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GPworld

Total body skin examination for skin cancer screening in patients with focused symptoms

Giuseppe Argenziano, MD, Iris Zalaudek, MD, Rainer Hofmann-Wellenhof, MD, et al.
  • The value of total body skin examination for skin cancer screening in patients with focused skin symptoms is controversial.
  • We examined 14,381 patients by total body skin examination and calculated that 47 (95% confidence interval 28-80) patients need to be examined to detect one skin malignancy and 400 (95% confidence interval 182-910) patients to detect one melanoma.
  • Factors significantly influencing the chance to find a skin cancer in the multivariate analysis were age, previous skin cancer, fair skin type, skin tumor as the reason for consultation, and presence of an equivocal lesion on problem/uncovered areas.
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