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Accuracy of dermato...
Accuracy of dermatoscopy for the diagnosis of nonpigmented cancers of the skin.
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Sinz, Christoph (author)
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Tschandl, Philipp (author)
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Rosendahl, Cliff (author)
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Akay, Bengu Nisa (author)
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Argenziano, Giuseppe (author)
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Blum, Andreas (author)
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Braun, Ralph P (author)
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Cabo, Horacio (author)
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Gourhant, Jean-Yves (author)
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Kreusch, Juergen (author)
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Lallas, Aimilios (author)
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- Lapins, Jan (author)
- Karolinska Institutet
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Marghoob, Ashfaq A (author)
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Menzies, Scott W (author)
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- Paoli, John, 1975 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för dermatologi och venereologi,Institute of Clinical Sciences, Department of Dermatology and Venereology
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Rabinovitz, Harold S (author)
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Rinner, Christoph (author)
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Scope, Alon (author)
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Soyer, H Peter (author)
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Thomas, Luc (author)
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Zalaudek, Iris (author)
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Kittler, Harald (author)
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(creator_code:org_t)
- Elsevier BV, 2017
- 2017
- English.
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In: Journal of the American Academy of Dermatology. - : Elsevier BV. - 1097-6787 .- 0190-9622. ; 77:6, s. 1100-1109
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Abstract
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- Nonpigmented skin cancer is common, and diagnosis with the unaided eye is error prone.To investigate whether dermatoscopy improves the diagnostic accuracy for nonpigmented (amelanotic) cutaneous neoplasms.We collected a sample of 2072 benign and malignant neoplastic lesions and inflammatory conditions and presented close-up images taken with and without dermatoscopy to 95 examiners with different levels of experience.The area under the curve was significantly higher with than without dermatoscopy (0.68 vs 0.64, P<.001). Among 51 possible diagnoses, the correct diagnosis was selected in 33.1% of cases with and 26.4% of cases without dermatoscopy (P<.001). For experts, the frequencies of correct specific diagnoses of a malignant lesion improved from 40.2% without to 51.3% with dermatoscopy. For all malignant neoplasms combined, the frequencies of appropriate management strategies increased from 78.1% without to 82.5% with dermatoscopy.The study deviated from a real-life clinical setting and was potentially affected by verification and selection bias.Dermatoscopy improves the diagnosis and management of nonpigmented skin cancer and should be used as an adjunct to examination with the unaided eye.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Dermatologi och venereologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Dermatology and Venereal Diseases (hsv//eng)
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Sinz, Christoph
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Tschandl, Philip ...
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Rosendahl, Cliff
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Akay, Bengu Nisa
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Argenziano, Gius ...
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Blum, Andreas
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show more...
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Braun, Ralph P
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Cabo, Horacio
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Gourhant, Jean-Y ...
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Kreusch, Juergen
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Lallas, Aimilios
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Lapins, Jan
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Marghoob, Ashfaq ...
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Menzies, Scott W
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Paoli, John, 197 ...
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Rabinovitz, Haro ...
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Rinner, Christop ...
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Scope, Alon
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Soyer, H Peter
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Thomas, Luc
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Zalaudek, Iris
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Kittler, Harald
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show less...
- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Dermatology and ...
- Articles in the publication
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Journal of the A ...
- By the university
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University of Gothenburg
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Karolinska Institutet