{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T15:57:21Z","timestamp":1792252641226,"version":"4.4.0"},"reference-count":142,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T00:00:00Z","timestamp":1773878400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T00:00:00Z","timestamp":1773878400000},"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":["Acad Dermatol Venereol"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Lentigo maligna (LM) is a subtype of cutaneous melanoma in\u00a0situ that develops on chronically sun\u2010damaged skin in elderly individuals. Its diagnosis and management remain challenging due to its slow progression, frequent occurrence on cosmetically sensitive areas in frail individuals, and tendency for subclinical peripheral extension. Despite its potential for invasive transformation, the natural history of LM remains incompletely understood and evidence\u2010based management strategies for this specific entity remain limited. This work aims to bridge the gap between scarce high\u2010quality evidence and the clinicians' need for practical guidance on LM management by formulating evidence\u2010based and expert consensus\u2010driven recommendations for diagnosis, treatment and follow\u2010up. Under the coordination of the International Dermoscopy Society, a global, multidisciplinary consortium of 53 experts\u2014including dermatologists, dermato\u2010oncologists, dermatologic surgeons, radiologists, radiotherapists, pathologists and epidemiologists\u2014formulated recommendations through structured consensus, informed by a comprehensive review of current scientific evidence and clinical practice standards. Optimal management of LM requires accurate diagnosis and individualized treatment planning. Non\u2010invasive skin imaging techniques, especially dermoscopy and reflectance confocal microscopy, aid in diagnosis, biopsy orientation, lesion delineation and post\u2010treatment monitoring. Multiple partial biopsies help confirm diagnosis and rule out invasion. Complete surgical excision remains the first treatment option. No definitive safety margins can be recommended for standard surgery; margin\u2010controlled techniques are preferable for large or ill\u2010defined lesions. Topical imiquimod and radiotherapy are effective alternatives where surgery is unsuitable. Topical imiquimod is useful as primary, adjuvant or neoadjuvant therapy. Blind destructive methods should be avoided. Close clinical and imaging follow\u2010up is needed. Patient\u2010centred care, shared decision\u2010making, and a multidisciplinary approach are critical for optimal outcomes. These international consensus recommendations summarize current best practices for LM management, offering practical, evidence\u2010informed guidance to clinicians while acknowledging the potential of future research in refining these conclusions.<\/jats:p>","DOI":"10.1111\/jdv.70406","type":"journal-article","created":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T11:00:30Z","timestamp":1773918030000},"page":"1600-1617","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["International Dermoscopy Society consensus recommendations for the management of lentigo maligna"],"prefix":"10.1111","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1007-7883","authenticated-orcid":false,"given":"Ana\u2010Maria","family":"Forsea","sequence":"first","affiliation":[{"name":"Carol Davila University of Medicine and Pharmacy Bucharest, Oncologic Dermatology Department Elias University Hospital  Bucharest Romania"},{"name":"Health and Medical University Potsdam  Potsdam Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Riccardo","family":"Pampena","sequence":"additional","affiliation":[{"name":"Gaeta, Private Practice  Formia Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4896-1666","authenticated-orcid":false,"given":"Bengu Nisa","family":"Akay","sequence":"additional","affiliation":[{"name":"Department of Dermatology Medicine Faculty, Ankara University  Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9255-8196","authenticated-orcid":false,"given":"Zoe","family":"Apalla","sequence":"additional","affiliation":[{"name":"School of Medicine Aristotle University of Thessaloniki  Thessaloniki Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1413-8214","authenticated-orcid":false,"given":"Giuseppe","family":"Argenziano","sequence":"additional","affiliation":[{"name":"Dermatology Unit University of Campania  Naples Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0421-3241","authenticated-orcid":false,"given":"Giulia","family":"Briatico","sequence":"additional","affiliation":[{"name":"Dermatology Unit University of Campania  Naples Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ralph","family":"Braun","sequence":"additional","affiliation":[{"name":"University of Zurich  Zurich Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Horacio","family":"Cabo","sequence":"additional","affiliation":[{"name":"Dermatology Section, Instituto de Investigaciones Medicas \"A. Lanari\" University of Buenos Aires  Buenos Aires Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raul","family":"Cabrera","sequence":"additional","affiliation":[{"name":"Department of Dermatology Universidad del Desarrollo\u2010Cl\u00ednica Alemana de Santiago de Chile  Santiago Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1608-8820","authenticated-orcid":false,"given":"Cristina","family":"Carrera","sequence":"additional","affiliation":[{"name":"Dermatology Service, Pharmacovigilance Group, Medicine Department, Hospital Cl\u00ednic University of Barcelona  Barcelona Spain"},{"name":"Melanoma Group \u2010 IDIBAPS  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisa","family":"Cinotti","sequence":"additional","affiliation":[{"name":"Dermatology Section, Department of Medical, Surgical, and Neurological Sciences University Hospital of Siena  Siena Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5126-8873","authenticated-orcid":false,"given":"Claudio","family":"Conforti","sequence":"additional","affiliation":[{"name":"IDI\u2010IRCCS, Dermatological Research Hospital  Rome Italy"},{"name":"Department of Life Science, Health, and Health Profession Link University of Rome  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Enzo","family":"Errichetti","sequence":"additional","affiliation":[{"name":"Department of Medicine, Institute of Dermatology University of Udine  Udine Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerardo","family":"Ferrara","sequence":"additional","affiliation":[{"name":"Anatomic Pathology and Cytopathology Unit, Istituto Nazionale Tumori IRCCS Fondazione \u2019G. Pascale\u2019  Naples Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberta","family":"Giuffrida","sequence":"additional","affiliation":[{"name":"Department of Clinical and Experimental Medicine, Dermatology University of Messina  Messina Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefania","family":"Guida","sequence":"additional","affiliation":[{"name":"School of Medicine, Vita\u2010Salute San Raffaele University  Milan Italy"},{"name":"Dermatology Clinic IRCCS San Raffaele Hospital  Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pascale","family":"Guitera","sequence":"additional","affiliation":[{"name":"Melanoma Institute Australia University of Sydney  Sydney New South Wales Australia"},{"name":"Sydney Melanoma Diagnostic Centre, Royal Prince Alfred Hospital  Camperdown New South Wales 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