Impact of digital dermoscopy analysis on the decision to follow up or to excise a XXXX : a multicentre study.

@entity1 @entity5 @entity7174 @entity272 @entity320
BACKGROUND: The quality of early @entity320 ( @entity320 ) diagnosis is dependent on the experience of dermatologists, tools like dermoscopy and histopathology, and awareness and education of the studied population. Does a higher rate of excision of @entity272 ( @entity272 ) increase the rate of detected @entity320 ? MATERIAL AND METHODS: The DB-MIPS objective tool, able to evaluate mathematical defined variables, has been used to verify the variability of measurements among @entity272 stored by five different centres located in Italy, Switzerland, and Germany. RESULTS: The objective analysis showed low differences in terms of moles' features among the different groups, arguing for robustness of the dermatological @entity1 's @entity272 inspection. Differences in terms of false positives and predictive positive values have been detected. The tendency to follow up a lesion was proportional to the percentage of thin @entity320 (<0.75 mm @entity5 thickness), while the interventism was proportional to the percentage of @entity7174 . Similar percentage of thin @entity320 has been observed in all the centres, indicating a standardization in early diagnosing among experienced dermatologists. The main difference among the centres was their mode of action, i.e. to follow up or remove suspicious @entity272 . CONCLUSION: Interventism depends neither on the geographic site nor on the features of the observed moles. Higher removal rates do not correspond to higher @entity320 detections: this means that an in-depth knowledge of @entity320 patterns is required and follow-up of suspicious moles is highly suggested.
