DMW - Deutsche Medizinische Wochenschrift, Год журнала: 2025, Номер 150(10), С. 548 - 554

Опубликована: Апрель 22, 2025

Melanoma is one of the most common cancers worldwide with a high mortality rate. However, smaller melanoma when it first diagnosed, better prognosis. Since skin melanomas can be detected relatively easy naked eye, systematic cancer screening could theoretically reduce by diagnosing as early possible. Evaluations detection programs show an increase in incidence and especially thins melanomas, but so far, no evidence decrease mortality. Current data on patient-related factors that fewer men people lower socioeconomic status participate knowledge about cancer-associated low.Based current study situation, therefore not possible to recommend or advise against for asymptomatic population. Screening recommended all at increased risk: fair type according Fitzpatrick I-II, under immunosuppression, more than 50 melanocytic nevi history dysplastic and/or large nevi, family melanoma, frequent severe sunburns childhood. In addition, targeted educational campaigns among risk groups (men, low levels education) are needed.New imaging techniques such 3D whole-body photography additional computer-based, AI-assisted assessment digital dermoscopic images, integrated into clinical decision-making processes (as "augmented intelligence" - AI), clearly have potential improve screening, particularly high-risk patients. combination human expertise, they potentially offer effective comprehensive approach detecting monitoring cancer. Randomized controlled studies must what extent this promising technique has proven itself clinic also suitable other populations.

Язык: Английский