Indications for Digital Monitoring of Patients With Multiple Nevi: Recommendations from the International Dermoscopy Society. Academic Article uri icon

Overview

abstract

  • INTRODUCTION: In patients with multiple nevi, sequential imaging using total body skin photography (TBSP) coupled with digital dermoscopy (DD) documentation reduces unnecessary excisions and improves the early detection of melanoma. Correct patient selection is essential for optimizing the efficacy of this diagnostic approach. OBJECTIVES: The purpose of the study was to identify, via expert consensus, the best indications for TBSP and DD follow-up. METHODS: This study was performed on behalf of the International Dermoscopy Society (IDS). We attained consensus by using an e-Delphi methodology. The panel of participants included international experts in dermoscopy. In each Delphi round, experts were asked to select from a list of indications for TBSP and DD. RESULTS: Expert consensus was attained after 3 rounds of Delphi. Participants considered a total nevus count of 60 or more nevi or the presence of a CDKN2A mutation sufficient to refer the patient for digital monitoring. Patients with more than 40 nevi were only considered an indication in case of personal history of melanoma or red hair and/or a MC1R mutation or history of organ transplantation. CONCLUSIONS: Our recommendations support clinicians in choosing appropriate follow-up regimens for patients with multiple nevi and in applying the time-consuming procedure of sequential imaging more efficiently. Further studies and real-life data are needed to confirm the usefulness of this list of indications in clinical practice.

authors

publication date

  • October 1, 2022

Identity

PubMed Central ID

  • PMC9681223

Scopus Document Identifier

  • 85143273871

Digital Object Identifier (DOI)

  • 10.5826/dpc.1204a182

PubMed ID

  • 36534527

Additional Document Info

volume

  • 12

issue

  • 4