In Vivo Multiphoton Microscopy of Basal Cell Carcinoma.

Abstract:

IMPORTANCE:Basal cell carcinomas (BCCs) are diagnosed by clinical evaluation, which can include dermoscopic evaluation, biopsy, and histopathologic examination. Recent translation of multiphoton microscopy (MPM) to clinical practice raises the possibility of noninvasive, label-free in vivo imaging of BCCs that could reduce the time from consultation to treatment. OBJECTIVES:To demonstrate the capability of MPM to image in vivo BCC lesions in human skin, and to evaluate if histopathologic criteria can be identified in MPM images. DESIGN, SETTING, AND PARTICIPANTS:Imaging in patients with BCC was performed at the University of California-Irvine Health Beckman Laser Institute & Medical Clinic, Irvine, between September 2012 and April 2014, with a clinical MPM-based tomograph. Ten BCC lesions were imaged in vivo in 9 patients prior to biopsy. The MPM images were compared with histopathologic findings. MAIN OUTCOMES AND MEASURES:MPM imaging identified in vivo and noninvasively the main histopathologic feature of BCC lesions: nests of basaloid cells showing palisading in the peripheral cell layer at the dermoepidermal junction and/or in the dermis. RESULTS:The main MPM feature associated with the BCC lesions involved nests of basaloid cells present in the papillary and reticular dermis. This feature correlated well with histopathologic examination. Other MPM features included elongated tumor cells in the epidermis aligned in 1 direction and parallel collagen and elastin bundles surrounding the tumors. CONCLUSIONS AND RELEVANCE:This study demonstrates, in a limited patient population, that noninvasive in vivo MPM imaging can provide label-free contrast that reveals several characteristic features of BCC lesions. Future studies are needed to validate the technique and correlate MPM performance with histopathologic examination.

journal_name

JAMA Dermatol

journal_title

JAMA dermatology

authors

Balu M,Zachary CB,Harris RM,Krasieva TB,König K,Tromberg BJ,Kelly KM

doi

10.1001/jamadermatol.2015.0453

subject

Has Abstract

pub_date

2015-10-01 00:00:00

pages

1068-74

issue

10

eissn

2168-6068

issn

2168-6084

pii

2278674

journal_volume

151

pub_type

杂志文章
  • A Novel Chromosomal Translocation Associated With COL1A2-PDGFB Gene Fusion in Dermatofibrosarcoma Protuberans: PDGF Expression as a New Diagnostic Tool.

    abstract:Importance:Dermatofibrosarcoma protuberans (DFSP) is a rare skin cancer that develops in the deep dermis to subcutaneous adipose tissues. A COL1A1-PDGFB gene fusion, leading to the constitutive expression of PDGFB, is the tumorigenic mechanism in most DFSP cases. Objectives:To evaluate the specificity of PDGFB express...

    journal_title:JAMA dermatology

    pub_type: 杂志文章

    doi:10.1001/jamadermatol.2015.2389

    authors: Nakamura I,Kariya Y,Okada E,Yasuda M,Matori S,Ishikawa O,Uezato H,Takahashi K

    更新日期:2015-12-01 00:00:00

  • Association of Vitamin D Receptor Polymorphisms With the Risk of Nonmelanoma Skin Cancer in Adults.

    abstract:Importance:Protective effects of UV-B radiation against nonmelanoma skin cancer (NMSC) are exerted via signaling mechanisms involving the vitamin D receptor (VDR). Recent studies have examined single-nucleotide polymorphisms (SNPs) in the VDR, resulting in contradictory findings as to whether these polymorphisms increa...

    journal_title:JAMA dermatology

    pub_type: 杂志文章

    doi:10.1001/jamadermatol.2017.1976

    authors: Burns EM,Guroji P,Ahmad I,Nasr HM,Wang Y,Tamimi IA,Stiefel E,Abdelgawwad MS,Shaheen A,Muzaffar AF,Bush LM,Hurst CB,Griffin RL,Elmets CA,Yusuf N

    更新日期:2017-10-01 00:00:00

  • Association of Resilience With Depression and Health-Related Quality of Life for Patients With Hidradenitis Suppurativa.

