{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T10:38:13Z","timestamp":1792665493145,"version":"4.5.0"},"reference-count":44,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T00:00:00Z","timestamp":1792627200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T00:00:00Z","timestamp":1792627200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Dermatology"],"abstract":"ABSTRACT<\/jats:title>\n \n Background<\/jats:title>\n Evidence on phenotypic features and nevus counts for melanoma in\u00a0situ (MIS) is lacking.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n This is a retrospective study in patients diagnosed with invasive SSM or MIS, from 1999 to 2025, in melanoma referral centers in Greece and Spain. Our aim was to investigate phenotypic characteristics and nevus counts in non\u2010lentigo maligna\/non\u2010acral lentiginous MIS versus invasive superficial spreading melanoma (SSM).<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n In 3026 patients (2399 with invasive SSM, 627 with MIS), age did not differ between patients with invasive SSM and those with MIS. In multivariable analysis, patients who reported a history of severe sunburn were less likely to be diagnosed with invasive SSM than with MIS (odds ratio [OR]: 0.77, 95% confidence interval [95% CI]: 0.64\u20130.93,\n p<\/jats:italic>\n \u2009=\u20090.007). No consistent association was observed with hair, eye color, or phototype between the two groups, both of which had predominantly dark hair and eyes. Compared with patients with few nevi, those with some or many nevi were significantly less likely to be diagnosed with invasive SSM compared to MIS (OR: 0.76, 95% CI: 0.62\u20130.93, and OR: 0.60, 95% CI 0.42\u20130.86, respectively).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n The similar age at diagnosis of MIS and invasive SSM does not support an obligate progression model. The association of higher nevus counts with MIS suggests that MIS may represent a marker of proneness to melanocytic proliferation or may be preferentially diagnosed in nevus\u2010prone individuals undergoing closer surveillance. Further studies in phenotypically diverse populations are warranted.<\/jats:p>\n \n \n \n image<\/jats:alt-text>\n <\/jats:graphic>\n <\/jats:boxed-text>\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/ijd.70737","type":"journal-article","created":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T09:43:44Z","timestamp":1792662224000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Nevus Counts, Sun Exposure and Phenotypic Characteristics in Invasive Versus In\u00a0Situ Non\u2010Lentigo Maligna\/Non\u2010Acral Lentiginous Melanoma"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4832-3410","authenticated-orcid":false,"given":"Clio","family":"Dessinioti","sequence":"first","affiliation":[{"name":"1st Department of Dermatology\u2010Venereology, Andreas Sygros Hospital, School of Medicine National and Kapodistrian University of Athens Athens Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4837-4998","authenticated-orcid":false,"given":"Ruggero","family":"Moro","sequence":"additional","affiliation":[{"name":"Department of Dermatology Instituto Valenciano de Oncolog\u00eda Val\u00e8ncia Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-1207-0583","authenticated-orcid":false,"given":"Mihaella","family":"Plaka","sequence":"additional","affiliation":[{"name":"1st Department of Dermatology\u2010Venereology, Andreas Sygros Hospital, School of Medicine National and Kapodistrian University of Athens Athens Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ioannis A.","family":"Stratigos","sequence":"additional","affiliation":[{"name":"1st Department of Dermatology\u2010Venereology, Andreas Sygros Hospital, School of Medicine National and Kapodistrian University of Athens Athens Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9977-4169","authenticated-orcid":false,"given":"Celia","family":"Requena","sequence":"additional","affiliation":[{"name":"Department of Dermatology Instituto Valenciano de Oncolog\u00eda Val\u00e8ncia Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-8042-4901","authenticated-orcid":false,"given":"Katerina","family":"Kypreou","sequence":"additional","affiliation":[{"name":"Laboratory of Molecular Biology, 1st Department of Dermatology\u2010Venereology, Andreas Sygros Hospital, School of Medicine National and Kapodistrian University of Athens Athens Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victor","family":"Traves","sequence":"additional","affiliation":[{"name":"Department of Pathology Instituto Valenciano de Oncolog\u00eda Val\u00e8ncia Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2964-370X","authenticated-orcid":false,"given":"Irene","family":"Stefanaki","sequence":"additional","affiliation":[{"name":"1st Department of Dermatology\u2010Venereology, Andreas Sygros Hospital, School of Medicine National and Kapodistrian University of Athens Athens Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3433-8707","authenticated-orcid":false,"given":"Eduardo","family":"Nagore","sequence":"additional","affiliation":[{"name":"Department of Dermatology Instituto Valenciano de Oncolog\u00eda Val\u00e8ncia Spain"},{"name":"School of Medicine Universidad Cat\u00f3lica de Valencia San Vicente M\u00e1rtir Val\u00e8ncia Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,22]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"crossref","first-page":"108","DOI":"10.1016\/j.ejca.2017.12.024","article-title":"Trends in Incidence of Thick, Thin and In\u00a0Situ Melanoma in Europe","volume":"92","author":"Sacchetto L.","year":"2018","journal-title":"European Journal of Cancer"},{"key":"e_1_2_10_3_1","doi-asserted-by":"crossref","first-page":"1791","DOI":"10.1016\/j.jaad.2018.12.067","article-title":"The Acceleration of Melanoma In\u00a0Situ: A Population\u2010Based Study of Melanoma Incidence Trends From Victoria, Australia, 1985\u20132015","volume":"80","author":"Curchin D. 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L.","year":"2018","journal-title":"Nature Communications"}],"container-title":["International Journal of Dermatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ijd.70737","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ijd.70737","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ijd.70737","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T09:43:50Z","timestamp":1792662230000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ijd.70737"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,22]]},"references-count":44,"alternative-id":["10.1111\/ijd.70737"],"URL":"https:\/\/doi.org\/10.1111\/ijd.70737","archive":["Portico"],"relation":{},"ISSN":["0011-9059","1365-4632"],"issn-type":[{"value":"0011-9059","type":"print"},{"value":"1365-4632","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,22]]},"assertion":[{"value":"2026-07-22","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-08","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-22","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"ijd.70737"}}