Evidence map›Paper›PMID 36980721›Full record

ArticleCancers2023

Is Pediatric Melanoma Really That Different from Adult Melanoma? A Multicenter Epidemiological, Clinical and Dermoscopic Study.

Vincenzo De Giorgi, Elisabetta Magnaterra, Biancamaria Zuccaro, Serena Magi, Manfredi Magliulo, Matelda Medri, Laura Mazzoni, Federico Venturi, Flavia Silvestri, Gian Marco Tomassini and 6 more

Open access · goldFull text read
In one paragraph

Article in Cancers, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
3.5field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 15 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 4 institutions in 1 country.

Vincenzo De GiorgiSection of Dermatology, Department of Health Sciences, University of Florence, 50121 Florence, Italy.ORCID 0000-0001-6531-7998
Elisabetta MagnaterraSection of Dermatology, Department of Health Sciences, University of Florence, 50121 Florence, Italy.ORCID 0000-0002-3263-4353
Biancamaria ZuccaroSection of Dermatology, Department of Health Sciences, University of Florence, 50121 Florence, Italy.
Serena MagiSkin Cancer Unit, Istituto Scientifico Romagnolo per lo Studio dei Tumori "Dino Amadori" (IRST) IRCCS, 47014 Meldola, Italy.ORCID 0000-0002-8082-336X
Manfredi MagliuloSection of Dermatology, Department of Health Sciences, University of Florence, 50121 Florence, Italy.ORCID 0000-0003-0154-3173
Matelda MedriSkin Cancer Unit, Istituto Scientifico Romagnolo per lo Studio dei Tumori "Dino Amadori" (IRST) IRCCS, 47014 Meldola, Italy.
Laura MazzoniSkin Cancer Unit, Istituto Scientifico Romagnolo per lo Studio dei Tumori "Dino Amadori" (IRST) IRCCS, 47014 Meldola, Italy.
Federico VenturiSection of Dermatology, Department of Health Sciences, University of Florence, 50121 Florence, Italy.ORCID 0000-0001-5053-4172
Flavia SilvestriSection of Dermatology, Department of Health Sciences, University of Florence, 50121 Florence, Italy.
Gian Marco TomassiniDermatology Section, Department of Medicine and Surgery, University of Perugia, 06156 Perugia, Italy.
Massimo GolaSection of Dermatology, Department of Health Sciences, University of Florence, 50121 Florence, Italy.
Marta TramontanaDermatology Section, Department of Medicine and Surgery, University of Perugia, 06156 Perugia, Italy.ORCID 0000-0001-5282-7980
Samantha BertiSection of Dermatology, Department of Health Sciences, University of Florence, 50121 Florence, Italy.
Ignazio StanganelliSkin Cancer Unit, Istituto Scientifico Romagnolo per lo Studio dei Tumori "Dino Amadori" (IRST) IRCCS, 47014 Meldola, Italy.
Luca StingeniDermatology Section, Department of Medicine and Surgery, University of Perugia, 06156 Perugia, Italy.ORCID 0000-0001-7919-8141
Piero CovarelliSurgical Oncology Section, Department of Medicine and Surgery, University of Perugia, 06156 Perugia, Italy.ORCID 0000-0001-7998-5161
University of Florence · ITUniversity of Perugia · ITIstituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori · ITUniversity of Parma · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo improve the diagnostic accuracy and optimal management of pediatric melanomas.

methodsWe conducted a retrospective descriptive, multicenter study of the epidemiological, clinical, and dermoscopic characteristics of histopathologically proven melanomas diagnosed in patients less than 18 years old. Data on sociodemographic variables, clinical and dermoscopic characteristics, histopathology, local extension, therapy and follow-up, lymph node staging, and outcome were collected from the databases of three Italian dermatology units. We performed a clinical evaluation of the morphological characteristics of each assessed melanoma, using both classic ABCDE criteria and the modified ABCDE algorithm for pediatric melanoma to evaluate which of the two algorithms best suited our series.

resultsThe study population consisted of 39 patients with a histologically confirmed diagnosis of pediatric melanoma. Comparing classic ABCDE criteria with the modified ABCDE algorithm for pediatric melanomas, the modified pediatric ABCDE algorithm was less sensitive than the conventional criteria. Dermoscopically, the most frequent finding was the presence of irregular streaks/pseudopods (74.4%). When evaluating the total number of different suspicious dermoscopy criteria per lesion, 64.1% of the lesion assessments recognized two dermoscopic characteristics, 20.5% identified three, and 15.4% documented four or more assessments.

conclusionsContrary to what has always been described in the literature, from a clinical point of view, about 95% of our cases presented in a pigmented and non-amelanotic form, and these data must be underlined in the various prevention campaigns where pediatric melanoma is currently associated with a more frequently amelanotic form. All the pediatric melanomas analyzed presented at least two dermoscopic criteria of melanoma, suggesting that this could be a key for the dermoscopic diagnosis of suspected pediatric melanoma, making it possible to reach an early diagnosis even in this age group.

Indexed as

childrendermoscopyestrogenmelanomaskin cancer

Identifiers

PMID36980721
PMCPMC10046848
OpenAlexW4327968487

What OpenQuestion holds

Textfull text, public
LicenceCC BY
measurements read57
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.