The status of dermoscopy in Germany – results of the cross‐sectional Pan‐Euro‐Dermoscopy Study

Blum, Andreas; Kreusch, Jürgen; Stolz, Wilhelm; Argenziano, Giuseppe; Forsea, Ana‐Maria; Marmol, Véronique Del; Zalaudek, Iris; Soyer, H. Peter; Haenssle, Holger A.

doi:10.1111/ddg.13431

Cited by 17 publications

(26 citation statements)

References 37 publications

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“…Dermoscopy is a helpful tool for the differentiation of benign nevi and cutaneous melanomas [1][2][3][4]. As shown in previous meta-analyses, dermoscopy markedly improves the sensitivity and specificity of melanoma diagnosis in comparison to examination with the unaided eye [5][6][7].…”

Section: Introductionmentioning

confidence: 99%

Differentiation of combined nevi and melanomas: Case‐control study with comparative analysis of dermoscopic features

Schweizer

Fink

Bertlich

et al. 2020

J Deutsche Derma Gesell

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Background and objectives: Combined nevi (CN) show two or more components of major nevus subtypes and simulate melanomas. We investigated a panel of dermoscopic features and three dermoscopic algorithms for differentiating CN from melanomas.Patients and methods: Retrospective, blinded case-control study using dermoscopic images of 36 CN and 36 melanoma controls. Twenty-one dermoscopic features validated for the diagnosis of melanocytic lesions, the number of colors, and three dermoscopic algorithms were investigated (ABCD rule of dermoscopy, Menzies scoring method, 7-point checklist).Results: Five of seven features indicative of nevi were observed significantly more frequently in CN than in melanomas (all p < 0.05) and two were exclusively found in CN. Eleven out of 14 features indicative of melanomas were observed significantly more frequently in melanomas than in CN (all p < 0.03) and five were exclusively found in melanomas. The mean (± SD) number of colors in CN was lower than in melanomas (2.1 ± 0.6 versus 3.4 ± 0.7; p < 0.001). Among tested algorithms the ABCD rule of dermoscopy performed best (sensitivity 91.7 %, specificity 77.8 %). Conclusions:The ABCD rule of dermoscopy differentiated CN from melanomas most efficiently. Additional knowledge of dermoscopic features to be expected exclusively in either CN or melanomas should help dermatologists to make a correct clinical diagnosis.

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Section: Introductionmentioning

confidence: 99%

Differentiation of combined nevi and melanomas: Case‐control study with comparative analysis of dermoscopic features

Schweizer

Fink

Bertlich

et al. 2020

J Deutsche Derma Gesell

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“…Diagnosequiz Abbildung 2 Die Dermatoskopie zeigte eine zentrale blutige Kruste und eine rosa-weiße Peripherie mit atypischen haarnadelförmigen und linearen Gefäßen. [3,4].…”

Section: English Online Version On Wiley Online Libraryunclassified

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Merli

Filippini

Gurioli

et al. 2021

J Deutsche Derma Gesell

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“…A meta‐analysis of 104 study publications found dermoscopy increases sensitivity over the naked‐eye examination from 76% to 92% at a fixed specificity of 80% (Dinnes, Deeks, Chuchu, et al, 2018). However, appropriate training is crucial: user expertise and training in dermoscopy improves diagnostic accuracy (Dinnes, Deeks, Chuchu, et al, 2018), and lack of training is a barrier to use among dermatologists (Blum et al., 2018). Furthermore, with appropriate training, dermoscopy use by primary care physicians has been associated with increased diagnostic accuracy and fewer unnecessary excisions and referrals (Jones et al., 2019).…”

Section: Dermoscopymentioning

confidence: 99%

The role of technology in melanoma screening and diagnosis

Young

Vora

Cortez

et al. 2020

Pigment Cell Melanoma Res

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Melanoma presents challenges for timely and accurate diagnosis. Expert panels have issued risk‐based screening guidelines, with recommended screening by visual inspection. To assess how recent technology can impact the risk/benefit considerations for melanoma screening, we comprehensively reviewed non‐invasive visual‐based technologies. Dermoscopy increases lesional diagnostic accuracy for both dermatologists and primary care providers; total body photography and sequential digital dermoscopic imaging also increase diagnostic accuracy, are supported by automated lesion detection and tracking, and may be best suited to use by dermatologists for longitudinal follow‐up. Specialized imaging modalities using non‐visible light technology have unproven benefit over dermoscopy and can be limited by cost, access, and training requirements. Mobile apps facilitate image capture and lesion tracking. Teledermatology has good concordance with face‐to‐face consultation and increases access, with increased accuracy using dermoscopy. Deep learning models can surpass dermatologist accuracy, but their clinical utility has yet to be demonstrated. Technology‐aided diagnosis may change the calculus of screening; however, well‐designed prospective trials are needed to assess the efficacy of these different technologies, alone and in combination to support refinement of guidelines for melanoma screening.

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The status of dermoscopy in Germany – results of the cross‐sectional Pan‐Euro‐Dermoscopy Study

Abstract: The findings presented herein ought to be integrated into future residency and continuing medical education programs with the challenge to improve dermato-oncological care and to expand the diagnostic spectrum of dermoscopy to include inflammatory skin diseases.

Cited by 17 publications

References 37 publications

Differentiation of combined nevi and melanomas: Case‐control study with comparative analysis of dermoscopic features

Differentiation of combined nevi and melanomas: Case‐control study with comparative analysis of dermoscopic features

Ein derber Knoten am Kinn

The role of technology in melanoma screening and diagnosis

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