Time Required for a Complete Skin Examination With and Without Dermoscopy

Zalaudek, Iris; Kittler, Harald; Marghoob, Ashfaq A.; Balato, Anna; Blum, Andreas; Dalle, S.; Ferrara, Gerardo; Fink‐Puches, Regina; Giorgio, Caterina M.; Hofmann‐Wellenhof, Rainer; Malvehy, Josep; Moscarella, Elvira; Puig, Susana; Scalvenzi, Massimiliano; Thomas, Luc; Argenziano, Giuseppe

doi:10.1001/archderm.144.4.509

Cited by 81 publications

(46 citation statements)

References 41 publications

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“…However, Zalaudek et al determined that that use of dermoscopy increased the median skin examination time by only 72 seconds. 64 Changes in melanocytic nevi over time can also be appreciated through side-by-side dermoscopic comparisons. Multiple studies have described monitoring nevi by comparison of serially taken dermoscopic images.…”

Section: Using Technology To Augment Early Melanoma Diagnosis Dermoscopymentioning

confidence: 99%

The Evolution of Melanoma Diagnosis: 25 Years Beyond the ABCDs

Rigel

Russak

Friedman

2010

CA: A Cancer Journal for Clinicians

336

281

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Early detection of malignant melanoma remains the key factor in lowering mortality from this cancer. Recognizing the importance of this issue 25 years ago, our group at New York University published in CA: A Cancer Journal for Clinicians the mnemonic "ABCD" to facilitate the early diagnosis of melanoma. Studies have demonstrated the usefulness of this paradigm in enhancing early melanoma diagnosis as a part of clinical examinations, mass screenings, and public education programs. Approaches to melanoma diagnosis have dynamically evolved during the ensuing quarter century. In the 1990s, dermoscopy enabled the recognition of new subsurface features to differentiate between malignant and benign pigmented lesions. During the last decade, new computer-based technologies have improved diagnostic sensitivity and specificity and may result in optimizing lesion selection for biopsy and pathology review. Despite all of the advances in melanoma diagnosis, timely recognition, detection, and rapid treatment of melanoma remain critical. Although pathologic examination remains the gold standard for diagnosis, this cancer has the potential to be diagnosed through noninvasive approaches because of its cutaneous location. From the development of the ABCDs through current attempts that use complex computer algorithms and genetic markers, a clinician's ability to detect melanoma in its earliest form has been augmented. However, a "good clinical eye" is still fundamental to selecting the lesions for evaluation among the sea of those that are prevalent. As current approaches are refined and new techniques are developed, the improved ability to diagnose this cancer will hopefully enhance reaching the goal of reducing melanoma mortality. CA Cancer J Clin 2010;60:301-316.

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Section: Using Technology To Augment Early Melanoma Diagnosis Dermoscopymentioning

confidence: 99%

The Evolution of Melanoma Diagnosis: 25 Years Beyond the ABCDs

Rigel

Russak

Friedman

2010

CA: A Cancer Journal for Clinicians

336

281

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“…1d). Opponents of the method argue that examining dermoscopically all lesions would be time-consuming, but it has been shown that, with experience, dermoscopic examination adds very little extra time (2 min), especially if a polarized-light handheld instrument is used [11]. …”

Section: Look Basically At All Lesionsmentioning

confidence: 99%

Management Rules to Detect Melanoma

et al. 2013

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Most melanomas are easy to be diagnosed clinically and dermoscopically. The question remains open concerning the correct strategies to detect those melanomas that look morphologically inconspicuous from a clinical and/or dermoscopic point of view. In our estimation, when morphology is not enough to recognize melanoma, one has to use specific management strategies. Herein we summarize the following 7 simple and practical rules that outline the need for a more general approach integrating clinical information with dermoscopic examination: (1) Look basically at all lesions. (2) Undress high-risk patients. (3) Use the 10 seconds rule in single lesions. (4) Compare and monitor multiple moles. (5) Excise doubtful nodular lesions. (6) Combine clinical and dermoscopic criteria. (7) Combine clinical and histopathologic criteria.

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“…In practical terms this means that combination of clinical evaluation and dermoscopy reduces the risk of false-negative diagnoses in melanoma [11,13] and reduces the possibility of false-positive cases referred to surgical excision, thus limiting the risk of removing pigmented lesions defined as suspicious on clinical examination but diagnosed as benign on histological examination [14]. In addition, combined clinical and dermoscopic examination is only slightly longer than clinical examination alone [15]. …”

Section: Discussionmentioning

confidence: 99%

Diagnostic Services for Melanoma in Italy

et al. 2013

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Objective: To evaluate organizational structure and diagnostic procedures used by the Italian hospital network for identifying cutaneous melanoma. Methods: A nationwide survey of a representative sample of centers was conducted. Results: Diagnosis occurs mainly in ambulatory dermatology clinics (91%). In all high-volume hospitals, clinical and dermoscopic examination is available at first consultation or as an additional service, compared to 89% of low-volume hospitals. Computer-assisted videodermoscopy is available in 75% of hospitals, with a statistically significant difference between high- and low-volume hospitals (86 vs. 62%; p < 0.001). First consultation is generally an integrated clinical/dermoscopic evaluation (55% of high-volume centers vs. 47% of low-volume hospitals); digital evaluation is available for monitoring suspicious lesions and high-risk patients in 25% of high-volume centers versus 19% of low-volume centers. Conclusions: The organizational structure and diagnostic procedures in Italian hospitals are in line with modern diagnostic procedures for early diagnosis of melanoma. Dermatologists have a central role in managing diagnosis of primitive melanoma.

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Time Required for a Complete Skin Examination With and Without Dermoscopy

Abstract: To determine the time required to perform a complete skin examination (CSE) as a means of opportunistic screening for skin cancer both without and with dermoscopy.

Cited by 81 publications

References 41 publications

The Evolution of Melanoma Diagnosis: 25 Years Beyond the ABCDs

The Evolution of Melanoma Diagnosis: 25 Years Beyond the ABCDs

Management Rules to Detect Melanoma

Diagnostic Services for Melanoma in Italy

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