    abstract:Importance:Hidradenitis suppurativa (HS) places a significant burden on the health-related quality of life (HRQOL) of patients, many of whom have depression. Resilience can play a role in mitigating the negative stressors, such as the symptoms of HS, on patients' mental health. Objective:To investigate the correlation...

    journal_title:JAMA dermatology

    pub_type: 杂志文章,多中心研究

    doi:10.1001/jamadermatol.2017.3596

    authors: Kirby JS,Butt M,Esmann S,Jemec GBE

    更新日期:2017-12-01 00:00:00

  • Consumer Preferences, Product Characteristics, and Potentially Allergenic Ingredients in Best-selling Moisturizers.

    abstract:Importance:Because moisturizer use is critical for the prevention and treatment of numerous dermatological conditions, patients frequently request product recommendations from dermatologists. Objective:To determine the product performance characteristics and ingredients of best-selling moisturizers. Design and Settin...

    journal_title:JAMA dermatology

    pub_type: 杂志文章

    doi:10.1001/jamadermatol.2017.3046

    authors: Xu S,Kwa M,Lohman ME,Evers-Meltzer R,Silverberg JI

    更新日期:2017-11-01 00:00:00

  • Paradoxical adipose hyperplasia after cryolipolysis.

    abstract:IMPORTANCE:Cryolipolysis is the noninvasive reduction of fat with localized cutaneous cooling. Since initial introduction, over 650,000 cryolipolysis treatment cycles have been performed worldwide. We present a previously unreported, rare adverse effect following cryolipolysis: paradoxical adipose hyperplasia. OBSERVA...

    journal_title:JAMA dermatology

    pub_type: 杂志文章

    doi:10.1001/jamadermatol.2013.8071

    authors: Jalian HR,Avram MM,Garibyan L,Mihm MC,Anderson RR

    更新日期:2014-03-01 00:00:00

  • Vascular Malformations and Health-Related Quality of Life: A Systematic Review and Meta-analysis.

    abstract:Importance:Patients with vascular malformations (VAMs) and vascular overgrowth syndromes have lower health-related quality of life (HRQoL) attributable to social stigmatization, poor mental health, severity, and pain. However, the factors that contribute to this decreased HRQoL are not clear. Objective:To perform a sy...

    journal_title:JAMA dermatology

    pub_type: 杂志文章,meta分析

    doi:10.1001/jamadermatol.2018.0002

    authors: Nguyen HL,Bonadurer GF 3rd,Tollefson MM

    更新日期:2018-06-01 00:00:00

  • Autoimmune Diseases in Patients With Cutaneous Lupus Erythematosus.

    abstract:Importance:Increased rates of autoimmune conditions have been reported in association with systemic lupus erythematosus (SLE). Little is known about coexisting autoimmune conditions in patients with cutaneous lupus erythematosus (CLE) without SLE. Objective:To determine the prevalence and risk factors of having coexis...

    journal_title:JAMA dermatology

    pub_type: 杂志文章

    doi:10.1001/jamadermatol.2018.0616

    authors: Kunzler E,Hynan LS,Chong BF

    更新日期:2018-06-01 00:00:00

  • Merkel cell polyomavirus and HPV-17 associated with cutaneous squamous cell carcinoma arising in a patient with melanoma treated with the BRAF inhibitor dabrafenib.

    abstract:IMPORTANCE:Approximately 10% to 25% of patients treated with BRAF inhibitors develop cutaneous squamous cell carcinoma (SCC), but the mechanism responsible has not yet been determined. We report what we believe to be the first case in which Merkel cell polyomavirus (MCPyV) and human papillomavirus subtype 17 (HPV-17) w...

    journal_title:JAMA dermatology

    pub_type: 杂志文章

    doi:10.1001/jamadermatol.2013.2023

    authors: Falchook GS,Rady P,Hymes S,Nguyen HP,Tyring SK,Prieto VG,Hong DS,Kurzrock R

    更新日期:2013-03-01 00:00:00

  • Prognostic Factors, Treatment, and Survival in Dermatofibrosarcoma Protuberans.

