) males, 14 (58.3%) lesions biopsied were on head and neck region. We achieved tissue-conservation diagnosis in 100% (24/24), 13 (54.2%) were clinically equivocal lesions, six (25%) were selected for ‘feature correlation’ of structures on dermoscopy or RCM, and five (20.8%) for ‘correlation of new/unknown’ RCM features seen on follow-up. The precision biopsy technique described herein is a novel method that facilitates direct histopathological correlation of dermoscopy and RCM features. With the aids of optical imaging devices, accurate diagnosis may be achieved by minimally invasive tissue extraction. © Springer-Verlag GmbH Germany, part of Springer Nature 2020 |
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Optical imaging guided- ‘precision’ biopsy of skin tumors: a novel approach for targeted sampling and histopathologic correlation |
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Cordova, Miguel Sahu, Aditi Liopyris, Konstantinos Rishpon, Ayelet Chen, Curtis Rajadhyaksha, Milind Busam, Klaus J. Marghoob, Ashfaq A. Chen, Chih-Shan Jason |
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Cordova, Miguel Sahu, Aditi Liopyris, Konstantinos Rishpon, Ayelet Chen, Curtis Rajadhyaksha, Milind Busam, Klaus J. Marghoob, Ashfaq A. Chen, Chih-Shan Jason |
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score |
7.400487 |