Thomas Luc, Puig Susana
Dermatology Department, Centre hospitalier Lyon Sud, Claude Bernard University, Lyon 1 - Lyon, France.
Acta Derm Venereol. 2017;Suppl 218:14-21. doi: 10.2340/00015555-2719. Epub 2017 Jul 5.
Early detection is a key strategy for reducing the mortality and economic burden associated with melanoma. Dermoscopy is a non-invasive and cost-effective tool for melanoma diagnosis, which has been shown to be a reliable and sensitive method for detecting early-stage skin cancer and reducing the number of unnecessary excisions. Patients at high risk of developing melanoma require long-term surveillance. Use of digital dermoscopy follow-up of these patients has led to improved outcomes. Combined follow-up programmes using total-body photography and digital dermoscopy have led to further improvements in early diagnosis and diagnostic accuracy. Dermoscopy is now widely used by dermatologists, but the public health impact of this tool is yet to be evaluated. Despite the clear advantages of dermoscopy and digital follow-up meth-ods, dermoscopy training and access to digital dermoscopy among dermatologists and general practitioners needs to be improved.
早期检测是降低黑色素瘤相关死亡率和经济负担的关键策略。皮肤镜检查是一种用于黑色素瘤诊断的非侵入性且具有成本效益的工具，已被证明是检测早期皮肤癌和减少不必要切除数量的可靠且敏感的方法。有发展为黑色素瘤高风险的患者需要长期监测。对这些患者使用数字皮肤镜随访已带来了更好的结果。采用全身摄影和数字皮肤镜检查的联合随访方案已在早期诊断和诊断准确性方面带来了进一步改善。皮肤镜检查目前已被皮肤科医生广泛使用，但该工具对公共卫生的影响尚待评估。尽管皮肤镜检查和数字随访方法具有明显优势，但皮肤科医生和全科医生的皮肤镜检查培训以及获得数字皮肤镜检查的机会仍需改善。