    abstract:Importance:There is limited information regarding the influence of patient demographics, tumor characteristics, and treatment type on the survival of patients with dermatofibrosarcoma protuberans (DFSP). Objective:To assess prognostic factors and to evaluate the influence of treatment modality on overall survival of p...

    journal_title:JAMA dermatology

    pub_type: 杂志文章

    doi:10.1001/jamadermatol.2016.1886

    authors: Criscito MC,Martires KJ,Stein JA

    更新日期:2016-12-01 00:00:00

  • Safety of Systemic Agents for the Treatment of Pediatric Psoriasis.

    abstract:Importance:Use of systemic therapies for moderate to severe psoriasis in children is increasing, but comparative data on their use and toxicities are limited. Objective:To assess patterns of use and relative risks of systemic agents for moderate to severe psoriasis in children. Design, Setting, and Participants:A ret...

    journal_title:JAMA dermatology

    pub_type: 杂志文章

    doi:10.1001/jamadermatol.2017.3029

    authors: Bronckers IMGJ,Seyger MMB,West DP,Lara-Corrales I,Tollefson M,Tom WL,Hogeling M,Belazarian L,Zachariae C,Mahé E,Siegfried E,Philipp S,Szalai Z,Vleugels RA,Holland K,Murphy R,Baselga E,Cordoro K,Lambert J,Alexopoulos

    更新日期:2017-11-01 00:00:00

  • Widespread morbilliform eruption associated with telaprevir: use of dermatologic consultation to increase tolerability.

    abstract:IMPORTANCE:Telaprevir, combined with pegylated interferon alfa and ribavirin, is an efficacious approach to treat hepatitis C virus infection. A morbilliform eruption associated with telaprevir is a common adverse effect experienced by patients. Current guidelines mandate telaprevir discontinuation in any patient with ...

    journal_title:JAMA dermatology

    pub_type: 杂志文章

    doi:10.1001/jamadermatol.2013.9938

    authors: Strazzula L,Pratt DS,Zardas J,Chung RT,Thiim M,Kroshinsky D

    更新日期:2014-07-01 00:00:00

  • Pseudoaneurysm formation and repair after Mohs micrographic surgery: a report of 3 cases.

    abstract:IMPORTANCE:Pseudoaneurysm is a well-known complication of trauma and iatrogenic injury to the vasculature. We report 3 cases of postsurgical pseudoaneurysm after Mohs surgery. OBSERVATIONS:Three patients who underwent Mohs surgery for nonmelanoma skin cancers presented between 2 and 4 weeks after surgery with several ...

    journal_title:JAMA dermatology

    pub_type: 杂志文章

    doi:10.1001/jamadermatol.2013.9073

    authors: Dunbar SW,Hurst EA

    更新日期:2014-05-01 00:00:00

  • Depression and Anxiety in Adults With Hidradenitis Suppurativa: A Systematic Review and Meta-analysis.

    abstract:Importance:Previous studies suggest that depression and anxiety are common in patients with hidradenitis suppurativa (HS), more so than other dermatological conditions. Yet, to the authors' knowledge, no previous systematic review or meta-analysis has estimated the prevalence or odds ratio (OR) for those psychiatric co...

    journal_title:JAMA dermatology

    pub_type: 杂志文章

    doi:10.1001/jamadermatol.2019.0759

    authors: Machado MO,Stergiopoulos V,Maes M,Kurdyak PA,Lin PY,Wang LJ,Shyu YC,Firth J,Koyanagi A,Solmi M,Alavi A,Piguet V,Carvalho AF

    更新日期:2019-06-05 00:00:00

  • Immunologic Overlap of Helper T-Cell Subtypes 17 and 22 in Erythrodermic Psoriasis and Atopic Dermatitis.

    abstract:IMPORTANCE:Psoriasis and atopic dermatitis (AD) are inflammatory diseases thought to be mediated by helper T-cell subtypes 1 and 2 (TH1 and TH2), respectively. Although psoriasis and AD show histopathologic differences during chronic disease, they are difficult to distinguish histologically during erythrodermic exacerb...

