Standardization of terminology in dermoscopy/dermatoscopy: Results of the third consensus conference of the International Society of Dermoscopy

Kittler, Harald, Marghoob, Ashfaq A., Argenziano, Giuseppe, Carrera, Cristina, Curiel-Lewandrowski, Clara, Hofmann-Wellenhof, Rainer, Malvehy, Josep, Menzies, Scott, Puig, Susana, Rabinovitz, Harold, Stolz, Wilhelm, Saida, Toshiaki, Soyer, H. Peter, Siegel, Eliot, Stoecker, William V., Scope, Alon, Tanaka, Masaru, Thomas, Luc, Tschandl, Philipp, Zalaudek, Iris and Halpern, Allan (2016) Standardization of terminology in dermoscopy/dermatoscopy: Results of the third consensus conference of the International Society of Dermoscopy. Journal of the American Academy of Dermatology, 74 6: 1093-1106. doi:10.1016/j.jaad.2015.12.038


Author Kittler, Harald
Marghoob, Ashfaq A.
Argenziano, Giuseppe
Carrera, Cristina
Curiel-Lewandrowski, Clara
Hofmann-Wellenhof, Rainer
Malvehy, Josep
Menzies, Scott
Puig, Susana
Rabinovitz, Harold
Stolz, Wilhelm
Saida, Toshiaki
Soyer, H. Peter
Siegel, Eliot
Stoecker, William V.
Scope, Alon
Tanaka, Masaru
Thomas, Luc
Tschandl, Philipp
Zalaudek, Iris
Halpern, Allan
Title Standardization of terminology in dermoscopy/dermatoscopy: Results of the third consensus conference of the International Society of Dermoscopy
Journal name Journal of the American Academy of Dermatology   Check publisher's open access policy
ISSN 1097-6787
0190-9622
Publication date 2016-06
Year available 2016
Sub-type Article (original research)
DOI 10.1016/j.jaad.2015.12.038
Open Access Status Not Open Access
Volume 74
Issue 6
Start page 1093
End page 1106
Total pages 14
Place of publication Philadelphia, United States
Publisher Mosby
Collection year 2017
Language eng
Formatted abstract
Background
Evolving dermoscopic terminology motivated us to initiate a new consensus.

Objective
We sought to establish a dictionary of standardized terms.

Methods
We reviewed the medical literature, conducted a survey, and convened a discussion among experts.

Results
Two competitive terminologies exist, a more metaphoric terminology that includes numerous terms and a descriptive terminology based on 5 basic terms. In a survey among members of the International Society of Dermoscopy (IDS) 23.5% (n = 201) participants preferentially use descriptive terminology, 20.1% (n = 172) use metaphoric terminology, and 484 (56.5%) use both. More participants who had been initially trained by metaphoric terminology prefer using descriptive terminology than vice versa (9.7% vs 2.6%, P < .001). Most new terms that were published since the last consensus conference in 2003 were unknown to the majority of the participants. There was uniform consensus that both terminologies are suitable, that metaphoric terms need definitions, that synonyms should be avoided, and that the creation of new metaphoric terms should be discouraged. The expert panel proposed a dictionary of standardized terms taking account of metaphoric and descriptive terms.

Limitations
A consensus seeks a workable compromise but does not guarantee its implementation.

Conclusion
The new consensus provides a revised framework of standardized terms to enhance the consistent use of dermoscopic terminology.
Keyword Consensus
Dermatoscopy
Melanoma
Nevi
Noninvasive diagnosis
Nonmelanoma skin cancer
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
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