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After carefully reading the December 2001 issue of the ARCHIVES, I feel it necessary to comment on the subject of dermoscopy, which was discussed in several articles.^1-4 To be fair to the authors, my comments may be repetitious, as Menzies et al² state, "One of the possible risks of monitoring involves noncompliance." Carli and colleagues⁴ further state, "In clinical practice, equivocal lesions are routinely excised to guarantee that an unrecognized melanoma will not be left untreated."

My comments are mainly directed at the conclusions that Carli et al draw: "In our opinion, the principal effect of dermoscopy in melanoma screening would be a reduced number of false-positive diagnoses, ie, fewer excisions of benign lesions; . . ." I heartily agree that this is an admirable goal and quite possibly attainable in a more perfect setting. However, I believe the emphasis is somewhat misplaced. I would more accurately state the goal . . . [Full Text of this Article]

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