Robati Reza M, Toossi Parviz, Karimi Mona, Ayatollahi Azin, Esmaeli Mitra
Skin Research Center, Department of Dermatology, Shahid Beheshti University of Medical Sciences, Shohada-e Tajrish Hospital, Tehran, Iran.
Indian J Dermatol. 2014 Jan;59(1):105. doi: 10.4103/0019-5154.123534.
Early detection of skin cancers by screening could be very beneficial to decrease their morbidity or mortality. There is limited study about skin cancer screening in Iran.
This essay was planned as a pilot skin cancer screening campaign in Tehran, Iran to evaluate its profit and failure and further design large-scale screening program more definitely.
Thirty one public health centers of Shahid Beheshti Medical University were selected in different areas of Tehran. The project was announced via media and invited all the people above 40 years old to come for the whole-body skin examination in a one-week period. Patients with any suspected lesions were referred to the dermatology clinics of the university.
1314 patients, 194 males (14.8%) and 120 females (85.2%), with mean age of 51.81 ± 10.28 years participated in this screening campaign. Physicians found suspected lesions in 182 (13.85%) of participants. The diagnosis of skin cancer was confirmed in 15 (1.14%) patients. These malignancies included 10 (0.76%) cases of basal cell carcinoma, 2 (0.15%) cases of squamous cell carcinoma and 3 (0.23%) cases of malignant melanoma.
Skin cancer screening seems to be valuable to detect skin malignancies in their early course. Regarding the considerable amount of facilities needed to perform skin cancer screening program, it might be more beneficial to perform the targeted screening programs for the high-risk groups or emphasis more on public education of skin cancer risk factors and their early signs.
通过筛查早期发现皮肤癌对于降低其发病率或死亡率可能非常有益。伊朗关于皮肤癌筛查的研究有限。
本文计划在伊朗德黑兰开展一项皮肤癌筛查试点活动，以评估其成效与不足，并更明确地设计大规模筛查项目。
在德黑兰不同区域选择了31所沙希德·贝赫什提医科大学的公共卫生中心。该项目通过媒体公布，邀请所有40岁以上的人在一周内前来进行全身皮肤检查。任何有可疑病变的患者都被转诊至该大学的皮肤科诊所。
1314名患者参与了此次筛查活动，其中男性194名（14.8%），女性1200名（85.2%），平均年龄为51.81±10.28岁。医生在182名（13.85%）参与者中发现了可疑病变。确诊皮肤癌的患者有15名（1.14%）。这些恶性肿瘤包括10例（0.76%）基底细胞癌、2例（0.15%）鳞状细胞癌和3例（0.23%）恶性黑色素瘤。
皮肤癌筛查对于在早期发现皮肤恶性肿瘤似乎很有价值。鉴于开展皮肤癌筛查项目需要大量设施，对高危人群开展针对性筛查项目或更多地强调皮肤癌风险因素及其早期症状的公众教育可能更有益。
