Incidental lesions found in veterans referred to dermatology: The value of a dermatologic examination  

Oleh:

Kingsley-Loso, Jaime L. ; Grey, Katherine R. ; Hanson, Jamie L. ; Raju, Srihari I.

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: JAAD: Journal of the American Academy of Dermatology (keterangan: ada di ClinicalKey) vol. 72 no. 04 (Apr. 2015), page 651-655.
Topik: dermatology consults; melanoma; nonmelanoma skin cancer; skin cancer; teledermatology

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Perpustakaan FK Nomor Panggil: J15.K Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Background Few studies have evaluated the detection of incidental skin cancers. Objective We sought to evaluate the rate of incidental cutaneous malignancies in routine dermatology consults. Methods This was a retrospective chart review of all dermatology consults at the Minneapolis Department of Veterans Affairs Medical Center over 8.25 years. Inclusion criteria included an in-person clinic visit within 18 months of the initial consult date. Patients with an in-person skin examination by a dermatologist in the 18 months before consult date were excluded. Results Of 28,405 consults sent during the study period, 17,174 met inclusion criteria. In all, 2257 (13.1%) patients had 1 or more biopsied incidental lesions. Half (50.3%; n = 1674) of the 3328 biopsied incidental lesions were malignant, which included 1187 patients. The per-person detection rate for an incidental malignant lesion was 6.9% (1187/17,174). There were 87 incidental melanomas identified in 84 patients. The per-person detection rate for an incidental melanoma was 0.5% (84/17,174). The most frequent anatomical location for biopsied incidental malignancies was the head and neck (53.9%). Incidental melanomas were most frequently located on the back (33.3%). Limitations Nondiverse patient population and conservative detection rate estimates are limitations. Conclusion An in-person skin examination by a trained dermatologist is important for detection of skin malignancies. This may have implications for teledermatology.

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