title: Skin cancer screening and primary prevention: facts and controversies.
abstract: Skin cancer is both common and responsible for significant morbidity and mortality. Opportunities for both primary and secondary prevention are available to both dermatologists and non-dermatologists. Counseling selected patients about ultraviolet avoidance and proper use of sunscreens is recommended. Due to technical and financial barriers, no study has conclusively confirmed the benefits of skin cancer screening. Both dermatologists and non-dermatologists often do not perform total body skin examinations during clinical encounters, despite high acceptance rates by patients. Many non-dermatologists would benefit from additional education pertaining to the diagnosis of cutaneous malignancy. Teledermatology may have a role in areas with poor access to dermatologists. There are ample opportunities for more to be learned in the future.
authors.affiliation: VA Connecticut Healthcare System, West Haven, CT and Department of Dermatology, Yale University School of Medicine, New Haven, CT, USA. Electronic address: Daniel.federman@va.gov.
authors.forename: Daniel G
authors.initials: DG
authors.lastname: Federman
authors.forename: Robert S
authors.initials: RS
authors.lastname: Kirsner
authors.forename: Kate V
authors.initials: KV
authors.lastname: Viola
mesh_terms: D037001:Directive Counseling; D055088:Early Detection of Cancer / Q000191:economics; D006801:Humans; D011322:Primary Prevention; D055502:Secondary Prevention; D012878:Skin Neoplasms / Q000175:diagnosis* / Q000517:prevention & control*; D017216:Telemedicine