Total body skin examination for skin cancer screening in patients with focused symptoms

Argenziano, Giuseppe; Zalaudek, Iris; Hofmann‐Wellenhof, Rainer; Bakos, Renato Marchiori; Bergman, Wilma; Blum, Andreas; Broganelli, Paolo; Cabo, Horacio; Caltagirone, Filomena; Catricalà, Caterina; Coppini, Maurizio; Dewes, Lucas; Francia, Maria Grazia; Garrone, Alessandro; Türk, Bengü Gerçeker; Ghigliotti, Giovanni; Giacomel, Jason; Gourhant, Jean-Yves; Hlavin, Gerald; Kukutsch, Nicole A.; Lipari, Dario; Melchionda, Giuseppe; Özdemir, Fezal; Pellacani, Giovanni; Pellicano, R.; Puig, Susana; Scalvenzi, Massimiliano; Sortino, Ana Maria Fagundes; Virgili, Annarosa; Kittler, Harald

doi:10.1016/j.jaad.2010.12.039

Cited by 62 publications

(55 citation statements)

References 13 publications

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“…Some big steps towards early diagnosis include screening of the high-risk population, skin self-examination with the assistance of a partner, as well as physicians’ surveillance [51,52]. The benefits of dermatoscopy [53] and total body skin examination are well known, especially when we deal with the population at high risk, such as young individuals with many nevi and elderly people with sun damage [54].…”

Section: Melanoma and Nmsc: Prevention Strategiesmentioning

confidence: 99%

Epidemiological trends in skin cancer

Apalla

Lallas

Sotiriou

et al. 2017

Dermatol Pract Concept

473

386

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Skin cancer, including melanoma and non-melanoma skin cancer (NMSC), represents the most common type of malignancy in the white population. The incidence rate of melanoma is increasing worldwide, while the associated mortality remains stable, or is slightly decreasing. On the other hand, the incidence for NMSC varies widely, with the highest rates reported in Australia.In the current review, we highlight recent global trends in epidemiology of skin cancer. We discuss controversial issues raised in current epidemiological data, we analyze the most important risk factors associated with the development of melanoma and NMSC and the impact of skin cancer on health care services. Furthermore, we underline the pressing need for improved registration policies, especially for NMSC, and lastly, we refer to the ongoing primary and secondary prevention strategies and their outcomes so far.

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Section: Melanoma and Nmsc: Prevention Strategiesmentioning

confidence: 99%

Epidemiological trends in skin cancer

Apalla

Lallas

Sotiriou

et al. 2017

Dermatol Pract Concept

473

386

View full text Add to dashboard Cite

show abstract

“…Given that the majority of melanomas arise on covered areas, total body skin examination has been recommended as a method to facilitate early detection [12,13]. In a previous study assessing the risk of missing a skin cancer if total body skin examination was not performed, several patient factors were found to be significantly associated with this risk [14]. Among them, older age was per se associated to an increased risk.…”

Section: Undress High-risk Patientsmentioning

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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“…Ideally, surveillance of high-risk patients for melanoma via total-body skin examination aided by technology (eg, dermoscopy, reflectance confocal microscopy [RCM]) should aim to maintain a high sensitivity for the detection of melanoma while at the same time prevent the excision of as many nevi as possible. 3 Parameters that can be used to track surveillance efficiency is monitoring ones benign to malignant biopsy ratio (B:M ratio), ratio of thick to thin melanomas, and mean/median melanoma thickness. Total-body photography was one of the first technologies introduced aimed at improving the sensitivity and specificity for melanoma detection.…”

Section: Introductionmentioning

confidence: 99%