Division of Dermatology, Department of Medicine, University of Saskatchewan, Royal University Hospital, Saskatoon, SK.
J Cutan Med Surg. 2011 Mar-Apr;15(2):97-102. doi: 10.2310/7750.2011.10011.
Regular skin self-examination is suggested as a means to detect melanomas at an early stage and thus improve prognosis. Compliance, however, has seldom been assessed in a routine clinical setting and anonymously.
To assess compliance with self-examination in patients with either a previous melanoma or atypical moles (dysplastic nevi) and to examine the perceived utility of supplied photographs.
An anonymous questionnaire was sent to all patients seen with either a melanoma or atypical moles between the years 1995 and 2005. The melanoma cohort consisted of 143 patients. There were 440 patients with atypical moles.
Replies to the questionnaire were received from 94 of the melanoma patients and from 185 patients in the atypical mole cohort. Only 22% (12) in the melanoma group performed a total skin examination monthly. Fewer than 10% of those with atypical moles did a monthly skin examination, but about half of the patients examined their entire skin more than once a year.
Self-examination is practiced in the majority of patients with either a previous melanoma or atypical moles. Those doing this on a regular monthly basis are a small minority.
定期进行皮肤自我检查被建议作为早期发现黑色素瘤并改善预后的一种手段。然而，在常规临床环境中，很少对其进行匿名评估。
评估既往患有黑色素瘤或不典型痣（发育不良痣）患者的自我检查依从性，并检查所提供照片的感知实用性。
在 1995 年至 2005 年间，向所有因黑色素瘤或不典型痣就诊的患者匿名发送了一份调查问卷。黑色素瘤队列包括 143 名患者。不典型痣队列有 440 名患者。
黑色素瘤组有 94 名患者和不典型痣组有 185 名患者回复了调查问卷。在黑色素瘤组中，仅有 22%（12 名）的患者每月进行全身皮肤检查。不典型痣患者中进行每月皮肤检查的人数不到 10%，但约一半的患者每年检查全身皮肤超过一次。
大多数既往患有黑色素瘤或不典型痣的患者都进行自我检查。但定期每月进行自我检查的患者是少数。
