Shiny White Streaks: A Sign of Malignancy at Dermoscopy of Pigmented Skin Lesions

dc.contributor.authorShitara, Danielle [UNIFESP]
dc.contributor.authorIshioka, Priscila [UNIFESP]
dc.contributor.authorAlonso-Pinedo, Yarel
dc.contributor.authorPalacios-Bejarano, Leyla
dc.contributor.authorCarrera, Cristina
dc.contributor.authorMalvehy, Josep
dc.contributor.authorPuig, Susana
dc.contributor.institutionHosp Clin Barcelona
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.contributor.institutionInst Dermatol Jalisco Dr Jose Barba Rubio
dc.contributor.institutionInst Salud Carlos III
dc.date.accessioned2016-01-24T14:35:01Z
dc.date.available2016-01-24T14:35:01Z
dc.date.issued2014-01-01
dc.description.abstractThe aim of this study was to evaluate the practical importance of the presence of shiny white streaks (SWS) (chrysalis or crystalline structures in polarized dermoscopy) for suspicion of malignancy, diagnosis of melanoma, and pre-operative estimation of Breslow thickness and its correlation with total dermoscopy score (TDS). SWS were present in 13.6% of 800 consecutive excised lesions. the presence of SWS was associated with malignancy (odds ratio (OR) 10.534, 95% confidence interval (95% Cl) 6.357-17.455, p<0.0005), in the context of melanocytic lesions with invasive melanoma (OR 10.333, 95% CI 3.812-28.014) and melanomas with high TDS (OR 6.286, 95% CI 1.673-23.619), but was also a factor in the diagnosis of featureless and some thin melanomas. These results corroborate the clinical applicability of SWS in aiding the diagnosis of malignancy and helping to raise the general dermatologist's awareness in cases of doubt and featureless lesions.en
dc.description.affiliationHosp Clin Barcelona, Dept Dermatol, Melanoma Unit, IDIBAPS, ES-08036 Barcelona, Spain
dc.description.affiliationUniversidade Federal de São Paulo, Dept Dermatol, São Paulo, Brazil
dc.description.affiliationInst Dermatol Jalisco Dr Jose Barba Rubio, Guadalajara, Jalisco, Mexico
dc.description.affiliationInst Salud Carlos III, CIBER Enfermedades Raras, Barcelona, Spain
dc.description.affiliationUnifespUniversidade Federal de São Paulo, Dept Dermatol, São Paulo, Brazil
dc.description.sourceWeb of Science
dc.description.sponsorshipFondo de Investigaciones Sanitarias, Spain
dc.description.sponsorshipCIBER de Enfermedades Raras of the Instituto de Salud Carlos III, Spain
dc.description.sponsorshipCatalan Government, Spain
dc.description.sponsorshipEuropean Commission
dc.description.sponsorshipIDFondo de Investigaciones Sanitarias, Spain: P.I. 09/01393
dc.description.sponsorshipIDFondo de Investigaciones Sanitarias, Spain: P.I. 12/00840
dc.description.sponsorshipIDCatalan Government, Spain: AGAUR 2009 SGR 1337
dc.description.sponsorshipIDEuropean Commission: LSHC-CT-2006-018702
dc.format.extent132-137
dc.identifierhttp://dx.doi.org/10.2340/00015555-1683
dc.identifier.citationActa Dermato-venereologica. Uppsala: Acta Dermato-venereologica, v. 94, n. 2, p. 132-137, 2014.
dc.identifier.doi10.2340/00015555-1683
dc.identifier.fileWOS000332820000001.pdf
dc.identifier.issn0001-5555
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/37211
dc.identifier.wosWOS:000332820000001
dc.language.isoeng
dc.publisherActa Dermato-venereologica
dc.relation.ispartofActa Dermato-venereologica
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectdermoscopyen
dc.subjectshiny white streaksen
dc.subjectpolarized lighten
dc.subjectchrysalisen
dc.subjectmelanomaen
dc.subjectbasal cell carcinomaen
dc.titleShiny White Streaks: A Sign of Malignancy at Dermoscopy of Pigmented Skin Lesionsen
dc.typeinfo:eu-repo/semantics/article
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