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screening for skin cancer

Indications: 1) insufficient evidence to recommend screening for skin cancer in asymptomatic adults without history of premalignant or malignant skin lesions (USPSTF) [3,5] 2) risk factors that warrant screening a) multiple dysplastic nevi b) basal cell nevus syndrome c) history of melanoma or family history of melanoma d) history of non-melanoma skin cancer or family history of non-melanoma skin cancer e) immunosuppression f) history of phototherapy g) history of multiple blistering sunburns h) red or ligh colored hair; light colored eyes Complications: - primary care-based melanoma screening associated with increased detection of thin melanoma, raising concern of among dermatologists of overdiagnosis [6] Management: - any new or changing nevus should be evaluated for possible biopsy [1] - see skin cancer for prevention

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skin cancer

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screening for cancer screening for skin disease

References

  1. Medical Knowledge Self Assessment Program (MKSAP) 11, 15, 16, 17. American College of Physicians, Philadelphia 1998, 2009, 2012, 2015
  2. US Preventive Services Task Force. Screening for skin cancer: recommendations and rationale. Am J Prev Med. 2001 Apr;20(3 Suppl):44-6. PMID: 11306231
  3. US Preventive Services Task Force. Dec 2015 Draft Evidence Review for Skin Cancer: Screening Draft Recommendation Statement. Skin Cancer: Screening http://www.uspreventiveservicestaskforce.org/Page/Name/us-preventive-services-task-force-opportunities-for-public-comment
  4. Choudhury K, Volkmer B, Greinert R et al Effectiveness of skin cancer screening programmes. Br J Dermatol. 2012 Aug;167 Suppl 2:94-8 PMID: 22881593
  5. US Preventive Services Task Force Screening for Skin Cancer. US Preventive Services Task Force Recommendation Statement JAMA. 2016;316(4):429-435 PMID: 27458948 http://jama.jamanetwork.com/article.aspx?articleid=2536643 - Wernli KJ,Henrikson NB, Morrison CC et al Screening for Skin Cancer in Adults. Updated Evidence Report and Systematic Review for the US Preventive Services Task Force. JAMA. 2016;316(4):436-447 PMID: 27458949 http://jama.jamanetwork.com/article.aspx?articleid=2536642 - Nahar VK, Mayer JE, Grant-Kels JM The Case for Skin Cancer Screening With Total-Body Skin Examinations. JAMA Oncol. Published online July 26, 2016 PMID: 27459540 http://oncology.jamanetwork.com/article.aspx?articleid=2537114 - Swetter SM, Geller AC, Halpern AC What the USPSTF "Insufficient" Skin Cancer Screening Recommendation Means for Primary Care Clinicians and Dermatologists. JAMA Dermatol. Published online July 26, 2016 PMID: 27459324 http://archderm.jamanetwork.com/article.aspx?articleid=2536823 - Linos E, Katz KA, Colditz GA Skin Cancer - The Importance of Prevention JAMA Intern Med. Published online July 26, 2016 PMID: 27459394 http://archinte.jamanetwork.com/article.aspx?articleid=2537026 - US Preventive Services Task Force Screening for Skin CancerUS Preventive Services Task Force Recommendation Statement. JAMA. 2023;329(15):1290-1295 PMID: 37071089 https://jamanetwork.com/journals/jama/fullarticle/2803797 - Henrikson NB, Ivlev I, Blasi PR et al Skin Cancer Screening. Updated Evidence Report and Systematic Review for the US Preventive Services Task Force. JAMA. 2023;329(15):1296-1307. PMID: 37071090 https://jamanetwork.com/journals/jama/fullarticle/2803798
  6. Matsumoto M, Wack S, Weinstock MA et al Five-Year Outcomes of a Melanoma Screening Initiative in a Large Health Care System. JAMA Dermatol. Published online April 6, 2022. PMID: 35385051 https://jamanetwork.com/journals/jamadermatology/fullarticle/2790694