Real-life practice of reflectance confocal microscopy in France: A prospective multicenter study.
J Am Acad Dermatol
; 91(1): 51-56, 2024 Jul.
Article
en En
| MEDLINE
| ID: mdl-38387851
ABSTRACT
BACKGROUND:
Studies demonstrating the potential utility of reflectance confocal microscopy (RCM) have been performed under experimental conditions.OBJECTIVE:
To provide an overview of RCM practice in real-life.METHODS:
A multicenter, prospective study carried out in 10 university dermatology departments in France.RESULTS:
Overall, 410 patients were enrolled. One-half of the patients (48%) were referred by private practice dermatologists. They were referred for diagnosis (84.9%) or presurgical mapping (13%). For diagnosis, the lesions were located on the face (62%), arms and legs (14.9%), and trunk (13.6%), and presurgical mapping was almost exclusively on the face (90.9%). Among those referred for diagnosis, the main indication was suspicion of a skin tumor (92.8%). Of these, 50.6% were spared biopsies after RCM. When RCM indicated surgery, histology revealed malignant lesions in 72.7% of cases. The correlation between RCM and histopathology was high, with a correlation rate of 82.76% and a kappa coefficient of 0.73 (0.63; 0.82).LIMITATIONS:
This study was performed in the settings of French tertiary referral hospitals.CONCLUSION:
This study shows that in real-life RCM can be integrated into the workflow of a public private network, which enables a less invasive diagnostic procedure for patients.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Neoplasias Cutáneas
/
Microscopía Confocal
Límite:
Adolescent
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Adult
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Aged
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Aged80
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Female
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Humans
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Male
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Middle aged
País como asunto:
Europa
Idioma:
En
Año:
2024
Tipo del documento:
Article