    journal_title:JAMA dermatology

    pub_type: 杂志文章

    doi:10.1001/jamadermatol.2015.2

    authors: Moy AP,Murali M,Kroshinsky D,Duncan LM,Nazarian RM

    更新日期:2015-07-01 00:00:00

  • Comparison of Coronary Artery Calcium Scores Between Patients With Psoriasis and Type 2 Diabetes.

    abstract:Importance:Psoriasis is associated with an increased risk of cardiovascular diseases. Subclinical atherosclerosis in patients with psoriasis has not been compared with other conditions associated with increased cardiovascular risk and more rigorous cardiovascular disease screening, such as type 2 diabetes. Objective:T...

    journal_title:JAMA dermatology

    pub_type: 杂志文章,多中心研究

    doi:10.1001/jamadermatol.2016.2907

    authors: Mansouri B,Kivelevitch D,Natarajan B,Joshi AA,Ryan C,Benjegerdes K,Schussler JM,Rader DJ,Reilly MP,Menter A,Mehta NN

    更新日期:2016-11-01 00:00:00

  • Risk Factors for Melanoma in Renal Transplant Recipients.

    abstract:Importance:Melanoma risk factors and incidence in renal transplant recipients can inform decision making for both patients and clinicians. Objective:To determine risk factors and characteristics of renal transplant recipients who develop melanoma. Design, Setting, and Participants:This cohort study of a large nationa...

    journal_title:JAMA dermatology

    pub_type: 杂志文章

    doi:10.1001/jamadermatol.2017.2291

    authors: Ascha M,Ascha MS,Tanenbaum J,Bordeaux JS

    更新日期:2017-11-01 00:00:00

  • Melanoma survival disadvantage in young, non-Hispanic white males compared with females.

    abstract:IMPORTANCE:Worse survival among patients with melanoma has been demonstrated in middle-aged and older men compared with women, but few studies have explored survival differences by sex in adolescents and young adults, in whom melanoma is the third most common cancer. Focusing on sex disparities in survival among younge...

    journal_title:JAMA dermatology

    pub_type: 杂志文章

    doi:10.1001/jamadermatol.2013.4408

    authors: Gamba CS,Clarke CA,Keegan TH,Tao L,Swetter SM

    更新日期:2013-08-01 00:00:00

  • Sunbed use, user characteristics, and motivations for tanning: results from the German population-based SUN-Study 2012.

    abstract:OBJECTIVES:To calculate sunbed use prevalence rates, to investigate the motivations for tanning, and to identify typical target groups for interventions to prevent skin cancer. DESIGN:Cross-sectional, representative, population-based study, primary analysis of the SUN-Study 2012 (Sunbed-Use: Needs for Action-Study). ...

    journal_title:JAMA dermatology

    pub_type: 杂志文章

    doi:10.1001/2013.jamadermatol.562

    authors: Schneider S,Diehl K,Bock C,Schlüter M,Breitbart EW,Volkmer B,Greinert R

    更新日期:2013-01-01 00:00:00

  • Investigation of Suicidality and Psychological Adverse Events in Patients Treated With Finasteride.

    abstract:Importance:There is ongoing controversy about the adverse events of finasteride, a drug used in the management of alopecia and benign prostatic hyperplasia (BPH). In 2012, reports started emerging on men who had used finasteride and either attempted or completed suicide. Objective:To investigate the association of sui...

    journal_title:JAMA dermatology

    pub_type: 杂志文章

    doi:10.1001/jamadermatol.2020.3385

    authors: Nguyen DD,Marchese M,Cone EB,Paciotti M,Basaria S,Bhojani N,Trinh QD

    更新日期:2021-01-01 00:00:00

  • Oral antimycobacterial therapy in chronic cutaneous sarcoidosis: a randomized, single-masked, placebo-controlled study.

    abstract:IMPORTANCE:Sarcoidosis is a chronic granulomatous disease for which there are limited therapeutic options. This is the first randomized, placebo-controlled study to demonstrate that antimycobacterial therapy reduces lesion diameter and disease severity among patients with chronic cutaneous sarcoidosis. OBJECTIVE:To ev...

