Utility of the Wood's light: five cases from a pigmented lesion clinic

  title={Utility of the Wood's light: five cases from a pigmented lesion clinic},
  author={Lilly-Rose Paraskevas and Alan Halpern and A A Marghoob},
  journal={British Journal of Dermatology},
Summary  We demonstrate the utility of the Wood's light in a practice that specializes in the evaluation of pigmented lesions. The Wood's light assisted the physician in locating the site of a completely regressed primary cutaneous melanoma, determining the clinical borders of a lentigo maligna melanoma, differentiating between agminated naevi and a naevus spilus and detecting the recurrence of pigmentation after the excision of a dysplastic naevus, and also proved useful in monitoring a large… 

Diagnostic Imaging Wood ’ s light in the determination of the surgical borders of the hypomelanotic lentigo maligo melanoma

The authors demonstrate the use of a Wood's lamp as an alternative to confocal optical microscopy, in the delimitation of the surgical margins of a hypomelanotic lentigo maligna melanoma, whose lack of melanin pigmentation and tumor location in a photodamaged area had hampered a patient’s surgical planning.

Utility of Wood's Light in Margin Determination of Melanoma In Situ After Excisional Biopsy

Wood's light examination has limited utility if complete excisional biopsy of MIS is performed before treatment and would have resulted in an increased average wound size and would not have reduced the number of stages needed when performing the square procedure.

Defining Surgical Margins With Wood Lamp.

A case series of 5 patients who presented to the clinic with suspicious pigmented lesions is presented, with a focus on the Wood lamp's use in dermatology surgery.

Use of reflectance confocal microscopy to monitor response of lentigo maligna to nonsurgical treatment.

It is often difficult to detect focal areas of LMM within LM; a recent study revealed that 16% of lesions that were diagnosed as LM based on incisional biopsy were found to have foci of invasion (LMM) upon complete excision.

Lentigo Maligna: Review of Salient Characteristics and Management

Lentigo maligna clinically presents as a pigmented, asymmetric macule that originates on the head and neck and spreads slowly and the preferred method for diagnosing lentigomal biopsy is excisional biopsy.

Multimodal in vivo optical imaging, including confocal microscopy, facilitates presurgical margin mapping for clinically complex lentigo maligna melanoma

The case of a patient with a recurrent LMM on the scalp that developed in a background of photodamage with diffuse melanocytic atypia and lentigines illustrates that confocal reflectance microscopy, in conjunction with other in vivo optical instruments, can be utilized to enhance the accuracy for the presurgical margin mapping of LMM.

Review Article Diagnosis and Management of Lentigo Maligna: Clinical Presentation and Comprehensive Review

Lentigo maligna (LM), also known as Hutchinson’s melanotic freckle, is a form of in situ melanoma characterized by the proliferation of atypical melanocytes along the basal epidermis in sun-damaged

Diagnosis and Management of Lentigo Maligna: Clinical Presentation and Comprehensive Review

  • P. Naik
  • Medicine
    Journal of skin cancer
  • 2021
The clinical presentation of lentigo maligna is explained, the available information on the diagnosis and management of LM is reviewed, and the potential of such information in facilitating the future prospective is discussed.

Ultraviolet Imaging in Dermatology.




Localization of melanin pigmentation in the skin with Wood's lamp

Examination of the skin or hair with Wood's lamp has long been used to aid in the clinical diagnosis of some cutaneous disorders. A new observation reported here illustrates that Wood's light can be

Margin control for lentigo maligna.

  • J. Robinson
  • Medicine
    Journal of the American Academy of Dermatology
  • 1994

Digitally Processed Ultraviolet Images: A Convenient, Affordable, Reproducible Means of Illustrating Ultraviolet Clinical Examination

  • J. Niamtu
  • Medicine
    Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.]
  • 2001
The worse a patient looks under UV light, the easier it is to correct the hyperpigmentation, and modern digital imaging software has made it possible to “postprocess” UV images to accurately reproduce the examination.

Utilizing the Ultraviolet (UV Detect) Camera to Enhance the Appearance of Photodamage and Other Skin Conditions

  • J. Fulton
  • Medicine
    Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.]
  • 1997
Not only does the camera document pigmentary changes but it also demonstrates improvement after therapeutic intervention, which should become an integral part of sun damage detection both in the physician's office and in the community.

Techniques of cutaneous examination for the detection of skin cancer

The high mortality associated with advanced melanomas emphasizes the importance of performing regular total cutaneous examinations in all patients to detect early, easily curable lesions.

The optics of human skin.

An integrated review of the transfer of optical radiation into human skin is presented, aimed at developing useful models for photomedicine. The component chromophores of epidermis and stratum

In vivo fluorescence spectroscopy and imaging of human skin tumors.

The feasibility of using in vivo autofluorescence for the diagnosis of skin cancer was evaluated and optical diagnostics of skin tumours using the aut ofluorescence does not seem to be feasible at the present time.

Monochromatic ultraviolet-photography in dermatology.

[Wood's light in dermatology].

  • E. Neumann
  • Art, Medicine
    Ceskoslovenska dermatologie
  • 1949