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The Influence of Clinical Information in the Histopathologic Diagnosis of Melanocytic Skin Neoplasms

Author

Listed:
  • Gerardo Ferrara
  • Zsolt Argenyi
  • Giuseppe Argenziano
  • Rino Cerio
  • Lorenzo Cerroni
  • Arturo Di Blasi
  • Elisa A A Feudale
  • Caterina M Giorgio
  • Cesare Massone
  • Oscar Nappi
  • Carlo Tomasini
  • Carmelo Urso
  • Iris Zalaudek
  • Harald Kittler
  • H Peter Soyer

Abstract

Background: We tested the relevance of clinical information in the histopathologic evaluation of melanocytic skin neoplasm (MSN). Methods: Histopathologic specimens from 99 clinically atypical MSN were circulated among ten histopathologists; each case had clinical information available in a database with a five-step procedure (no information; age/sex/location; clinical diagnosis; clinical image; dermoscopic image); each step had a histopathologic diagnosis (D1 through D5); each diagnostic step had a level of diagnostic confidence (LDC) ranging from 1 (no diagnostic certainty) to 5 (absolute diagnostic certainty). The comparison of the LDC was employed with an analysis of variance (ANOVA) for repeated measures. Findings: In D1 (no information), 36/99 cases (36.3%) had unanimous diagnosis; in D5 (full information available), 51/99 cases (51.5%) had unanimous diagnosis (p for difference between proportions

Suggested Citation

  • Gerardo Ferrara & Zsolt Argenyi & Giuseppe Argenziano & Rino Cerio & Lorenzo Cerroni & Arturo Di Blasi & Elisa A A Feudale & Caterina M Giorgio & Cesare Massone & Oscar Nappi & Carlo Tomasini & Carmel, 2009. "The Influence of Clinical Information in the Histopathologic Diagnosis of Melanocytic Skin Neoplasms," PLOS ONE, Public Library of Science, vol. 4(4), pages 1-7, April.
    • Handle: RePEc:plo:pone00:0005375
    DOI: 10.1371/journal.pone.0005375
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    Cited by:

    1. Mendes, Carlos Frederico S. da F. & Krohling, Renato A., 2022. "Deep and handcrafted features from clinical images combined with patient information for skin cancer diagnosis," Chaos, Solitons & Fractals, Elsevier, vol. 162(C).

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