Evidence map›Paper›PMID 34263578›Full record

ArticleJournal of biomedical optics2021

In vivo two-photon-excited cellular fluorescence of melanin, NAD(P)H, and keratin enables an accurate differential diagnosis of seborrheic keratosis and pigmented cutaneous melanoma.

Łukasz Szyc, Constantin Scharlach, Holger Haenssle, Christine Fink

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Article in Journal of biomedical optics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Łukasz SzycMagnosco GmbH, Berlin, Germany.
Constantin ScharlachMagnosco GmbH, Berlin, Germany.
Holger HaenssleUniversity of Heidelberg, Department of Dermatology, Heidelberg, Germany.
Christine FinkUniversity of Heidelberg, Department of Dermatology, Heidelberg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

significanceSeborrheic keratoses (SKs) are harmless pigmented skin lesions (PSLs) that may be confused clinically not only with other benign conditions but also with cutaneous melanoma (CM). As SKs are one of the most common neoplasms in adults, the importance of their correct diagnosis is high. Misclassifying SK as malignant is not rare and leads to a high number of unnecessary biopsies. On the other hand, misdiagnosing CM as SK may have a large impact on prognosis or therapy.

aimIn the non-invasive technique of dermatofluoroscopy, the fluorophores in melanocytes and keratinocytes are excited in vivo with nanosecond laser pulses and the resulting spectrally resolved, melanin-dominated fluorescence signals are used to differentiate between pigmented benign lesions and CM. APPROACH: In this single-center, non-interventional study, 33 PSLs of 20 patients were scanned with dermatofluoroscopy in vivo. For all included cases, dermatofluoroscopic signals were compared to pathology classification.

resultsThe characteristic spectral features of SK were identified, where the signals are dominated by keratin, NAD(P)H, and melanin. The fluorescence spectra of SKs differed substantially from those of CM: a characteristic spectrum of SK has been identified in 27 of 28 SKs.

conclusionsThe high-accuracy differential diagnosis between CM and SK is possible with dermatofluoroscopy.

Indexed as

Keratosis, SeborrheicMelanomaSkin NeoplasmsAdultDiagnosis, DifferentialHumansKeratinsMelaninsNADKeratinsMelaninsNADfluorescencemalignant melanomamelaninseborrheic keratosis

Identifiers

PMID34263578
PMCPMC8278779

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