Dermoscopy for acral melanocytic lesions: Revision of the 3-step algorithm and refined definition of the regular and irregular fibrillar pattern

Dermoscopy for acral melanocytic lesions: Revision of the 3-step algorithm and refined definition of the regular and irregular fibrillar pattern

Authors

  • Toshiaki Saida Department of Dermatology, Shinshu University School of Medicine, Matsumoto, Japan
  • Hiroshi Koga Department of Dermatology, Shinshu University School of Medicine, Matsumoto, Japan
  • Hisashi Uhara Department of Dermatology, Sapporo Medical University School of Medicine, Sapporo, Japan

Keywords:

dermoscopy, early acral melanoma, acral nevus, 3-step algorithm, regular and irregular fibrillar pattern

References

1. Saida T, Koga H, Uhara H. Key points in dermoscopic differentiation between early acral melanoma and acral nevus. J Dermatol. 2011; 38(1):25-34. DOI:10.1111/j.1346-8138.2010.01174.x. PMID: 21175752.
2. Saida T, Miyazaki A, Oguchi S, et al. Significance of dermoscopic patterns in detecting malignant melanoma on acral volar skin: Results of a multicenter study in Japan. Arch Dermatol. 2004;140(10):1233-1238. DOI:10.1001/archderm.140.10.1233. PMID: 15492186.
3. Saida T, Koga H. Dermoscopic patterns of acral melanocytic nevi: Their variations, changes, and significance. Arch Dermatol. 2007;143(11):1423-1426. DOI:10.1001.archderm/143.143.11.1423. PMID: 18025367.
4. Koga H, Saida T. Revised 3-step dermoscopic algorithm for the management of acral melanocytic lesions. Arch Dermatol. 2011;147(6):741-743. DOI:10.1001/archdermatol.2011.136. PMID: 21690544.
5. Madankumar R, Gumaste PV, Martires K, et al. Acral melanocytic lesions in the United States: Prevalence, awareness, and dermoscopic patterns in skin-of-color and non-Hispanic white patients. J Am Acad Dermatol. 2016;74(4):724-730. DOI:10.1016/j.jaad.2015.11.035. PMID: 26803347.
6. Costello CM, Ghanavatian S, Temkit M, et al. Educational and practice gaps in the management of volar melanocytic lesions. J Eur Acad Dermatol Venereol. 2018;32(9):1450-1455. DOI:10.1111/jdv.14712. PMID: 29178552.
7. Han B, Hur K, Ohn J, Lim SS, Mun J-H. Acral lentiginous melanoma in situ: Dermoscopic features and management strategy. Sci Rep. 2020; 10: 20503. DOI: 10.1038/s41598-020-77425-z. PMID: 33239715.
8. Lallas A, Kyrgidis A, Koga H, et al. The BRAAFF checklist: A new dermoscopic algorithm for diagnosing acral melanoma. Br J Dermatol. 2015;173(4):1041-1049. DOI:10.1111/bjd.14045. PMID: 26211689.
9. Miyazaki A, Saida T, Koga H, Oguchi S, Suzuki T, Tsuchida T. Anatomical and histopathological correlates of the dermoscopic patterns seen in melanocytic nevi on the sole: A retrospective study. J Am Acad Dermatol. 2005; 53(2): 230–236. DOI: 10.1016/j.jaad.2005.04.045. PMID: 16021115.
10. Kiyohara T, Satoh S, Yasuta M, Kumakiri M. Irregular fibrillar pattern is an artifactual expression of parallel ridge pattern on the pressure-loaded area of the sole: The efficacy of oblique view dermoscopy. J Dermatol. 2012; 39(11):927-928. DOI: 10.1111/j.1346-8138.2011.01469.x. PMID: 22221139.
11. Togawa Y, Wakabayashi S, Suehiro K, Matsue H. Acral melanoma showing fibrillar pattern on dermoscopy. Austin J Dermatol. 2017; 4(2): 1076.
12. Maumi Y, Kimoto M, Kobayashi K, Ito N, Saida T, Tanaka M. Oblique view dermoscopy changes regular fibrillar pattern into parallel furrow pattern. Dermatology.
2009; 218(4): 385–386. DOI: 10.1159/000202986. PMID: 19218789.
13. Braun RP, Thomas L, Kolm I, French LE, Marghoob AA. The furrow ink test: A clue for the dermoscopic diagnosis of acral melanoma vs nevus. Arch Dermatol. 2008; 144(12): 1618–1620. DOI: 10.1001/archderm.144.12.1618. PMID: 19075144.
14. Uhara H, Koga H, Takata M, Saida T. The whiteboard marker as a useful tool for the dermoscopic ‘‘furrow ink test’’. Arch Dermatol. 2009; 145(11): 1331–1332. DOI: 10.1001/archdermatol.2009.275.PMID: 19917971
15. Watanabe S, Sawada M, Ishizaki S, Kobayashi K, Tanaka M. Comparison of dermoscopic images of acral lentiginous melanoma and acral melanocytic nevus occurring on body weight-bearing areas. Dermatol Pract Concept. 2014;4(4):47-50. DOI:10.5826/dpc.0404a08. PMID: 25396085.
16. Saida T. Dermoscopic diagnosis of acral pigmented lesions. Rinsho Derma (Tokyo). 2021; 63(8): 000-000 (in press) (in Japanese).

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Published

2022-07-28

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How to Cite

1.
Saida T, Koga H, Uhara H. Dermoscopy for acral melanocytic lesions: Revision of the 3-step algorithm and refined definition of the regular and irregular fibrillar pattern. Dermatol Pract Concept. 2022;12(3):e2022123. doi:10.5826/dpc.1203a123

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