{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T07:34:15Z","timestamp":1781249655492,"version":"3.54.1"},"reference-count":19,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2019,1,9]],"date-time":"2019-01-09T00:00:00Z","timestamp":1546992000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acad Dermatol Venereol"],"published-print":{"date-parts":[[2019,4]]},"abstract":"Abstract<\/jats:title>Background<\/jats:title>A variety of cutaneous smooth muscle neoplasms may arise in the skin and are frequently unrecognized by clinicians. There is sparse data relating to the dermoscopy of piloleiomyomas (PL<\/jats:styled-content>), and nothing has been published about the dermoscopy of angioleiomyomas (AL<\/jats:styled-content>) and leiomyosarcomas (LS<\/jats:styled-content>).<\/jats:p><\/jats:sec>Objectives<\/jats:title>To evaluate the morphological findings of a large series of cutaneous PL<\/jats:styled-content>, AL<\/jats:styled-content> and LS<\/jats:styled-content> under dermoscopic observation, comparing these findings among them.<\/jats:p><\/jats:sec>Methods<\/jats:title>Digital dermoscopic images of 136 histopathologically confirmed cases of cutaneous smooth muscle neoplasms (114 PL<\/jats:styled-content>, 13 AL<\/jats:styled-content> and 9 LS) collected from 10 Hospitals in Spain, Austria and Italy were evaluated for the presence of dermoscopic structures and patterns.<\/jats:p><\/jats:sec>Results<\/jats:title>The pattern composed of a symmetric, total delicate pigment network with the variable presence of multiple hypopigmented areas in a painful lesion is the most common dermoscopic pattern associated with PL<\/jats:styled-content>. This pattern was found in 69.3% of PL<\/jats:styled-content> and in no cases of AL<\/jats:styled-content> and LS<\/jats:styled-content>. The most common and characteristic pattern associated with AL<\/jats:styled-content> was the one composed of symmetric pink\u2010reddish tumour with vessels, white structures and the absence of ulceration, which was found in 46.2% of AL<\/jats:styled-content>, but also in 3.5% of PL<\/jats:styled-content>, and in 22.2% of LS<\/jats:styled-content>. Finally, the most common pattern associated with LS<\/jats:styled-content> was the one composed of an asymmetric, multilobulated tumour with linear\u2010irregular or polymorphic\u2010atypical vessels and white structures, which was found in 44.4% of cases, but also in 0.9% of PL<\/jats:styled-content> and in 15.4% of AL<\/jats:styled-content>.<\/jats:p><\/jats:sec>Conclusion<\/jats:title>Dermoscopy is helpful in improving the diagnostic accuracy of PL<\/jats:styled-content>. The dermoscopic patterns associated with AL<\/jats:styled-content> and LS<\/jats:styled-content> were more variable and less specific.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jdv.15392","type":"journal-article","created":{"date-parts":[[2018,12,6]],"date-time":"2018-12-06T10:35:17Z","timestamp":1544092517000},"page":"693-699","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Dermoscopy of cutaneous smooth muscle neoplasms: a morphological study of 136 cases"],"prefix":"10.1111","volume":"33","author":[{"given":"P.","family":"Zaballos","sequence":"first","affiliation":[{"name":"Dermatology Department Hospital Sant Pau i Santa Tecla Tarragona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.J.","family":"del Pozo","sequence":"additional","affiliation":[{"name":"Dermatology Department Hospital Universitari Son Espases Palma Mallorca Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G.","family":"Argenziano","sequence":"additional","affiliation":[{"name":"Dermatology Department Second University of Naples Naples Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Medina","sequence":"additional","affiliation":[{"name":"Dermatology Department Hospital Universitario de Gran Canaria \u201cDoctor Negr\u00edn\u201d Gran Canaria Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F.","family":"Lacarrubba","sequence":"additional","affiliation":[{"name":"Dermatology Department University of Catania Catania Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B.","family":"Ferrer","sequence":"additional","affiliation":[{"name":"Dermatology Department Hospital General Universitario de Valencia Valencia 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