    journal_title:JAMA dermatology

    pub_type: 杂志文章,随机对照试验

    doi:10.1001/jamadermatol.2013.4646

    authors: Drake WP,Oswald-Richter K,Richmond BW,Isom J,Burke VE,Algood H,Braun N,Taylor T,Pandit KV,Aboud C,Yu C,Kaminski N,Boyd AS,King LE

    更新日期:2013-09-01 00:00:00

  • Trends and Scope of Dermatology Procedures Billed by Advanced Practice Professionals From 2012 Through 2015.

    abstract:Importance:Advanced practice professionals (APPs) such as nurse practitioners and physician assistants independently perform a large number and variety of dermatologic procedures, but little is known about how the number and scope of these procedures have changed over time. Objective:To examine the trends in scope and...

    journal_title:JAMA dermatology

    pub_type: 杂志文章

    doi:10.1001/jamadermatol.2018.1768

    authors: Zhang M,Zippin J,Kaffenberger B

    更新日期:2018-09-01 00:00:00

  • Ustekinumab associated with flares of psoriatic arthritis.

    abstract:IMPORTANCE:Ustekinumab is a human monoclonal antibody that binds to the shared p40 subunit of interleukin (IL) 12 and IL-23. It is approved in the United States for adults (>18 years) with moderate to severe plaque psoriasis who are candidates for phototherapy or systemic therapy. In 1 phase 2 trial of ustekinumab for ...

    journal_title:JAMA dermatology

    pub_type: 杂志文章

    doi:10.1001/jamadermatol.2013.5728

    authors: Stamell EF,Kutner A,Viola K,Cohen SR

    更新日期:2013-12-01 00:00:00

  • Self-reported Patient Motivations for Seeking Cosmetic Procedures.

    abstract:Importance:Despite the growing popularity of cosmetic procedures, the sociocultural and quality-of-life factors that motivate patients to undergo such procedures are not well understood. Objective:To estimate the relative importance of factors that motivate patients to seek minimally invasive cosmetic procedures. Des...

    journal_title:JAMA dermatology

    pub_type: 杂志文章,多中心研究

    doi:10.1001/jamadermatol.2018.2357

    authors: Maisel A,Waldman A,Furlan K,Weil A,Sacotte K,Lazaroff JM,Lin K,Aranzazu D,Avram MM,Bell A,Cartee TV,Cazzaniga A,Chapas A,Crispin MK,Croix JA,DiGiorgio CM,Dover JS,Goldberg DJ,Goldman MP,Green JB,Griffin CL,Haimo

    更新日期:2018-10-01 00:00:00

  • A Multicenter Cross-Sectional Study and Systematic Review of Necrobiotic Xanthogranuloma With Proposed Diagnostic Criteria.

    abstract:Importance:Necrobiotic xanthogranuloma (NXG) is a non-Langerhans cell histiocytosis classically associated with paraproteinemia attributable to plasma-cell dyscrasias or lymphoproliferative disorders. Despite the morbidity of NXG, the literature is limited to case reports and small studies, and diagnostic criteria are ...

    journal_title:JAMA dermatology

    pub_type: 杂志文章,多中心研究

    doi:10.1001/jamadermatol.2019.4221

    authors: Nelson CA,Zhong CS,Hashemi DA,Ashchyan HJ,Brown-Joel Z,Noe MH,Imadojemu S,Micheletti RG,Vleugels RA,Wanat KA,Rosenbach M,Mostaghimi A

    更新日期:2020-03-01 00:00:00

  • Retreatment with omalizumab results in rapid remission in chronic spontaneous and inducible urticaria.

    abstract:IMPORTANCE:Omalizumab has emerged as a novel and effective treatment option for patients with antihistamine-resistant chronic urticaria. It is unclear whether patients with recurrent urticaria symptoms after discontinuation of omalizumab treatment can benefit from retreatment. OBJECTIVE:To assess the response of patie...

