- Dermoscopic Evaluation of Amelanotic and Hypomelanotic Melanoma
- Three-point checklist
- Dermoscopy of malignant melanoma
- ADVANTAGES OVER EXISTING TECHNOLOGY
- Dermoscopy for the diagnosis of melanoma: primary care diagnostic technology update
- Dermoscopy Superficial Spreading Melanoma 3
In patients presenting to primary care with suspected melanoma, does dermoscopy increase the sensitivity and specificity of melanoma diagnosis compared to simple visual inspection? Early detection of melanoma is the single most promising strategy to cut mortality rates of this disorder. Two factors directly influence clinical practice and patient management: first, the ability to identify lesions correctly that have the potential to be melanoma; and second, the number of skin excisions performed to confirm diagnosis.
Dermoscopy is a technique for the analysis of pigmented skin lesions. This technique represents a link between clinical and histological views. It also helps in the diagnosis of many other pigmented skin lesions that can mimic melanoma; such as, seborrheic keratosis, pigmented basal cell carcinoma, haemangioma, blue naevus, atypical naevus, and benign naevus.
Dermoscopic Evaluation of Amelanotic and Hypomelanotic Melanoma
Dermoscopic monitoring of pigmented lesions increases the likelihood that featureless melanomas are not overlooked and minimises the excision of benign lesions. The usual magnification provided by the dermatoscope is ten-fold.
Skin malignancy is an important cause of mortality in the UK, and is rising in incidence every year. An important determinant of outcome is initial recognition and management of the lesion.
National Institute for Health and Clinical Excellence NICE guidance reports that one-quarter of primary care consultations in England and Wales are related to the diagnosis and management of skin conditions, including skin lesions 1.
Cancer research UK data for reported deaths due to malignant melanoma.
As with many cancer diagnoses, if melanoma is diagnosed early the survival rates are good; most stage 1 and stage 2 melanomas can be cured. All patients were re-evaluated by expert dermatologists.
The study concluded that the use of dermoscopy improves the ability of GPs to triage lesions that are suggestive of skin cancer.
Results of this study will be relevant to the diagnosis of melanoma in primary care. There is no published evidence on the cost and cost-effectiveness of the use of dermoscopy for the diagnosis of melanoma in primary care. Several researchers have commented that dermoscopy in routine practice may have major implications in large-scale melanoma screening, with a reduction in the dermatological surgery workload of false-positive lesions, leading to cost savings, reduced morbidity, and less scarring.
Future research is needed to assess whether the use of dermatoscopes in a primary care setting is cost-effective in terms of early detection of melanomas. The authors would like to thank Richard Stevens and Nia Roberts for helpful discussions.
NICE clinical guideline. Improving outcomes for people with skin tumours including melanoma update : the management of low-risk basal cell carcinomas in the community. National Center for Biotechnology Information , U. Br J Gen Pract.
Dermoscopy of malignant melanoma
Author information Article notes Copyright and License information Disclaimer. E-mail: ku. Received Jun 30; Accepted Aug This article has been cited by other articles in PMC.
Clinical Question In patients presenting to primary care with suspected melanoma, does dermoscopy increase the sensitivity and specificity of melanoma diagnosis compared to simple visual inspection? Acknowledgments The authors would like to thank Richard Stevens and Nia Roberts for helpful discussions.
Provenance Freely submitted; not externally peer reviewed. Competing interests The authors have declared no competing interests. Final version of AJCC melanoma staging and classification.
J Clin Oncol. Recognition of skin malignancy by general practitioners: observational study using data from a population-based randomised controlled trial. Br J Cancer.
ADVANTAGES OVER EXISTING TECHNOLOGY
Arch Dermatol. Diagnostic accuracy of dermoscopy. Lancet Oncol.
Is dermoscopy epiluminescence microscopy useful for the diagnosis of melanoma? Results of a meta-analysis using techniques adapted to the evaluation of diagnostic tests. Dermoscopy compared with naked eye examination for the diagnosis of primary melanoma: a meta-analysis of studies performed in a clinical setting.
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Dermoscopy for the diagnosis of melanoma: primary care diagnostic technology update
Dermoscopy improves accuracy of primary care physicians to triage lesions suggestive of skin cancer. The CASH color, architecture, symmetry, and homogeneity algorithm for dermoscopy. J Am Acad Dermatol.
CASH algorithm for dermoscopy revisited. Three-point checklist of dermoscopy: an open internet study.
Dermoscopy for skin cancer detection. Curr Opin Oncol.
Dermoscopy Superficial Spreading Melanoma 3
Dermatol Psychosom. Support Center Support Center. External link.