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[8 min read] Detecting melanoma in high-risk patients | Prof David Wilkinson
This month I draw your attention to what I believe is a profoundly important piece of research. The research – done in Australia – demonstrates the value of using a mixture of total body photography (TBP) and selected sequential digital dermoscopy (SDDI) among high risk patients, in terms of identifying melanoma.
The authors state the following in the Abstract Results:
The risk of developing a new melanoma was 9.0% annually in the first 2 years and increased with time, particularly for those with multiple primary melanomas. The thicker melanomas (>1-mm Breslow thickness; 7 of 171 melanomas [4.1%]) were mostly desmoplastic or nodular (4 of 7), self-detected (2 of 7), or clinician detected without the aid of TBP (3 of 7).
Overall, new melanomas were most likely to be detected by a clinician with the aid of TBP (54 of 171 [31.6%]) followed by digital dermoscopy monitoring (50 of 171 [29.2%]).
Importantly, this work included a primary care clinic in Newcastle, NSW.
The implications are significant – implying that standard of care now for patients at high risk of melanoma includes TBP and SDDI.
Prof David Wilkinson