Advances in the Diagnosis, Prevention and Treatment of Skin Tumors

A special issue of Medicina (ISSN 1648-9144). This special issue belongs to the section "Dermatology".

Deadline for manuscript submissions: closed (15 January 2025) | Viewed by 4267

Special Issue Editor


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Guest Editor
Department of Dermatology, Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania
Interests: skin cancers; psoriasis; atopic dermatitis; hidradenitis suppurativa; chronic wounds; bullous diseases
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Special Issue Information

Dear Colleagues,

I am delighted to announce that, along with Prof. Dr. Calin Giurcaneanu and Assistant Professor Cristina Beiu, in collaboration with the journal Medicina (ISSN 1648-9144, IF 2.4, cite score 3.3, Q1 in the “Medicine, General and Internal” category, https://www.mdpi.com/journal/medicina) I am organizing a Special Issue on “Advances in the Diagnosis, Prevention and Treatment of Skin Tumors”.

Skin cancer is not only one of the most frequent forms of cancer, but also one of the most preventable and readily recognizable. Still, in the past three decades, the incidence of no other cancer has risen as much as that of non-melanoma skin cancer, particularly cutaneous squamous cell carcinoma, while the rise in the incidence of melanoma ranked third among all types of cancer. Apart from causing significant morbidity, the mortality rates of skin cancers have remained stable or have shown a slight decrease. There are countless factors responsible for these phenomena, including genetics, increased longevity, various causes of immunosuppression, exposure to toxic agents, ozone depletion and climate change, as well as the results of prevention and early diagnosis campaigns and improved diagnostic tools. Nevertheless, efforts to improve primary prevention and detect skin cancers in an early phase need to be intensified.

Our aim is to bring together and support both clinicians and researchers to share their experiences and discuss the results of their innovative studies regarding the prevention, early diagnosis and treatment of skin tumors.

Therefore, we hope you find the topic of our Special Issue interesting and we warmly invite you to submit an original article or review. The submission deadline is 15 January 2025.

Dr. Liliana Gabriela Popa
Guest Editor

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Keywords

  • skin cancer
  • melanoma
  • basal cell carcinoma
  • squamous cell carcinoma
  • prevention, early diagnosis
  • dermoscopy
  • medical treatment
  • surgery

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Published Papers (3 papers)

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Research

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10 pages, 1413 KiB  
Article
Characterizing CD133 and NANOG Expression in Melanoma: Associations with Histological and Epidemiological Parameters
by Adrian-Horațiu Sabău, Raluca Niculescu, Iuliu-Gabriel Cocuz, Andreea-Cătălina Tinca, Andreea Raluca Szöke, Bianca Andreea Lazar, Diana Maria Chiorean, Corina Eugenia Budin, Alexandru Nicușor Tomuț and Ovidiu Simion Cotoi
Medicina 2024, 60(10), 1658; https://doi.org/10.3390/medicina60101658 - 10 Oct 2024
Cited by 1 | Viewed by 1259
Abstract
Background/Objectives: Melanoma is an aggressive skin malignancy, and the majority of deaths associated with melanoma result from malignant skin lesions. Our study aims to evaluate the expression of the markers CD133 and NANOG, associated with tumor stem cells, and to analyze their [...] Read more.
Background/Objectives: Melanoma is an aggressive skin malignancy, and the majority of deaths associated with melanoma result from malignant skin lesions. Our study aims to evaluate the expression of the markers CD133 and NANOG, associated with tumor stem cells, and to analyze their link with epidemiological and histological parameters, thus contributing to early diagnosis and the development of targeted therapies. Methods: We performed a retrospective study in the Mureș Clinical County Hospital, Romania, which included 66 cases of melanoma: 50 primary cutaneous melanomas, 10 metastases, and 6 local recurrences. CD133 and NANOG marker expression was assessed by immunohistochemistry and quantified using the H score. Statistical analyses were applied to determine the correlations between marker expression and clinicopathological parameters. Results: CD133 expression was identified in six cases (12%) of primary melanoma, with a mean H-Score of 29, and was associated with an increased Breslow index and a higher number of mitoses. NANOG expression was positive in 30 cases (60%) of primary melanoma, with a median H-Score of 15 and with increased expression observed in cases with pagetoid migration and lesions in situ. In metastases, eight cases (80%) were positive for NANOG and four (40%) for CD133. Local recurrences showed positive expression for NANOG in four cases (66%). Conclusions: The expression of CD133 and NANOG markers highlights the role of tumor stem cells in melanoma progression. Early identification of these markers could improve diagnosis and treatment, including the application of targeted therapies. Full article
(This article belongs to the Special Issue Advances in the Diagnosis, Prevention and Treatment of Skin Tumors)
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Review

