Rosettes in actinic keratosis and squamous cell carcinoma: distribution, association to other dermoscopic signs and description of the rosette pattern
Background Rosettes, a dermoscopic structure characterized by four white points arranged as a 4‐leaf clover, supports the dermoscopic diagnosis of actinic keratosis (AK) or squamous cell carcinoma (SCC). Objective The association of rosettes with other dermoscopic structures in AK or SCC and their d...
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| Published in: | Journal of the European Academy of Dermatology and Venereology Vol. 32; no. 1; pp. 48 - 52 |
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| Main Authors: | , , , , |
| Format: | Journal Article |
| Language: | English |
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01-01-2018
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| Abstract | Background
Rosettes, a dermoscopic structure characterized by four white points arranged as a 4‐leaf clover, supports the dermoscopic diagnosis of actinic keratosis (AK) or squamous cell carcinoma (SCC).
Objective
The association of rosettes with other dermoscopic structures in AK or SCC and their distribution has not been analysed yet.
Methods
We conducted a prospective study of patients with histologically proven AK or SCC who presented dermoscopic rosettes at initial evaluation.
Results
A total of 56 tumours were collected (94.6% AK and 5.4% SCC). Thirty‐seven (66.1%) lesions were non‐pigmented and 19 (33.9%) pigmented. The most common dermoscopic findings were erythema (53; 94.6%) and scale (42; 75%). White circles were present in 21 lesions (37.5%); pigmented pseudonetwork in 18 (32.1%) and multiple grey to brown dots and globules in 14 (25%). Rosettes were distributed focally in 9 (16.1%) and generalized in 47 (83.9%). The rosette pattern (rosettes as the main structure) was observed only in AK (19; 35.8%).
Limitations
The analysis was not blinded. The distinction between focal distribution (up to 3 rosettes) or generalized could be considered arbitrary.
Conclusion
The rosette pattern identified in AK may be a specific pattern for AK. |
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| AbstractList | Rosettes, a dermoscopic structure characterized by four white points arranged as a 4-leaf clover, supports the dermoscopic diagnosis of actinic keratosis (AK) or squamous cell carcinoma (SCC).
The association of rosettes with other dermoscopic structures in AK or SCC and their distribution has not been analysed yet.
We conducted a prospective study of patients with histologically proven AK or SCC who presented dermoscopic rosettes at initial evaluation.
A total of 56 tumours were collected (94.6% AK and 5.4% SCC). Thirty-seven (66.1%) lesions were non-pigmented and 19 (33.9%) pigmented. The most common dermoscopic findings were erythema (53; 94.6%) and scale (42; 75%). White circles were present in 21 lesions (37.5%); pigmented pseudonetwork in 18 (32.1%) and multiple grey to brown dots and globules in 14 (25%). Rosettes were distributed focally in 9 (16.1%) and generalized in 47 (83.9%). The rosette pattern (rosettes as the main structure) was observed only in AK (19; 35.8%).
The analysis was not blinded. The distinction between focal distribution (up to 3 rosettes) or generalized could be considered arbitrary.
The rosette pattern identified in AK may be a specific pattern for AK. BACKGROUNDRosettes, a dermoscopic structure characterized by four white points arranged as a 4-leaf clover, supports the dermoscopic diagnosis of actinic keratosis (AK) or squamous cell carcinoma (SCC).OBJECTIVEThe association of rosettes with other dermoscopic structures in AK or SCC and their distribution has not been analysed yet.METHODSWe conducted a prospective study of patients with histologically proven AK or SCC who presented dermoscopic rosettes at initial evaluation.RESULTSA total of 56 tumours were collected (94.6% AK and 5.4% SCC). Thirty-seven (66.1%) lesions were non-pigmented and 19 (33.9%) pigmented. The most common dermoscopic findings were erythema (53; 94.6%) and scale (42; 75%). White circles were present in 21 lesions (37.5%); pigmented pseudonetwork in 18 (32.1%) and multiple grey to brown dots and globules in 14 (25%). Rosettes were distributed focally in 9 (16.1%) and generalized in 47 (83.9%). The rosette pattern (rosettes as the main structure) was observed only in AK (19; 35.8%).LIMITATIONSThe analysis was not blinded. The distinction between focal distribution (up to 3 rosettes) or generalized could be considered arbitrary.CONCLUSIONThe rosette pattern identified in AK may be a specific pattern for AK. Background Rosettes, a dermoscopic structure characterized by four white points arranged as a 4‐leaf clover, supports the dermoscopic diagnosis of actinic keratosis (AK) or squamous cell carcinoma (SCC). Objective The association of rosettes with other dermoscopic structures in AK or SCC and their distribution has not been analysed yet. Methods We conducted a prospective study of patients with histologically proven AK or SCC who presented dermoscopic rosettes at initial evaluation. Results A total of 56 tumours were collected (94.6% AK and 5.4% SCC). Thirty‐seven (66.1%) lesions were non‐pigmented and 19 (33.9%) pigmented. The most common dermoscopic findings were erythema (53; 94.6%) and scale (42; 75%). White circles were present in 21 lesions (37.5%); pigmented pseudonetwork in 18 (32.1%) and multiple grey to brown dots and globules in 14 (25%). Rosettes were distributed focally in 9 (16.1%) and generalized in 47 (83.9%). The rosette pattern (rosettes as the main structure) was observed only in AK (19; 35.8%). Limitations The analysis was not blinded. The distinction between focal distribution (up to 3 rosettes) or generalized could be considered arbitrary. Conclusion The rosette pattern identified in AK may be a specific pattern for AK. |
| Author | Gutiérrez‐Pecharromán, A. Rodríguez‐Lomba, E. Marinero‐Escobedo, S. Polimón‐Olabarrieta, I. Lozano‐Masdemont, B. |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/28707711$$D View this record in MEDLINE/PubMed |
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| CitedBy_id | crossref_primary_10_1016_j_abd_2021_07_011 crossref_primary_10_1016_j_piel_2020_05_011 crossref_primary_10_1016_j_jaad_2021_03_111 crossref_primary_10_1111_ddg_14220_g crossref_primary_10_1111_dth_14957 crossref_primary_10_1111_ajd_13398 crossref_primary_10_1111_ddg_14220 crossref_primary_10_5826_dpc_1402a125 crossref_primary_10_1016_j_ad_2024_03_023 crossref_primary_10_1016_j_fander_2021_10_006 crossref_primary_10_1080_09546634_2022_2089325 |
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Rosettes, a dermoscopic structure characterized by four white points arranged as a 4‐leaf clover, supports the dermoscopic diagnosis of actinic... Rosettes, a dermoscopic structure characterized by four white points arranged as a 4-leaf clover, supports the dermoscopic diagnosis of actinic keratosis (AK)... BACKGROUNDRosettes, a dermoscopic structure characterized by four white points arranged as a 4-leaf clover, supports the dermoscopic diagnosis of actinic... |
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| Title | Rosettes in actinic keratosis and squamous cell carcinoma: distribution, association to other dermoscopic signs and description of the rosette pattern |
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