Screening for skin cancer

Helfand, Mark; Mahon, Susan M.; Eden, Karen; Frame, Paul; Orleans, C. Tracy

doi:10.1016/s0749-3797(01)00258-6

Cited by 123 publications

(67 citation statements)

References 76 publications

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“…However, this design does not allow statistical modeling of changes in behavior and intentions to the same extent as a nested cohort design with longitudinal measurement. 35 Although the yield of melanoma cases detected within the screening program was higher than reported from open skin-screening days in the U.S. or elsewhere, 36 the number of melanomas detected is still small, and therefore the results need to be interpreted with caution. The generalizability of these results may be limited, as the study communities were located in rural and regional areas of Queensland.…”

Section: Discussionmentioning

confidence: 96%

What motivates men age ≥ 50 years to participate in a screening program for melanoma?

Janda

Youl

Lowe

et al. 2006

Cancer

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BACKGROUND.The screening behavior and screening outcomes of men age ≥50 years was investigated within a randomized controlled trial of a community‐based intervention of screening for melanoma, consisting of a community education program, an education program for medical practitioners, and the provision of dedicated skin‐screening clinics.METHODS.Data from cross‐sectional telephone surveys before (559 completed interviews), at the end (591 completed interview), and at 2 years after the intervention (445 completed interviews) were analyzed. In addition, the authors analyzed data from skin‐screening clinics within the intervention program (3355 men age ≥50 years participated).RESULTS.During the intervention period men age ≥50 years increased both their screening behavior and intention to screen. Those men age ≥50 years who reported a past history of removal of a mole as well as other risk factors for skin cancer and positive attitudes toward screening were more likely to participate in skin screening across time. Men age ≥50 years accounted for 20.5% of all skin‐screening clinic attendees, 31.3% of those referred for a suspicious lesion, 48.5% of melanomas, and 45% of all keratinocyte carcinomas diagnosed within the screening program, respectively.CONCLUSIONS.The intervention program successfully motivated men age ≥50 years to attend screening for skin cancer, resulting in the highest yield of skin cancer within this subgroup of the population. Messages addressing skin cancer risk factors and attitudes toward skin cancer and screening could be used to target a screening program for melanoma toward men age ≥50 years. Cancer 2006. © 2006 American Cancer Society.

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Section: Discussionmentioning

confidence: 96%

What motivates men age ≥ 50 years to participate in a screening program for melanoma?

Janda

Youl

Lowe

et al. 2006

Cancer

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“…5 Visual inspection is also associated with a high false positive rate for skin cancer, 6 and atypical or deeper cancerous lesions can be difficult to diagnose with physical examination alone. [7][8][9][10][11][12] Technologies such as MRI, MR spectroscopy, among others can provide functional and physiological information about skin lesions as well as information about size, depth and location. [13][14][15][16][17][18] While optical coherence tomography and other optical techniques, including elastography, show promise given their ability to provide high-resolution skin imaging and flow data, [19][20][21] they are not readily available in imaging or dermatology departments.…”

Section: Introductionmentioning

confidence: 99%

Quantified ultrasound elastography in the assessment of cutaneous carcinoma

Dasgeb¹,

Morris

Mehregan³

et al. 2015

BJR

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Objective: To evaluate the feasibility of high-frequency ultrasound and ultrasound elastography (USE) in discriminating benign from malignant skin lesions in a prospective cohort study and to introduce the use of a "strain ratio" for evaluation of skin lesions. Methods: A commercial ultrasound system with a 14-MHz transducer was used to visualize skin lesions requiring biopsy on clinical evaluation. Anatomic ultrasound and USE imaging of the skin lesions was performed using 2-to 4-mm gel stand-off pads. A region of interest was manually selected over the area of each lesion with the lowest strain. The concept of a strain ratio of the compressibility of the normal skin at the corresponding layer to that of the least compressible region of a lesion in question was created and applied. This ratio was subsequently correlated with blind histopathological evaluation for malignancy. Results: 55 patients were included in the study with a total of 67 lesions evaluated. 29 lesions were malignant and 38 benign. All malignant lesions had strain ratios $3.9. All benign lesions had strain ratios #3.0. A diagnostic value between 3.0 and 3.9 would result in 100% sensitivity and specificity in the characterization of these lesions as malignant.Conclusion: This pilot study demonstrated that USE plus strain ratio appears to be a promising modality in providing diagnostic determination between cancerous and benign primary solitary skin lesions prior to biopsy. Advances in knowledge: This is the first reported study applying an original mathematical elastographic ratio, or strain ratio, to evaluate primary solitary skin lesions.

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“…Some organizations endorse screening of all adults; 11 others promote screening of those at high risk only, 12 and others do not endorse screening at all. 13,14 In light of the inconsistent guidelines, we conducted a national study of primary care physicians' skin cancer examination and prevention practices. Given the greater incidence of skin cancer among persons at high risk, 15,16 we focused on physicians' obstacles and their practices used with these patients and explored strategies for improvement.…”

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confidence: 99%

Overcoming Obstacles to Skin Cancer Examinations and Prevention Counseling for High-Risk Patients: Results of a National Survey of Primary Care Physicians

Geller¹,

O’Riordan²,

Oliveria³

et al. 2004

The Journal of the American Board of Family Medicine

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Objective: Primary care physicians are in a unique position to perform skin cancer examinations and provide prevention counseling, given that approximately 40% of office visits to physicians in the United States are to a family practitioner or internist. Compared with family or self-detection, physician detection is associated with an increased probability of detecting thinner melanomas. However, little research has attempted to identify the major obstacles to performing a skin cancer examination and recommending prevention practices.Methods: In the spring of 2002, we surveyed primary care physicians from all 50 states, including family medicine physicians, internists, and general practitioners sampled from the American Medical Association's Medical Marketing Services' database. There were 4 primary outcome variables related to early detection and prevention practices for average-risk patients and patients with risk factors: performing a full-body skin examination; recommending regular skin self-examination; and recommending sun protection practices and avoidance of tanning booths for patients younger than age 35.Results: We received surveys from 380 (60%) of 632 eligible physicians. Nearly 60% of physicians routinely performed full-body examinations with their high-risk patients. In the regression analysis of factors influencing physician examination of high-risk patients, lack of time was the strongest barrier [odds ratio (OR) 0.3 (95% confidence interval (CI) 0.2 to 0.6)]. Physicians using the most information sources [OR 2.5 (95% CI 1.3 to 4.8)] were the most likely to examine their high-risk patients. Physicians whose patients requested a skin examination were more likely to examine their patients compared with physicians whose patients did not request such an examination (P < .01).Conclusions: Concerted public and professional education efforts must be made to provide resources that help physicians efficiently weave skin cancer examinations and prevention counseling into routine practice while also motivating high-risk patients to request full-body examinations and counseling. ( Incidence and mortality rates for melanoma are rising faster than those for nearly all other cancers.

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Screening for skin cancer

Cited by 123 publications

References 76 publications

What motivates men age ≥ 50 years to participate in a screening program for melanoma?

What motivates men age ≥ 50 years to participate in a screening program for melanoma?

Quantified ultrasound elastography in the assessment of cutaneous carcinoma

Overcoming Obstacles to Skin Cancer Examinations and Prevention Counseling for High-Risk Patients: Results of a National Survey of Primary Care Physicians

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