Background/Aim. Growing incidence of skin tumors require their accurate
diagnosis. Dermoscopy, especially in-vivo, enhances diagnosis of basal cell
carcinoma (BCC). Total body skin examination (TBSE), a visual inspection of
the patient?s total body surface, is considered basic step in dermatological
exam, especially in skin cancer screening. However, TBSE is still a matter
of debate of its expediency in real clinical setting. Aim of this study is
to analyze diagnostic accuracy of BCC detected and treated by referred
dermatologists in Skin Cancer Unit of a Dermatology and Venereology Clinic.
Methods. Retrospective analysis of the BCC detection during total body skin
examination with visual inspection and dermoscopy. We calculated sensitivity
and specificity and positive predictive value for BCC using
histopathological results as correct diagnosis. Results. Out of 3346
biopsied skin tumors 49.58% were malignant and 50.42% benign. The most
common malignant tumor was BCC, accounting for 84.09%. Localization of BCCs
was mainly on the trunk 38.92% and on H-zone of the face 37.63%. Other
localizations were face (non-H-zone) 6.67%, neck 3.01%, scalp 3.37%, arms
6.88% and limbs 3.51%. Of all BCCs, 0.83% were recurrent BCC. The
sensitivity for diagnosis BCC was 97.71%, and positive predictive value
95.08%. Conclusion. In dermatology setting, total body skin examination
(TBSE) and visual inspection with in-vivo dermoscopy results with very good
diagnostic performance of BCC.