Screening for skin cancer: experience of an occupational health screening programme

Curley, R. K.; Taylor, Fiona; Marsden, R.A.; Cox, James; McLaughlin, Casey

doi:10.1093/occmed/43.4.207

Cited by 5 publications

(2 citation statements)

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“…Among 25,000 individuals screened by dermatologists in Germany, only 134 (0.5%) cases of melanoma and 208 (0.8%) cases of non‐melanoma skin cancers were diagnosed clinically but were not confirmed histologically 15 . Curley et al 16 . reported a yield of one melanoma in 530 individuals after screening unselected employees from a large U.K. retail company.…”

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confidence: 99%

Melanoma yield, number of biopsies and missed melanomas in a British teaching hospital pigmented lesion clinic: a 9-year retrospective study

Bataille

Sasieni²,

Curley

et al. 1999

British Journal of Dermatology

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The demand for pigmented lesion clinics (PLCs) is increasing in view of improved skin cancer awareness following public health education campaigns. These clinics offer an effective way of screening a large number of patients. However, there is no evidence, as yet, that they have an impact on mortality due to malignant melanoma. With the lack of follow-up inherent to these busy screening clinics, there is some concern that melanomas may be missed. This study reports on 7874 patient visits to a PLC in a teaching hospital between 1985 and 1994. In total, 1705 biopsies were performed over the 9-year period. Lesions were more likely to be biopsied in men compared with women. The yield for picking melanomas was one in 36 patient visits. The mean age of patients attending the PLC was 10 years less than the mean age for population-based melanomas. Melanoma thickness did not significantly change over the 9-year period. Only 0.2% of patients (14 cases) re-presented to the PLC for a second or third visit with a final diagnosis of melanoma, but for five of these patients, the interval between the two visits was over 2 years. Most of these 're-attending' melanomas were early lesions. PLCs offer a fast, safe and efficient service for the screening of pigmented lesions but their role in reducing mortality due to malignant melanoma remains to be established. It is likely that these clinics have an important role in terms of public health education regarding sun avoidance and early recognition of skin cancer.

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Melanoma yield, number of biopsies and missed melanomas in a British teaching hospital pigmented lesion clinic: a 9-year retrospective study

Bataille

Sasieni²,

Curley

et al. 1999

British Journal of Dermatology

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“…[11][12][13] REVISED SEVEN POINT CHECKLIST The seven point checklist, introduced in 1985 and revised in 1990 3 (table 1), was designed to assist non-dermatologists in selecting those pigmented skin lesions with malignant potential, and requiring rapid referral for expert dermatological opinion. If reliable, this would be a valuable tool in a screening clinic.…”

Section: Prognosismentioning

confidence: 99%

Screening for malignant melanoma using instant photography

Edmondson¹,

Curley

Marsden

et al. 1999

J Med Screen

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Objective-To assess the use of instant photography, in addition to clinical grading, as a method of screening for malignant melanoma during routine health examinations. Setting-A health screening clinic with an average throughput of about 12 000 patients a year. Methods-Suspicious pigmented skin lesions were judged clinically using the revised seven point checklist scoring system. They were then photographed with a Polaroid camera and the prints were graded independently by two consultant dermatologists with a special interest in malignant melanoma. A copy of the print was also given to the patient to keep for observation of any change in the lesion. Results-Over a 45 month period 39 922 patients of both sexes were screened and 1052 skin lesions were clinically assessed and photographed. Fourteen malignant melanomas were diagnosed-all, except one, were thin lesions with a good prognosis. Conclusions-The clinical opinions of non-dermatologists using the revised seven point checklist proved disappointing in screening because of the large number of benign lesions that were given high scores. Photography, on the other hand, detected 11 melanomas and succeeded in separating the majority of banal lesions from potentially malignant ones, thus greatly reducing the need for specialist referral. Nevertheless, three melanomas were missed on purely photographic grading, which emphasises the danger of placing too much reliance solely on a two dimensional image. Finally, the possession of a personal copy of the photograph by the patient proved popular and led to a diagnosis of melanoma in two instances. This procedure merits further study. (J Med Screen 1999;6:42-46)

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Worldwide Experience with the Realization of Educational Campaignes

Breitbart¹

1997

Skin Cancer and UV Radiation

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Screening for skin cancer: experience of an occupational health screening programme

Cited by 5 publications

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Melanoma yield, number of biopsies and missed melanomas in a British teaching hospital pigmented lesion clinic: a 9-year retrospective study

Melanoma yield, number of biopsies and missed melanomas in a British teaching hospital pigmented lesion clinic: a 9-year retrospective study

Screening for malignant melanoma using instant photography

Worldwide Experience with the Realization of Educational Campaignes

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