Clinical ABCDE rule for early melanoma detection

• Tipo: Artigo em Revista Científica Internacional
• Data: 2021

Autores

Duarte, AF (Autor) Outra; Sousa Pinto, B (Autor) FMUP; Azevedo L (Autor) FMUP; Barros, AM (Autor) Outra; Puig, S (Autor) Outra; Malvehy, J (Autor) Outra; Haneke, E (Autor) Outra; Correia, O (Autor) Outra

Revista

Título: European Journal of Dermatology

Vol. 31

Páginas: 771-778

ISSN: 1167-1122

Editora: Libbey

Indexação

ISI Web of Knowledge - 41 Citações

Scopus - 55 Citações

Outras Informações

ID Authenticus: P-00W-1HH

DOI: 10.1684/ejd.2021.4171

Abstract (EN): Background: The ABCDE rule systematizes warning signs for malignant melanoma (MM). Objectives: To evaluate whether the ABCDE signs are associated with early detection of MM. Materials & Methods: Based on a retrospective study over 11.5 years, we assessed whether ABCDE signs are associated with early diagnosis of MM. Results: In total, 144 MM were included; 52 (36.1%) in situ and 92 (63.9%) invasive lesions. For 23.6%, the MM were first suspected by an individual other than a dermatologist. The "E sign" was significantly less frequent among in situ lesions (32.7% versus 50.0%; p= 0.044). Based on adjusted analyses, the probability of MM being first suspected by a non-dermatologist consistently increased with the number of ABCDE signs of the lesion, ranging from 8% for a neoplasm with no ABCDE signs to 32% for a lesion with five signs (OR =1.6; 95% CI: 1.2-2.2; p = 0.004). Conclusion: A higher number of ABCDE signs were associated with a greater chance of MM being first suspected by a non-dermatologist, but not in situ MM diagnosis. Relying on the ABCDE rule alone might result in missing early MM lesions.

Idioma: Inglês

Tipo (Avaliação Docente): Científica

Nº de páginas: 8