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  • Presentation

Digital Monitoring and Total Body Photography in Melanoma Surveillance: 1 Basic Rule and 10 Lessons

Description

The presentation on digital monitoring and total body photography in melanoma surveillance outlines a fundamental rule and ten valuable lessons. The basic rule asserts that benign lesions remain stable, while melanoma lesions can change over time, emphasizing the effectiveness of digital dermoscopy for early detection. Lesson one highlights the importance of total body photography in distinguishing new lesions from changing ones, advocating its use alongside digital dermoscopy since melanoma can arise de novo in two-thirds of cases. Subsequent lessons address the advantages of combining both methods for improved detection rates, the rapid growth of nodular melanomas, and the fact that many melanomas detected during follow-ups may not exhibit classic malignancy features. The efficacy of digital follow-up is reinforced, showcasing its effectiveness particularly in high-risk populations, with tailored approaches necessary for different patient types. Selecting appropriate patients for digital monitoring is crucial, and the utility of mapping is supported by real-world practice data. Furthermore, this approach has been shown to be cost-effective and the chances of melanoma detection improve with prolonged follow-up durations. Ultimately, the presentation advocates maintaining consistent surveillance over time to enhance detection efficacy.

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Conclusions

  • Digital monitoring and total body photography are effective tools for early melanoma detection.
  • Benign lesions typically remain stable while melanomas tend to change over time, aiding in differentiation.
  • Total body photography can help determine if a lesion is new or undergoing changes, improving early detection.
  • Combining total body photography and digital dermoscopy increases melanoma detection rates compared to using either method alone.
  • A significant number of melanomas detected during follow-up may not exhibit typical characteristics of malignancy.
  • Digital follow-up has proven effective in identifying early-stage melanomas while minimizing unnecessary excisions of benign lesions.
  • Selecting the appropriate patient population is critical for successful monitoring and detection of melanoma.
  • Different patient categories require tailored surveillance strategies for effective monitoring.
  • Body mapping enhances the real-life utility of digital dermoscopy in melanoma monitoring.
  • Digital follow-up has been shown to be cost-effective, emphasizing the need for continued monitoring.
  • Kittler H, Pehamberger H, Wolff K, Binder M. Follow-up of melanocytic skin lesions with digital epiluminescence microscopy: patterns of modifications observed in early melanoma, atypical nevi, and common nevi. J Am Acad Dermatol. 2000 Sep;43(3):467-76.
  • Slue W, Kopf AW, Rivers JK. Total-body photographs of dysplastic nevi. Arch Dermatol. 1988 Aug;124(8):1239-43.
  • Hornung A, Steeb T, Wessely A, Brinker TJ, Breakell T, Erdmann M, Berking C, Heppt MV. The Value of Total Body Photography for the Early Detection of Melanoma: A Systematic Review. Int J Environ Res Public Health. 2021 Feb 10;18(4):1726.
  • Skvara H, Teban L, Fiebiger M et al. Limitations of dermoscopy in the recognition of melanoma. Arch Dermatol. 2005 Feb;141(2):155-60.
  • Pizzichetta MA, Stanganelli I, Bono et al. Dermoscopic features of difficult melanoma. Dermatol Surg. 2007 Jan;33(1):91-9.
  • Pampena R, Kyrgidis A, Lallas A, Moscarella E, Argenziano G, Longo C. A meta-analysis of nevus-associated melanoma: Prevalence and practical implications. J Am Acad Dermatol. 2017 Nov;77(5):938-945.e4.
  • Puig S, Argenziano G, Zalaudek I et al. Melanomas that failed dermoscopic detection: a combined clinicodermoscopic approach for not missing melanoma. Dermatol Surg. 2007 Oct;33(10):1262-73.
  • Salerni G, Carrera C, Lovatto L, Puig-Butille JA, Badenas C, Plana E, Puig S, Malvehy J. Benefits of total body photography and digital dermatoscopy ('two-step method of digital follow-up') in the early diagnosis of melanoma in patients at high risk for melanoma. J Am Acad Dermatol. 2012 Jul;67(1):e17-27.
  • Liu et al. Rate of growth in Melanomas. Characteristics and associations of rapidly growing melanomas. Arch Dermatol. 2006;142:1551-1558.
  • García-Lozano JA, Salerni G, Cuellar-Barboza A, la Garza JAC, Ocampo-Candiani J. Rapid Dermoscopic Changes in Nodular Melanoma. Dermatol Pract Concept. 2019 Dec 31;10(1):e2020016.
  • Watts CG, Cust AE, Menzies SW, Mann GJ, Morton RL. Cost-Effectiveness of Skin Surveillance Through a Specialized Clinic for Patients at High Risk of Melanoma. J Clin Oncol. 2017 Jan;35(1):63-71.
  • Common M, Ehret M, Visseaux L, Colomb M, Renard F, Dutel-Charneux J, Goeldel-Brichet AL, Adnot-Desanlis L, Grange F. The use of digital dermoscopy in the surveillance of melanocytic skin lesions: A real-life retrospective study comparing university hospital and private practices. Ann Dermatol Venereol. 2022 May 26:S0151-9638(22)00035.
  • Salerni G, Terán T, Puig S, Malvehy J, Zalaudek I, Argenziano G, Kittler H. Meta-analysis of digital dermoscopy follow-up of melanocytic skin lesions: a study on behalf of the International Dermoscopy Society. J Eur Acad Dermatol Venereol. 2013 Jul;27(7):805-14.