Evidence map›Paper›PMID 40075615›Full record

ReviewCancers2025

Melanoma Arising in Tattoos: A Case Series and Scoping Review of the Literature.

Marco Brusasco, Sofia Spagnolini, Laura Mazzoni, Serena Magi, Giuseppe Scarcella, Ignazio Stanganelli

Abstract readReview
In one paragraph

Review in Cancers, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
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

6 authors.

Marco BrusascoDermatology Unit, ASST Santi Paolo e Carlo, 20142 Milano, Italy.ORCID 0000-0003-1176-7197
Sofia SpagnoliniDermatology Resident Training Program, Department of Medicine and Surgery, University of Parma, 43121 Parma, Italy.
Laura MazzoniSkin Cancer Unit, IRCCS Istituto Romagnolo per lo Studio dei Tumori "Dino Amadori"-IRST, 47014 Meldola, Italy.ORCID 0000-0001-5272-8608
Serena MagiSkin Cancer Unit, IRCCS Istituto Romagnolo per lo Studio dei Tumori "Dino Amadori"-IRST, 47014 Meldola, Italy.ORCID 0000-0002-8082-336X
Giuseppe ScarcellaDermatology Unit, Hospital G. Fracastoro San Bonifacio, 37047 Verona, Italy.ORCID 0009-0007-6710-4727
Ignazio StanganelliDermatology Resident Training Program, Department of Medicine and Surgery, University of Parma, 43121 Parma, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesThe prevalence of tattoos has risen globally in recent decades, ranging from 10% to 29%. Although rare, melanomas arising within tattoos are challenging for dermatologists due to the complexities in clinical and dermoscopic evaluation. In this article, we report two cases of melanoma on tattoos, review the reported cases in the literature, and examine the role of reflectance confocal microscopy (RCM) in improving the diagnosis of melanoma on tattooed skin.

methodsWe conducted a systematic literature search on Medline/Pubmed for the period from the inception of the databases to 31 October 2024, using the Mesh major topics 'melanoma' AND 'tattoo' OR 'tattoo skin tumor'. Out of the 268 citations identified by our search, 37 studies met the eligibility criteria.

resultsIn total, 43 cases of melanoma arising on tattooed skin were identified, to which we add our 2 cases, bringing the total to 45. The most common locations were the upper limbs (53%) and trunk (38%), predominantly arisen on black and blue tattoos. Of 40 cases with known depth of invasion, 4 were in situ and 36 invasive, with a mean Breslow thickness of 2.7 mm. Seven patients had a positive sentinel lymph node. Of 16 cases with an available horizontal diameter, 12 melanomas had a diameter of ≥1 cm.

conclusionsThe limited cases of ''melanoma on tattoos" reported in the literature suggest a coincidental association rather than a direct causal link. Nevertheless, increased awareness among patients and tattoo artists about potential risks and preventive measures may enhance the management of melanocytic lesions in tattooed individuals. Lastly, integrating reflectance confocal microscopy with dermoscopy increases the overall diagnostic accuracy for melanoma, enhancing the identification of pigmented and non-pigmented skin lesions.

Indexed as

confocal microscopydermoscopymelanomaskin neoplasmtattoo

Identifiers

PMID40075615
PMCPMC11899245

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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.