Abstract

Objective: To evaluate organizational structure and diagnostic procedures used by the Italian hospital network for identifying cutaneous melanoma. Methods: A nationwide survey of a representative sample of centers was conducted. Results: Diagnosis occurs mainly in ambulatory dermatology clinics (91%). In all high-volume hospitals, clinical and dermoscopic examination is available at first consultation or as an additional service, compared to 89% of low-volume hospitals. Computer-assisted videodermoscopy is available in 75% of hospitals, with a statistically significant difference between high-and low-volume hospitals (86 vs. 62%; p <0.001). First consultation is generally an integrated clinical/dermoscopic evaluation (55% of high-volume centers vs. 47% of low-volume hospitals); digital evaluation is available for monitoring suspicious lesions and high-risk patients in 25% of high-volume centers versus 19% of low-volume centers. Conclusions: The organizational structure and diagnostic procedures in Italian hospitals are in line with modern diagnostic procedures for early diagnosis of melanoma. Dermatologists have a central role in managing diagnosis of primitive melanoma.

Original languageEnglish
Pages (from-to)3-6
Number of pages4
JournalDermatology
Volume226
Issue numberSUPPL.1
DOIs
Publication statusPublished - May 2013

Keywords

  • Dermoscopy
  • Diagnostic services
  • Digital dermoscopy
  • Epiluminescence microscopy
  • Melanoma
  • Mole mapping
  • Nevi
  • Pigmented skin lesions
  • Skin cancer unit

ASJC Scopus subject areas

  • Dermatology

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