
Follow-up of Melanocytic Skin Lesions With Digital Dermoscopy: Risks and Benefits
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We read with interest the editorial by Carli et al1 commenting
on our study published in the December 2001 issue of the ARCHIVES.2 Carli et al stated that the very poor diagnostic
performance for melanoma observed in our study strongly contrasts with common
sense and common experience and suggests that the operative conditions under
which the study was carried out were different from the real ones. It has
to be emphasized that the melanomas included in our sample lacked specific
dermoscopic criteria and were thus very difficult to diagnose, otherwise these
melanomas would have been excised at the patient's first visit. All melanomas
and nonmelanomas of our sample were drawn from patients with multiple atypical
nevi who represent, in our view, the major target population for sequential
imaging of melanocytic skin lesions. We are convinced that the high diagnostic
difficulty of our sample was the main reason for the poor . . . [Full Text of this Article]
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