Diagnostic effectiveness of dermoscopy performed by plastic surgery registrars trained in melanoma diagnosis

Pescarini, Elena; E, De Antoni; Azzena, Gian Paolo; Vindigni, Vincenzo; Brambullo, Tito

doi:10.1016/j.bjps.2019.09.032

Cited by 3 publications

(3 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“… 1 Research also suggests that dermoscopy training increases the ability of plastic surgeons to accurately diagnose melanoma and NMSC. 4 , 9 Indeed, a retrospective review involving three plastic surgery trainees with dermoscopy training found their diagnostic accuracy to be comparable to dermatologists. 9 Moreover, among plastic surgeons who attended a one-day dermoscopy training course, the sensitivity of diagnosing malignant skin lesions increased from 56% to 64%, with the specificity increasing from 44% to 64%.…”

Section: Discussionmentioning

confidence: 98%

“… 4 , 9 Indeed, a retrospective review involving three plastic surgery trainees with dermoscopy training found their diagnostic accuracy to be comparable to dermatologists. 9 Moreover, among plastic surgeons who attended a one-day dermoscopy training course, the sensitivity of diagnosing malignant skin lesions increased from 56% to 64%, with the specificity increasing from 44% to 64%. 4 Notwithstanding these results, dermoscopy is a tool with a steep learning curve, and proper use likely requires formal training with sustained exposure.…”

Section: Discussionmentioning

confidence: 98%

“…Plastic surgeons have been shown more likely than dermatologists to proceed with surgical biopsy and excision of suspicious lesions, 9 , 12 possibly related to their underutilization of dermoscopy. 13 While this study was limited to plastic surgeons, only one of whom reported routine use of dermoscopy, it would be of interest to investigate whether there is a difference in management among plastic surgeons who use, and those who do not use, dermoscopy.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Assessing exposure to dermoscopy in plastic surgery training programs

Percival

Nicholas²,

Webb³

et al. 2021

JPRAS Open

View full text Add to dashboard Cite

Summary Background Dermoscopy is a noninvasive tool that improves the diagnostic accuracy of melanoma and other cutaneous malignancies; yet, it is not widely used by plastic surgeons, who commonly manage skin lesions. Thus, the purpose of this study was to explore current practice patterns and knowledge of dermoscopy among plastic surgeons and postgraduate plastic surgery trainees. Additionally, interest to establish a formal dermoscopy curriculum as part of plastic surgery residency training was evaluated. Methods An online electronic questionnaire was developed and distributed through email to practicing plastic surgeons and plastic surgery trainees at two Canadian universities. Results Of the 59 potential participants, 27 (46%) responded. While the majority of participants were familiar with dermoscopy (n = 26; 96%), only one respondent reported using dermoscopy in clinical practice. However, all respondents reported exposure to melanoma clinically (n = 26; one participant did not provide a response). A lack of training, along with lack of access to dermatoscopes, were the most frequently cited reasons for not using dermoscopy. Knowledge scores with regard to dermoscopic features were also low; coupled with a noted propensity toward diagnostic or excisional biopsy, whichcould raise the benign to malignant ratio. Overall, 89% (n = 24) of respondents expressed interest in dermoscopy training in plastic surgery postgraduate training. Conclusions Few responding plastic surgeons or plastic surgery residents currently use dermoscopy in training or practice but are interested in formal dermoscopy training in residency.

show abstract