Recommendations for skin cancer consultation and surgery during COVID‐19 pandemic

Abstract

Linked articles: COVID‐19 SPECIAL FORUM. J Eur Acad Dermatol Venereol 2020; 34: e433–e466.

The impact of COVID-19 on the new diagnoses of melanoma

“…findings may, as in the present case, indicate a combination of traits indicative of psoriasis and toxicoderma [7,8]. In most of these patients, the lesions can be controlled with topical therapy [4][5][6]8].…”

“…In conclusion, although there was a shift in the number of new CM cases per month compared to previous years, the total number and Breslow thickness were not statistically different, possibly due to the rapid publication of dermato-oncology care recommendations as well as the organization of teledermatology consultations and surgery services for urgent cases. These data highlight the importance of organizing and facilitating access to teledermoscopy consultations [7]…”

“…We observed a clear shift in the number of new cases per month with a decrease in new cases detected linked to the first lockdown period and a significant increase during September 2020, related to the backlog of cancelled visits. In the perspective of a total lockdown, the Belgian Association for Dermato-Oncology published recommendations for dermato-oncology care [7]. Furthermore, several teledermatology systems were rapidly on offer for dermatologists and reimbursed by the health authorities.…”

The impact of the COVID‐19 pandemic on diagnostic delay of skin cancer: a call to restart screening activities

“…8 Published recommendations on screening for skin cancer during the COVID-19 pandemic are presented in Table 1. 9,10 It has been proposed that in order for skin cancer screening to be costeffective, high-risk individuals should be targeted. This is even more so during the COVID-19 pandemic.…”

“…Teleconsultation is advised whenever possible. 9,10 Teledermatology may be used for the triage of individual concerning lesions, and for virtual melanoma checks, especially for those at highest risk of SARS-Cov-2 infection including frail or elderly patients, and those with chronic diseases or immunosuppression. 12 Teledermatology cannot replace medical inspection, dermoscopy and physical examination.…”