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16 pages, 2481 KiB  
Review
Quercetin as a Potential Therapeutic Agent for Malignant Melanoma—A Review of Current Evidence and Future Directions
by Teodora Hoinoiu, Victor Dumitrascu, Daniel Pit, David-Alexandru Schipor, Madalina Jabri-Tabrizi, Bogdan Hoinoiu, David Emanuel Petreuș and Corina Seiman
Medicina 2025, 61(4), 656; https://doi.org/10.3390/medicina61040656 - 2 Apr 2025
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Abstract
Neoplastic disorders, particularly malignant carcinomas, are complex systemic diseases characterized by unregulated cellular proliferation, the invasion of adjacent tissues, and potential metastasis to distant bodily sites. Among the diverse spectrum of cancer subtypes, malignant melanoma is a highly aggressive form of cutaneous cancer [...] Read more.
Neoplastic disorders, particularly malignant carcinomas, are complex systemic diseases characterized by unregulated cellular proliferation, the invasion of adjacent tissues, and potential metastasis to distant bodily sites. Among the diverse spectrum of cancer subtypes, malignant melanoma is a highly aggressive form of cutaneous cancer originating in melanocytes, the pigment-producing cells resident in the skin. This malignancy is distinguished by its rapid and uncontrolled growth, as well as its propensity for metastasis to vital organs, thereby posing significant challenges to therapeutic intervention and prognostication. Early detection of melanoma is crucial for optimizing patient outcomes, as diagnosis at an advanced stage often yields a poor prognosis and limited treatment options. Diagnostic modalities for melanoma encompass comprehensive clinical evaluations by dermatologists; radiological imaging techniques such as ultrasonography, magnetic resonance imaging (MRI), computed tomography (CT) scans; and excisional biopsies for accurate histopathological assessment. Malignant melanoma is typically treated with surgery to remove the tumor, followed by immunotherapy to enhance the immune response, targeted therapy for tumors with specific genetic mutations, chemotherapy for advanced stages, radiation therapy to manage metastasis, and other adjunct therapies. This review presents the properties and possible adjunct therapeutic effects against malignant melanoma of quercetin found in the literature and explores, based on the observed physicochemical properties and biological activity, its potential development as a topical formulation for cutaneous application. Quercetin is a naturally occurring flavonoid compound abundant in various plant-based food sources, including apples, onions, berries, and citrus fruits, and has exhibited promising antiproliferative, antioxidant, and anticancer properties. Its distinctive biochemical structure enables quercetin to effectively neutralize reactive oxygen species and modulate key carcinogenic pathways, thereby rendering it a potential candidate for therapeutic intervention in managing malignant tumors, including melanoma. Full article
(This article belongs to the Special Issue Advances in the Diagnosis, Prevention and Treatment of Skin Tumors)
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8 pages, 11788 KiB  
Review
Atypical Presentation of Rapidly Progressive Cutaneous Metastases of Clear Cell Renal Carcinoma: A Case Report
by Carmen Andrada Iliescu, Cristina Beiu, Andreea Racoviță, Cristina-Mihaela Olaru, Irina Tudose, Andreea Vrancianu and Liliana Gabriela Popa
Medicina 2024, 60(11), 1797; https://doi.org/10.3390/medicina60111797 - 1 Nov 2024
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Abstract
Cutaneous metastases from clear cell renal carcinoma (ccRC) are uncommon and often indicate a poor prognosis. These metastases typically occur on the scalp, face, and trunk, and they can be difficult to diagnose due to their resemblance to benign dermatological tumors. We report [...] Read more.
Cutaneous metastases from clear cell renal carcinoma (ccRC) are uncommon and often indicate a poor prognosis. These metastases typically occur on the scalp, face, and trunk, and they can be difficult to diagnose due to their resemblance to benign dermatological tumors. We report the case of a 56-year-old patient with a history of ccRC (TNM stage 4) who was referred to our dermatology department with two rapidly enlarging, painful lesions on the left jawline and scalp, which had developed one month and one week earlier, respectively. On examination, the lesions appeared as well-defined, round to oval plaques with a central ulceration and a peripheral red rim, suggestive of an inflammatory appearance. Dermoscopic examination revealed a structureless pink to orange pattern, atypical central vessels, and irregular linear vessels in a corona-like arrangement. Despite the patient’s stable oncological treatment for six months, pain management had recently included paracetamol, tramadol, and NSAIDs. The primary presumptive diagnosis was of cutaneous metastasis, considering the patient’s history of metastatic ccRC. However, given the recent initiation of new pharmacological agents, the rapid progression of the cutaneous lesions, and their clinical presentation, alternative differential diagnoses were considered, including drug-induced reactions such as erythema multiforme or fixed drug eruption. A biopsy of the facial lesion revealed immunohistochemical positivity for CD10, CAIX, and PAX8, confirming the diagnosis of metastatic ccRC with sarcomatoid differentiation. Unfortunately, despite continued targeted therapies and palliative care, the patient’s condition deteriorated rapidly, leading to death two months later. This case highlights the potential for extremely rapidly evolving cutaneous metastases from ccRC and their capacity to occasionally mimic atypical drug eruptions. Additionally, it reaffirms the poor prognosis of such metastases, as evidenced by the patient’s death within two months. Full article
(This article belongs to the Special Issue Advances in the Diagnosis, Prevention and Treatment of Skin Tumors)
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