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High-frequency ultrasound in the diagnosis of selected non-melanoma skin nodular lesions

INTRODUCTION: Ultrasonographic examination is commonly used in an outpatient setting, possibly due to its low cost, low risk for patients and the possibility to obtain real time images. Typically used heads have the frequency ranging from 7.5 to 12 MHz. Higher frequencies ensure higher resolution, y...

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Autores principales: Piłat, Paweł, Borzęcki, Adam, Jazienicki, Mieczysław, Gerkowicz, Agnieszka, Krasowska, Dorota
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Termedia Publishing House 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6906959/
https://www.ncbi.nlm.nih.gov/pubmed/31839774
http://dx.doi.org/10.5114/ada.2019.89505
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author Piłat, Paweł
Borzęcki, Adam
Jazienicki, Mieczysław
Gerkowicz, Agnieszka
Krasowska, Dorota
author_facet Piłat, Paweł
Borzęcki, Adam
Jazienicki, Mieczysław
Gerkowicz, Agnieszka
Krasowska, Dorota
author_sort Piłat, Paweł
collection PubMed
description INTRODUCTION: Ultrasonographic examination is commonly used in an outpatient setting, possibly due to its low cost, low risk for patients and the possibility to obtain real time images. Typically used heads have the frequency ranging from 7.5 to 12 MHz. Higher frequencies ensure higher resolution, yet they are limited by the penetration depth – reaching from several to several tens of millimetres into the skin. High-frequency ultrasonography (HFUS) appears to be a promising method for the detection and differential diagnostics of selected nodular skin lesions. AIM: The study aimed at a comparison of the data obtained by using HFUS, histopathological and dermatoscopic images of selected skin lesions to determine their common features. MATERIAL AND METHODS: Nodular lesions classified as potentially malignant were subjected to clinical, dermatoscopic and high-frequency ultrasonographic examinations. Then the patients were referred for surgical removal with histopathological assessment. RESULTS: A total of 54 nodular lesions were examined, out of which 34 were diagnosed as non-melanoma. The most common lesions were melanocytic naevi dermatofibroma, nodular basal cell carcinoma and pyogenic granuloma. Other examined lesions included blue naevus, seborrheic wart, xanthogranuloma juvenile and Spits naevus. In all lesions except Spitz naevus, HFUS images corresponded at least with dermatoscopic or histopathology images. CONCLUSIONS: HFUS can be used as a supporting diagnostic tool ensuring better pre-operative proceedings. HFUS is a non-invasive, easy and inexpensive screening method for the determination of different skin cancers as it provides valuable information allowing to determine the cutting margins and lesion shape.
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spelling pubmed-69069592019-12-13 High-frequency ultrasound in the diagnosis of selected non-melanoma skin nodular lesions Piłat, Paweł Borzęcki, Adam Jazienicki, Mieczysław Gerkowicz, Agnieszka Krasowska, Dorota Postepy Dermatol Alergol Original Paper INTRODUCTION: Ultrasonographic examination is commonly used in an outpatient setting, possibly due to its low cost, low risk for patients and the possibility to obtain real time images. Typically used heads have the frequency ranging from 7.5 to 12 MHz. Higher frequencies ensure higher resolution, yet they are limited by the penetration depth – reaching from several to several tens of millimetres into the skin. High-frequency ultrasonography (HFUS) appears to be a promising method for the detection and differential diagnostics of selected nodular skin lesions. AIM: The study aimed at a comparison of the data obtained by using HFUS, histopathological and dermatoscopic images of selected skin lesions to determine their common features. MATERIAL AND METHODS: Nodular lesions classified as potentially malignant were subjected to clinical, dermatoscopic and high-frequency ultrasonographic examinations. Then the patients were referred for surgical removal with histopathological assessment. RESULTS: A total of 54 nodular lesions were examined, out of which 34 were diagnosed as non-melanoma. The most common lesions were melanocytic naevi dermatofibroma, nodular basal cell carcinoma and pyogenic granuloma. Other examined lesions included blue naevus, seborrheic wart, xanthogranuloma juvenile and Spits naevus. In all lesions except Spitz naevus, HFUS images corresponded at least with dermatoscopic or histopathology images. CONCLUSIONS: HFUS can be used as a supporting diagnostic tool ensuring better pre-operative proceedings. HFUS is a non-invasive, easy and inexpensive screening method for the determination of different skin cancers as it provides valuable information allowing to determine the cutting margins and lesion shape. Termedia Publishing House 2019-11-12 2019-10 /pmc/articles/PMC6906959/ /pubmed/31839774 http://dx.doi.org/10.5114/ada.2019.89505 Text en Copyright: © 2019 Termedia Sp. z o. o. http://creativecommons.org/licenses/by-nc-sa/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License, allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.
spellingShingle Original Paper
Piłat, Paweł
Borzęcki, Adam
Jazienicki, Mieczysław
Gerkowicz, Agnieszka
Krasowska, Dorota
High-frequency ultrasound in the diagnosis of selected non-melanoma skin nodular lesions
title High-frequency ultrasound in the diagnosis of selected non-melanoma skin nodular lesions
title_full High-frequency ultrasound in the diagnosis of selected non-melanoma skin nodular lesions
title_fullStr High-frequency ultrasound in the diagnosis of selected non-melanoma skin nodular lesions
title_full_unstemmed High-frequency ultrasound in the diagnosis of selected non-melanoma skin nodular lesions
title_short High-frequency ultrasound in the diagnosis of selected non-melanoma skin nodular lesions
title_sort high-frequency ultrasound in the diagnosis of selected non-melanoma skin nodular lesions
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6906959/
https://www.ncbi.nlm.nih.gov/pubmed/31839774
http://dx.doi.org/10.5114/ada.2019.89505
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