Visual inspection and dermoscopy, alone or in combination, for diagnosing keratinocyte skin cancers in adults

Abstract

Background Early accurate detection of all skin cancer types is important to guide appropriate management, to reduce morbidity and to improve survival. Basal cell carcinoma (BCC) is almost always a localised skin cancer with potential to infiltrate and damage surrounding tissue, whereas a minority of cutaneous squamous cell carcinomas (cSCCs) and invasive melanomas are higher-risk skin cancers with the potential to metastasise and cause death. Dermoscopy has become an important tool to assist specialist clinicians in the diagnosis of melanoma, and is increasingly used in primary-care settings. Dermoscopy is a precision-built handheld illuminated magnifier that allows more detailed examination of the skin down to the level of the superficial dermis. Establishing the value of dermoscopy over and above visual inspection for the diagnosis of BCC or cSCC in primary-and secondary-care settings is critical to understanding its potential contribution to appropriate skin cancer triage, including referral of higher-risk cancers to secondary care, the identification of low-risk skin cancers that might be treated in primary care and to provide reassurance to those with benign skin lesions who can be safely discharged. Objectives To determine the diagnostic accuracy of visual inspection and dermoscopy, alone or in combination, for the detection of (a) BCC and (b) cSCC, in adults. We separated studies according to whether the diagnosis was recorded face-to-face (in person) or based on remote (imagebased) assessment.

Development of a clinical-dermoscopic model for the diagnosis of urticarial vasculitis

“…Dermoscopy improves and completes clinical examination by revealing morphologic structures scarcely visible or invisible on the standard naked-eye physical examination, enhancing the most basic of diagnostic functions in dermatology: the visual inspection 15 . Dermoscopy has a well demonstrated value in the diagnosis of skin tumours, especially melanoma, but also of many non-tumoral dermatosis, such as infections and infestations, hair or nail diseases and inflammatory skin conditions [15][16][17] . In addition, nail fold dermoscopy may be applied for the screening of suspected connective tissue diseases instead of classic capillaroscopy 18 .…”

Clinical, Histopathological and Laboratory Characteristics of Non-melanoma Skin Cancers: A Retrospective, Single-Center Study of 483 Patients

“…Dinnes ve ark.nın yaptığı sistematik bir derlemede, görsel inspeksiyon ve dermatoskopinin tek başlarına ve birlikte uygulandıklarında elde edilen doğruluk oranları karşılaştırılmış ve her iki yöntemin birlikte kullanılmasının keratinositik deri kanserlerinde tanı doğruluğunu artırdığı gösterilmiştir. 30 35 Klinik ve dermatoskopik özelliklerin yanı sıra laboratuvar parametreleri BHK/SHK ayrımında yol gösterici olabilir.…”

“…Yıldız HAYRAN ve ark.Tur ki ye Kli nik le ri J Med Sci. 2020;40(1):[26][27][28][29][30][31][32][33][34][35][36] …”

Twenty-five practical recommendations in primary care dermoscopy

“…Dermoscopy is efficient in the early diagnosis of melanoma [1][2][3] and possibly efficient in diagnosing keratinocyte carcinomas. 4 We have previously reported novel applications of dermoscopy applied in primary care. [5][6][7] In line with investigators in secondary care, 8,9 we reported that dermoscopy enhances the diagnosis of vascular skin lesions, 10 infections 11 and infestations in primary care.…”