    journal_title:JAMA dermatology

    pub_type: 杂志文章

    doi:10.1001/jamadermatol.2013.8705

    authors: Metz M,Ohanyan T,Church MK,Maurer M

    更新日期:2014-03-01 00:00:00

  • Psoriasis and the risk of diabetes mellitus: a systematic review and meta-analysis.

    abstract:OBJECTIVE:To compare the prevalence and incidence of type 2 diabetes mellitus between patients with psoriasis and those without psoriasis. DATA SOURCES:MEDLINE, EMBASE, and Cochrane Database of Systematic Reviews between January 1, 1980, and January 1, 2012. STUDY SELECTION:Observational (cohort, case-control, and cr...

    journal_title:JAMA dermatology

    pub_type: 杂志文章,meta分析,评审

    doi:10.1001/2013.jamadermatol.406

    authors: Armstrong AW,Harskamp CT,Armstrong EJ

    更新日期:2013-01-01 00:00:00

  • Dermatopulmonary Syndrome Associated With Anti-MDA5 Antibodies After Allogeneic Hematopoietic Stem Cell Transplantation.

    abstract:Importance:Chronic graft-vs-host-disease (cGVHD) after allogeneic stem cell transplantation (AHSCT) may resemble autoimmune diseases. Anti-MDA5 (melanoma differentiation-associated gene 5) dermatopulmonary syndrome is a subset of dermatomyositis defined by specific clinical features and detection of anti-MDA5-antibodie...

    journal_title:JAMA dermatology

    pub_type: 杂志文章

    doi:10.1001/jamadermatol.2016.3976

    authors: Lepelletier C,Bengoufa D,Lyes Z,de Masson A,Chasset F,Jachiet M,Michonneau D,Robin M,Peffault de Latour R,Sicre de Fontbrune F,Tandjaoui-Lambiotte Y,Bensussan A,Rybojad M,Tazi A,Bagot M,Socié G,Bergeron A,Bouaziz JD

    更新日期:2017-02-01 00:00:00

  • Comparison of Dermatology and Allergy Guidelines for Atopic Dermatitis Management.

    abstract:IMPORTANCE:Atopic dermatitis (AD) is a common skin condition treated by dermatologists, allergists, pediatricians, and primary care physicians. Several treatment guidelines and therapeutic parameters exist for the management of this disease. Health care professionals may be unaware of guidelines created by specialty or...

    journal_title:JAMA dermatology

    pub_type: 杂志文章,评审

    doi:10.1001/jamadermatol.2015.0250

    authors: Mohan GC,Lio PA

    更新日期:2015-09-01 00:00:00

  • Assessment and Treatment Outcomes of Persistent Radiation-Induced Alopecia in Patients With Cancer.

    abstract:Importance:Persistent radiation-induced alopecia (pRIA) and its management have not been systematically described. Objective:To characterize pRIA in patients with primary central nervous system (CNS) tumors or head and neck sarcoma. Design, Setting, and Participants:A retrospective cohort study of patients from Janua...

    journal_title:JAMA dermatology

    pub_type: 杂志文章

    doi:10.1001/jamadermatol.2020.2127

    authors: Phillips GS,Freret ME,Friedman DN,Trelles S,Kukoyi O,Freites-Martinez A,Unger RH,Disa JJ,Wexler LH,Tinkle CL,Mechalakos JG,Dusza SW,Beal K,Wolden SL,Lacouture ME

    更新日期:2020-09-01 00:00:00

  • Total Nevi, Atypical Nevi, and Melanoma Thickness: An Analysis of 566 Patients at 2 US Centers.

    abstract:IMPORTANCE:Nevi are among the strongest risk factors for melanoma. However, little is known about the association of many total nevi (TN) or atypical nevi (AN) with tumor thickness. OBJECTIVES:To examine the association between age and the number of TN and AN and to explore whether there was a relationship between TN ...

    journal_title:JAMA dermatology

    pub_type: 杂志文章,多中心研究

    doi:10.1001/jamadermatol.2016.0027

    authors: Geller AC,Mayer JE,Sober AJ,Miller DR,Argenziano G,Johnson TM,Swetter SM

    更新日期:2016-04-01 00:00:00