Dermoscopy, with and without visual inspection, for diagnosing melanoma in adults.
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Authors
Deeks, Jonathan J
Chuchu, Naomi
Ferrante di Ruffano, Lavinia
Matin, Rubeta N
Thomson, David R
Aldridge, Roger Benjamin
Abbott, Rachel
Fawzy, Monica
Davenport, Clare
Godfrey, Kathie
Williams, Hywel C
Cochrane Skin Cancer Diagnostic Test Accuracy Group,
Publication Date
2018-12-04Journal Title
The Cochrane database of systematic reviews
ISSN
1469-493X
Publisher
Wiley-Blackwell
Volume
12
Pages
CD011902
Language
eng
Type
Article
This Version
AM
Physical Medium
Electronic
Metadata
Show full item recordCitation
Dinnes, J., Deeks, J. J., Chuchu, N., Ferrante di Ruffano, L., Matin, R. N., Thomson, D. R., Wong, K. Y., et al. (2018). Dermoscopy, with and without visual inspection, for diagnosing melanoma in adults.. The Cochrane database of systematic reviews, 12 CD011902. https://doi.org/10.1002/14651858.cd011902.pub2
Abstract
Background
Melanoma has one of the fastest rising incidence rates of any cancer. It accounts for a small percentage of skin cancer cases but is responsible for the majority of skin cancer deaths.
Although history-taking and visual inspection of a suspicious lesion by a clinician are usually the first in a series of ‘tests’ to diagnose skin cancer, dermoscopy has become an important
tool to assist diagnosis by specialist clinicians and is increasingly used in primary care settings. Dermoscopy is a magnification technique using visible light that allows more detailed
examination of the skin compared to examination by the naked eye alone. Establishing the additive value of dermoscopy over and above visual inspection alone across a range of
observers and settings is critical to understanding its contribution for the diagnosis of melanoma and to future understanding of the potential role of the growing number of other highresolution
image analysis techniques.
Objectives
To determine the diagnostic accuracy of dermoscopy for the detection of cutaneous invasive melanoma and atypical intraepidermal melanocytic variants in adults, and to compare its
accuracy with that of visual inspection alone. Studies were separated according to whether the diagnosis was recorded face-to-face (in-person) or based on remote (image-based)
assessment.
Keywords
Cochrane Skin Cancer Diagnostic Test Accuracy Group, Skin, Humans, Melanoma, Skin Neoplasms, Dermoscopy, Biopsy, Physical Examination, Sensitivity and Specificity, Algorithms, Adult
Sponsorship
NIHR
Identifiers
External DOI: https://doi.org/10.1002/14651858.cd011902.pub2
This record's URL: https://www.repository.cam.ac.uk/handle/1810/286021
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