State Clinic of Dermatology, Hospital of Skin and Venereal Diseases, 124 Delfon Street, 54643, Thessaloniki, Greece.
Clin Dermatol. 2013 Nov-Dec;31(6):671-6. doi: 10.1016/j.clindermatol.2013.05.003.
Early diagnosis remains the best method to reduce melanoma and non-melanoma skin cancer-related mortality and morbidity. Dermatoscopy was first introduced at the end of the last century, and besides the strict criticism that it initially received, the majority of the scientific community presently considers it revolutionary in the field of melanocytic lesion diagnostics. Cumulative evidence provides definite data that dermatoscopy improves the clinicians' diagnostic accuracy for melanoma compared with other clinical diagnostic approaches. There remain some barriers for its use such as lack of training, lack of time, and lack of reimbursement, as well as persisting skepticism about its true utility. In the current contribution, we focus on false beliefs and facts concerning dermatoscopy in the early diagnosis of melanoma and shed some light on some of the remaining "dark sides" of this issue.
早期诊断仍然是降低黑色素瘤和非黑色素瘤皮肤癌相关死亡率和发病率的最佳方法。皮肤镜检查最初在上世纪末引入，尽管最初受到严格的批评，但目前科学界的大多数人认为它在黑素细胞病变诊断领域具有革命性意义。越来越多的证据明确表明，与其他临床诊断方法相比，皮肤镜检查可提高临床医生对黑色素瘤的诊断准确性。其使用仍然存在一些障碍，例如缺乏培训、缺乏时间和缺乏报销，以及对其真正效用的持续怀疑。在本研究中，我们关注的是与黑色素瘤早期诊断相关的皮肤镜检查的错误观念和事实，并探讨了这一问题的一些“阴暗面”。
