Rosenberg Alexandra, Meyerle Jon H
Walter Reed National Military Medical Center, Bethesda, Maryland, USA.
Department of Dermatology, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA.
Cutis. 2017 May;99(5):312-316.
Early detection of skin cancer is essential to reducing morbidity and mortality from both melanoma and nonmelanoma skin cancers. Total-body skin examinations (TBSEs) may improve early detection of malignant melanomas (MMs) but are controversial due to the poor quality of data available to establish a mortality benefit from skin cancer screening. Total-body photography (TBP) promises to provide a way forward by lowering the costs of dermatologic screening while simultaneously leveraging technology to increase patient access to dermatologic care. Standardized TBP also offers the ability for dermatologists to work synergistically with modern computer technology involving algorithms capable of analyzing high-quality images to flag concerning lesions that may require closer evaluation. On a population level, inexpensive TBP has the potential to increase access to skin cancer screening and it has several specific applications in a military population. The utility of standardized TBP is reviewed in the context of skin cancer screening and teledermatology.
早期发现皮肤癌对于降低黑色素瘤和非黑色素瘤皮肤癌的发病率和死亡率至关重要。全身皮肤检查（TBSE）可能会改善恶性黑色素瘤（MM）的早期发现，但由于缺乏可用于确定皮肤癌筛查对死亡率有益的数据质量较差，因此存在争议。全身摄影（TBP）有望通过降低皮肤科筛查成本，同时利用技术增加患者获得皮肤科护理的机会，从而提供一条前进的道路。标准化的TBP还使皮肤科医生能够与现代计算机技术协同工作，这些技术涉及能够分析高质量图像以标记可能需要进一步评估的可疑病变的算法。在人群层面，廉价的TBP有可能增加皮肤癌筛查的可及性，并且在军人人群中有几个特定应用。本文在皮肤癌筛查和远程皮肤病学的背景下对标准化TBP的效用进行了综述。
