Anriot Julien, Ikhlef Nadia, Duru Gérard, Darnis Sophie, Scouarnec Pauline, Tamarat Younes, Amini-Adle Mona, Thomas Luc
Department of Dermatology, Centre Léon Bérard, Lyons, France.
Dermatology department, Hôpital Lyon Sud, Hospices Civils de Lyon, Lyons, France.
Dermatol Pract Concept. 2025 Jul 31;15(3):6122. doi: 10.5826/dpc.1503a6122.
Melanoma constitutes an increasing global health burden. In the light of a growing shortage of dermatologists in several countries, primary care has emerged as an optimal setting for skin cancer screening. Historically, skin cancer detection in France was typically managed by dermatologists, while general practitioners (GPs) were barely involved. In 2021, the Association of French GPs Practicing Dermoscopy was created to address this gap by promoting and legitimizing dermoscopy practice among primary care physicians.
To assess the number of melanomas detected by dermoscopy-trained GPs three years after the association's foundation and to compare the melanomas' histopathological characteristics to those documented in the existing literature.
A survey was shared via Google Forms with all the members of the association's Facebook account between 26 November 2024 and 26 December 2024.
A total of 85 general practitioners responded to the survey. They reported the detection of 266 melanomas, corresponding to a median of approximately 1.6 per year of dermoscopy practice (mean: 2.9). Of the detected melanomas, 39.5% (105/266) were in situ, while only 22.4% (36/161) had a Breslow thickness above 1 mm, which constitutes a substantial improvement compared to previously reported data on GP-detected melanomas.
Empowerment of primary care medicine through dermoscopy learning appears to be a promising way to overcome the relative shortage of diagnostic offer observed in several countries. Integrating skin cancer screening into a GP's practice may contribute to early melanoma detection and support ongoing efforts to lower melanoma mortality.
黑色素瘤给全球健康带来的负担日益加重。鉴于多个国家皮肤科医生日益短缺，基层医疗已成为皮肤癌筛查的理想场所。从历史上看，法国的皮肤癌检测通常由皮肤科医生管理，而全科医生（GPs）几乎不参与。2021年，法国全科医生皮肤镜检查协会成立，旨在通过在基层医疗医生中推广和规范皮肤镜检查实践来弥补这一差距。
评估该协会成立三年后，接受过皮肤镜检查培训的全科医生检测出的黑色素瘤数量，并将这些黑色素瘤的组织病理学特征与现有文献中记录的特征进行比较。
2024年11月26日至2024年12月26日期间，通过谷歌表单向该协会脸书账户的所有成员进行了一项调查。
共有85名全科医生回复了调查。他们报告共检测出了266例黑色素瘤，相当于皮肤镜检查实践中每年平均约检测出1.6例（平均：2.9例）。在检测出的黑色素瘤中，39.5%（105/266）为原位黑色素瘤，而只有22.4%（36/161）的Breslow厚度超过1毫米，与之前报道的全科医生检测出的黑色素瘤数据相比有了显著改善。
通过皮肤镜检查学习增强基层医疗能力似乎是克服多个国家观察到的诊断服务相对短缺的一种有前景的方法。将皮肤癌筛查纳入全科医生的实践可能有助于早期发现黑色素瘤，并支持正在进行的降低黑色素瘤死亡率的努力。
