title: [Dermatoscopic diagnosis of cutaneous malignant melanoma. Secondary prophylaxis].
abstract: During the last four decades the incidence of malignant melanoma has increased seven fold. Clinically, it is often difficult to distinguish malignant melanoma from a benign naevus. The macroscopic clinical ABCD rule and the Glasgow 7-point checklist are didactically helpful, but inaccurate with many false positive and negative diagnoses. Dermatoscopy performed by a trained physician has increased the diagnostic accuracy to a sensitivity of 89% and specificity of 80% (meta-analysis of 11 studies). The dermatoscopic ABCD rule and the Risk Stratification method (RS) are reviewed.
authors.affiliation: HS: Bispebjerg Hospital, dermatologisk afdeling D.
authors.forename: H F
authors.initials: HF
authors.lastname: Lorentzen
authors.forename: K
authors.initials: K
authors.lastname: Weismann
mesh_terms: D003937:Diagnosis, Differential; D005188:False Negative Reactions; D005189:False Positive Reactions; D006801:Humans; D008545:Melanoma / Q000473:pathology* / Q000517:prevention & control; D008853:Microscopy / Q000295:instrumentation / Q000379:methods; D009506:Nevus / Q000473:pathology; D018329:Nevus, Blue / Q000473:pathology; D009508:Nevus, Pigmented / Q000473:pathology; D012680:Sensitivity and Specificity; D012878:Skin Neoplasms / Q000473:pathology* / Q000517:prevention & control; D012880:Skin Pigmentation