{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,2]],"date-time":"2025-08-02T00:11:36Z","timestamp":1754093496209,"version":"3.41.2"},"reference-count":26,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2025,6,17]],"date-time":"2025-06-17T00:00:00Z","timestamp":1750118400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Dermatology"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Owing to the rarity of lentigo maligna (LM) and lentigo maligna melanoma (LMM) in East Asians, their dermoscopic features are underreported. The prognosis and management of LM and LMM depend on the Breslow thickness (BT). However, the association between BT and the dermoscopic features of LMM is largely unknown.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To report the dermoscopic features of LM\/LMM in Koreans and analyze the association between BT and dermoscopic findings of LMM.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This retrospective study included 46 patients with facial LM\/LMM (32 patients had \u2264\u20091\u2009mm BT and 14 had &gt;\u20091\u2009mm) collected from three tertiary hospitals in Korea. The frequency of each dermoscopic feature of LM\/LMM was assessed according to the BT. Logistic regression analysis was performed to investigate the association between certain dermoscopic patterns and BT in patients with LM\/LMM.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Observed dermoscopic patterns in Korean patients with LM\/LMM included asymmetrical pigmented follicular openings (100%), asymmetry of the overall shape (97.8%), annular\u2013granular pattern (95.7%), dark rhomboids (95.7%), blotches (78.3%), polychromy (45.7%), blue\u2013white veil (41.3%), thin brown network (36.4%), regression structures (19.6%), and fingerprint pattern (8.7%). Milky\u2010red areas (32.6%), red rhomboids (26.1%), linear vessels (21.7%), arborizing vessels (8.7%), dotted vessels (2.2%), and hairpin vessels (2.2%) were also observed. Multivariable logistic regression revealed that a blue\u2013white veil (odds ratio [OR], 42.895; 95% confidence interval [CI], 1.878\u2013979.565), red rhomboids (OR, 13.666; 95% CI, 1.070\u2013174.552), and linear vessels (OR, 18.823; 95% CI, 1.357\u2013261.107) were significantly associated with LMM with a BT of &gt;\u20091\u2009mm. The predictive model (range: 0\u20137) had a reliable diagnostic value (area under the curve\u2009=\u20090.964).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This study provides an in\u2010depth analysis of the dermoscopic features of LM\/LMM in East Asian patients. Preoperative dermoscopy, which provides BT information, may help determine the appropriate management of LMM.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1346-8138.17822","type":"journal-article","created":{"date-parts":[[2025,6,17]],"date-time":"2025-06-17T09:02:32Z","timestamp":1750150952000},"page":"1243-1254","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Dermoscopic Features and Their Association With Breslow Thickness of Facial Lentigo Maligna in Koreans: A Multi\u2010Center Retrospective Study"],"prefix":"10.1111","volume":"52","author":[{"given":"Jinie","family":"Lee","sequence":"first","affiliation":[{"name":"Seoul National University College of Medicine  Seoul Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0207-2107","authenticated-orcid":false,"given":"Ji Su","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Dermatology Seoul National University College of Medicine  Seoul Republic of Korea"},{"name":"Institute of Human\u2010Environment Interface Biology Seoul National University  Seoul Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2999-1018","authenticated-orcid":false,"given":"Jun Young","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Dermatology School of Medicine, Kyungpook National University, Kyungpook National University Hospital  Daegu South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jung Min","family":"Bae","sequence":"additional","affiliation":[{"name":"Department of Dermatology St. Vincent's Hospital, College of Medicine, The Catholic University of Korea  Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8830-5479","authenticated-orcid":false,"given":"Jin","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Dermatology Research Institute of Clinical Medicine of Chonbuk National University\u2010Biomedical Research Institute of Chonbuk National University Hospital  Jeonju Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0734-2850","authenticated-orcid":false,"given":"Je\u2010Ho","family":"Mun","sequence":"additional","affiliation":[{"name":"Seoul National University College of Medicine  Seoul Republic of Korea"},{"name":"Department of Dermatology Seoul National University College of Medicine  Seoul Republic of Korea"},{"name":"Institute of Human\u2010Environment Interface Biology Seoul National University  Seoul Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,6,17]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/archderm.139.5.595"},{"key":"e_1_2_8_3_1","unstructured":"National Comprehensive Cancer Network \u201cNCCN Clinical Practice Guidelines in Oncology: Melanoma: Cutaneous. 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