Jaime L Kingsley-Loso1, Katherine R Grey1, Jamie L Hanson1, Srihari I Raju2, Patricia R Parks2, Andrea L Bershow3, Erin M Warshaw4. 1. University of Minnesota Medical School, Minneapolis, Minnesota; Department of Veterans Affairs Medical Center, Minneapolis, Minnesota. 2. Department of Veterans Affairs Medical Center, Minneapolis, Minnesota. 3. University of Minnesota Medical School Department of Dermatology, Minneapolis, Minnesota; Department of Veterans Affairs Medical Center, Minneapolis, Minnesota. 4. University of Minnesota Medical School Department of Dermatology, Minneapolis, Minnesota; Department of Veterans Affairs Medical Center, Minneapolis, Minnesota. Electronic address: erin.warshaw@va.gov.
Abstract
BACKGROUND: Few studies have evaluated the detection of incidental skin cancers. OBJECTIVE: We sought to evaluate the rate of incidental cutaneous malignancies in routine dermatology consults. METHODS: This was a retrospective chart review of all dermatology consults at the Minneapolis Department of Veterans Affairs Medical Center over 8.25 years. Inclusion criteria included an in-person clinic visit within 18 months of the initial consult date. Patients with an in-person skin examination by a dermatologist in the 18 months before consult date were excluded. RESULTS: Of 28,405 consults sent during the study period, 17,174 met inclusion criteria. In all, 2257 (13.1%) patients had 1 or more biopsied incidental lesions. Half (50.3%; n = 1674) of the 3328 biopsied incidental lesions were malignant, which included 1187 patients. The per-person detection rate for an incidental malignant lesion was 6.9% (1187/17,174). There were 87 incidental melanomas identified in 84 patients. The per-person detection rate for an incidental melanoma was 0.5% (84/17,174). The most frequent anatomical location for biopsied incidental malignancies was the head and neck (53.9%). Incidental melanomas were most frequently located on the back (33.3%). LIMITATIONS: Nondiverse patient population and conservative detection rate estimates are limitations. CONCLUSION: An in-person skin examination by a trained dermatologist is important for detection of skin malignancies. This may have implications for teledermatology. Published by Elsevier Inc.
BACKGROUND: Few studies have evaluated the detection of incidental skin cancers. OBJECTIVE: We sought to evaluate the rate of incidental cutaneous malignancies in routine dermatology consults. METHODS: This was a retrospective chart review of all dermatology consults at the Minneapolis Department of Veterans Affairs Medical Center over 8.25 years. Inclusion criteria included an in-person clinic visit within 18 months of the initial consult date. Patients with an in-person skin examination by a dermatologist in the 18 months before consult date were excluded. RESULTS: Of 28,405 consults sent during the study period, 17,174 met inclusion criteria. In all, 2257 (13.1%) patients had 1 or more biopsied incidental lesions. Half (50.3%; n = 1674) of the 3328 biopsied incidental lesions were malignant, which included 1187 patients. The per-person detection rate for an incidental malignant lesion was 6.9% (1187/17,174). There were 87 incidental melanomas identified in 84 patients. The per-person detection rate for an incidental melanoma was 0.5% (84/17,174). The most frequent anatomical location for biopsied incidental malignancies was the head and neck (53.9%). Incidental melanomas were most frequently located on the back (33.3%). LIMITATIONS: Nondiverse patient population and conservative detection rate estimates are limitations. CONCLUSION: An in-person skin examination by a trained dermatologist is important for detection of skin malignancies. This may have implications for teledermatology. Published by Elsevier Inc.
Authors: Angela Jiang; Itisha S Jefferson; S Kayo Robinson; Dana Griffin; William Adams; Jodi Speiser; Laura Winterfield; Anthony Peterson; Eleanor Tung-Hahn; Kristin Lee; David Surprenant; Anne Coakley; Rebecca Tung; Murad Alam Journal: Int J Womens Dermatol Date: 2021-05-30
Authors: Rebecca I Hartman; Yun Xue; Ryan Karmouta; Elizabeth Tkachenko; Sara J Li; David G Li; Cara Joyce; Arash Mostaghimi Journal: Dermatol Res Pract Date: 2022-08-16