Recent studies investigated the value of teledermatology (TD) as a valid tool for a dermatologist-directed triage systems.
To investigate the feasibility of a store-and-forward TD triage system in a large number of patients.
Previously trained general practitioners selected suspicious skin tumours in the setting of a general preventive medicine screening programme and transmitted their dermoscopic images via virtual private network for decision-making. Within 48 h, two teleconsultants highly experienced in dermoscopy first assessed image quality, then made a diagnosis and answered if lesions were to follow-up, to excise or to be re-evaluated at face-to-face (FTF).
A total of 955 lesions were telediagnosed

[743 (78%) benign melanocytic, six (0.6%) malignant melanocytic, 186 (19%) benign non-melanocytic and 20 (2%) malignant non-melanocytic]. Excision was recommended for 111 (12%) lesions, 10 lesions (1%) were referred to FTF examination. Follow-up was recommended for 707 (74%) lesions. The vast majority of the lesions (82%) were screened as benign and an intervention was requested in only 18% of cases. Eighty-two patients (12% of the total) were lost at follow-up. The diagnostic accuracy was of 94% with sensitivity of 100% and specificity of 95.8%.
We confirm that TD is suitable to triage skin cancers.

J Eur Acad Dermatol Venereol. 2014; 28(8):1103-1108, © 2013 European Academy of Dermatology and Venereology.

free download wordpress themesfree download wordpress themeswordpress themes crackedfree download wordpress pluginsfree download wordpress themesudemy course free downloadfree download udemy tutoriallynda course free downloadfree download wordpress pluginsdownload wordpress themes