Total Body Skin Examination Practices: A Survey Study Amongst Dermatologists at High-Risk Skin Cancer Clinics

Background/Objectives: Although total body skin examination (TBSE) is the primary screening mechanism for melanoma, there is no consensus on which anatomic sites a screening TBSE should include. We sought to establish which anatomic sites are examined during routine (>90%) TBSEs of patients at h...

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Autores principales:	Shirin Bajaj, Zachary J. Wolner, Stephen W. Dusza, Ralph P. Braun, Ashfaq A. Marghoob, Jennifer DeFazio
Formato:	article
Lenguaje:	EN
Publicado:	Mattioli1885 2019
Materias:	total body skin examination skin cancer screening melanoma nonmelanoma skin cancer cutaneous oncology Dermatology RL1-803
Acceso en línea:	https://doaj.org/article/dc1c2a1474a34d63ae8104b2989b577f
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spelling	oai:doaj.org-article:dc1c2a1474a34d63ae8104b2989b577f2021-11-17T08:29:31ZTotal Body Skin Examination Practices: A Survey Study Amongst Dermatologists at High-Risk Skin Cancer Clinics10.5826/dpc.0902a092160-9381https://doaj.org/article/dc1c2a1474a34d63ae8104b2989b577f2019-04-01T00:00:00Zhttp://dpcj.org/index.php/dpc/article/view/649https://doaj.org/toc/2160-9381 Background/Objectives: Although total body skin examination (TBSE) is the primary screening mechanism for melanoma, there is no consensus on which anatomic sites a screening TBSE should include. We sought to establish which anatomic sites are examined during routine (>90%) TBSEs of patients at high risk for skin cancer. Methods: A Google survey was emailed to 173 international dermatologist skin cancer specialists. Results: More than 75% of participants reported routinely examining the scalp, ears, face and neck, trunk, breasts, inframammary areas, axillae, extremities, palms and soles, nails, interdigital spaces, and buttocks. The least frequently inspected anatomic sites included genitalia, with male genitalia more frequently examined than female (penis n = 39; 52%; labia majora n = 21; 28%; P = 0.003), the perianal region (n = 26; 34.7%), and the ocular conjunctiva and oral mucosa (n = 35; 46.7%). Participants cited not screening these areas because of perceived patient discomfort, low prevalence of malignancy, and the expectation that other specialists examine the area. Conclusions: The role of routine surveillance of neglected anatomic sites is unclear and warrants further discussion weighing potential mortality benefit against the incidence of melanoma in obscure sites, morbidity of intervention in sensitive sites, cost-effectiveness, and potential for patient discomfort. Shirin BajajZachary J. WolnerStephen W. DuszaRalph P. BraunAshfaq A. MarghoobJennifer DeFazioMattioli1885articletotal body skin examinationskin cancer screeningmelanomanonmelanoma skin cancercutaneous oncologyDermatologyRL1-803ENDermatology Practical & Conceptual, Vol 9, Iss 2 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	total body skin examination skin cancer screening melanoma nonmelanoma skin cancer cutaneous oncology Dermatology RL1-803
spellingShingle	total body skin examination skin cancer screening melanoma nonmelanoma skin cancer cutaneous oncology Dermatology RL1-803 Shirin Bajaj Zachary J. Wolner Stephen W. Dusza Ralph P. Braun Ashfaq A. Marghoob Jennifer DeFazio Total Body Skin Examination Practices: A Survey Study Amongst Dermatologists at High-Risk Skin Cancer Clinics
description	Background/Objectives: Although total body skin examination (TBSE) is the primary screening mechanism for melanoma, there is no consensus on which anatomic sites a screening TBSE should include. We sought to establish which anatomic sites are examined during routine (>90%) TBSEs of patients at high risk for skin cancer. Methods: A Google survey was emailed to 173 international dermatologist skin cancer specialists. Results: More than 75% of participants reported routinely examining the scalp, ears, face and neck, trunk, breasts, inframammary areas, axillae, extremities, palms and soles, nails, interdigital spaces, and buttocks. The least frequently inspected anatomic sites included genitalia, with male genitalia more frequently examined than female (penis n = 39; 52%; labia majora n = 21; 28%; P = 0.003), the perianal region (n = 26; 34.7%), and the ocular conjunctiva and oral mucosa (n = 35; 46.7%). Participants cited not screening these areas because of perceived patient discomfort, low prevalence of malignancy, and the expectation that other specialists examine the area. Conclusions: The role of routine surveillance of neglected anatomic sites is unclear and warrants further discussion weighing potential mortality benefit against the incidence of melanoma in obscure sites, morbidity of intervention in sensitive sites, cost-effectiveness, and potential for patient discomfort.
format	article
author	Shirin Bajaj Zachary J. Wolner Stephen W. Dusza Ralph P. Braun Ashfaq A. Marghoob Jennifer DeFazio
author_facet	Shirin Bajaj Zachary J. Wolner Stephen W. Dusza Ralph P. Braun Ashfaq A. Marghoob Jennifer DeFazio
author_sort	Shirin Bajaj
title	Total Body Skin Examination Practices: A Survey Study Amongst Dermatologists at High-Risk Skin Cancer Clinics
title_short	Total Body Skin Examination Practices: A Survey Study Amongst Dermatologists at High-Risk Skin Cancer Clinics
title_full	Total Body Skin Examination Practices: A Survey Study Amongst Dermatologists at High-Risk Skin Cancer Clinics
title_fullStr	Total Body Skin Examination Practices: A Survey Study Amongst Dermatologists at High-Risk Skin Cancer Clinics
title_full_unstemmed	Total Body Skin Examination Practices: A Survey Study Amongst Dermatologists at High-Risk Skin Cancer Clinics
title_sort	total body skin examination practices: a survey study amongst dermatologists at high-risk skin cancer clinics
publisher	Mattioli1885
publishDate	2019
url	https://doaj.org/article/dc1c2a1474a34d63ae8104b2989b577f
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Total Body Skin Examination Practices: A Survey Study Amongst Dermatologists at High-Risk Skin Cancer Clinics

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