Wide instrumental screening in monitoring early melanoma

Wide instrumental screening in monitoring early melanoma

Authors

  • Carmen Laurino 1 Università degli Studi di Modena e Reggio Emilia, Dipartimento Chrirurgico, Medico, Odontoiatrico e di Scienze Morfologiche con Interesse Trapiantologico, Oncologico e di Medicina Rigenerativa, Via del Pozzo 71, 41124 Modena (MO), Italia. 2 Poliambulatorio del Secondo Parere, Viale Reiter 71, 41121 Modena (MO), Italia.
  • Beniamino Palmieri 1 Università degli Studi di Modena e Reggio Emilia, Dipartimento Chrirurgico, Medico, Odontoiatrico e di Scienze Morfologiche con Interesse Trapiantologico, Oncologico e di Medicina Rigenerativa, Via del Pozzo 71, 41124 Modena (MO), Italia. 2 Poliambulatorio del Secondo Parere, Viale Reiter 71, 41121 Modena (MO), Italia.

Keywords:

melanoma, screening, dermatoscopy, thermography, follow-up

Abstract

Aim: Instrumental skin screening is helpful  for an early diagnosis  of melanoma. The authors have drawn up a diagnostic protocol based on clinical history and  simultaneous dermatoscopy, thermography and ultrasound assisted objective examination. Patients and methods: 337 patients were recruited at the Second Opinion Medical Office (Modena, Italy) to perform nevi mapping. 71 patients with potentially dangerous nevi (according to the American Cancer Society – ACS) were selected for follow up. The cancer family history, phototype, density and oncological risk were reported. A clinical evaluation of morphological skin nevi was performed by dermatoscopy, dynamic thermography (cooling-down 5°C for 20 seconds) and the ultrasound method. Moreover patients were advised immediately to send photos of morphological mutations or symptoms connected with their nevi in the following months. Results: A total of 99 significant skin nevi were identified. Of these 60 were hotter than controls, and 39 had the same temperature. Cooling-down produced a mean temperature reduction of 4.5°C and a recovery of 2°C after 30 seconds. Conclusions: Conclusions of the present work suggest an innovative screening protocol applicable on a healthy young population, sensitive to the theme of precocious cancer diagnosis.

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Published

2015-09-21

Issue

European Journal of Oncology Vol.20, No 1 (2015)

Section

Research

License

OPEN ACCESS

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How to Cite

1.
Laurino C, Palmieri B. Wide instrumental screening in monitoring early melanoma. Eur J Oncol Env Hea [Internet]. 2015 Sep. 21 [cited 2025 Apr. 6];20(1):41-52. Available from: https://mattioli1885journals.com/index.php/EJOEH/article/view/4093