Abstract
Importance of the patient's clinical questionnaire for the diagnosis of skin cancer through teledermatology in remote areas of Brazil
Highlights
Skin cancer is the most common cancer worldwide and in Brazil represents 25% of cases of cancer
The clinical questionnaire combined with digital photography has increased the performance of observers for skin cancer diagnosis in an opportunistic screening scenario
The program is based on the use of Mobile Unit (MU) of Cancer Prevention that regularly visits the remote areas of Brazil
Summary
Skin cancer is the most common cancer worldwide and in Brazil represents 25% of cases of cancer. 186 patients were screened between June and July 2012 All patients had their skin lesions photographed. Photographs and clinical information from the second phase only were sent to the Barretos Cancer Hospital for diagnosis by medical specialists. The specificity and positive predictive values in the first and second phases of the study regarding observers 1 and 2 changed significantly with the addition of a clinical. Among the tumors of the skin, non-melanoma represents more than 90% of cases. Most of these lesions are associated with low mortality rates, but they can cause disfigurement and sequelae due to the treatment, since the lesions predominantly appear in skin areas exposed to the sun, like the face, neck and arms[3,4]. When detected at an early stage, the therapeutic approach is accessible and inexpensive, with low morbidity[3,5]
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