Addressing melanocytic lesions could be challenging, both in cases of multiple and solitary lesions. For patients with multiple melanocytic nevi, the best approach is periodic total-body photography and digital dermoscopy acquisition with comparisons of the lesions over time. There are some scenarios in which digital monitoring (DM) is indicated even in cases of solitary lesions. Congenital and Spitz nevi are typical examples of solitary lesions that could be monitored thanks to the patient age. Pigmented lesion of the nail unit is another example of a lesion that can be followed up in some cases, as well as the flat pigmented facial macule. Contraindications to monitoring solitary lesions include nodular lesions without clear-cut benign criteria, lesions showing regression patterns, and amelanotic lesions. This editorial will discuss the following points: • Indications for monitoring patients with multiple melanocytic nevi • Indications for monitoring solitary lesions • Contraindications to monitoring solitary lesions
Indications for and Contraindications to Digital Monitoring of Patients with Melanocytic Lesions
Briatico G.;Brancaccio G.;Scharf C.;Moscarella E.;Di Brizzi E. V.;Balato A.;Argenziano G.
2024
Abstract
Addressing melanocytic lesions could be challenging, both in cases of multiple and solitary lesions. For patients with multiple melanocytic nevi, the best approach is periodic total-body photography and digital dermoscopy acquisition with comparisons of the lesions over time. There are some scenarios in which digital monitoring (DM) is indicated even in cases of solitary lesions. Congenital and Spitz nevi are typical examples of solitary lesions that could be monitored thanks to the patient age. Pigmented lesion of the nail unit is another example of a lesion that can be followed up in some cases, as well as the flat pigmented facial macule. Contraindications to monitoring solitary lesions include nodular lesions without clear-cut benign criteria, lesions showing regression patterns, and amelanotic lesions. This editorial will discuss the following points: • Indications for monitoring patients with multiple melanocytic nevi • Indications for monitoring solitary lesions • Contraindications to monitoring solitary lesionsI documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.