Related Experiment Video
Updated: Jul 5, 2026
Dermoscopy Aids in the Diagnosis of Discoid Lupus Erythematosus
Published on: May 16, 2025
Time required for a complete skin examination with and without dermoscopy: a prospective, randomized multicenter
Iris Zalaudek1, Harald Kittler, Ashfaq A Marghoob
1Department of Dermatology, Medical University of Graz, Auenbruggerplatz 8, 8036 Graz, Austria. iris.zalaudek@meduni-graz.at
Objective:
To determine the time required to perform a complete skin examination (CSE) as a means of opportunistic screening for skin cancer both without and with dermoscopy.
Design:
Randomized, prospective multicenter study.
Setting:
Eight referral pigmented lesion clinics. Patients From June 2006 to January 2007, 1359 patients with at least 1 melanocytic or nonmelanocytic skin lesion were randomly selected to receive a CSE without dermoscopy or CSE with dermoscopy. For each patient, the total number of lesions and the duration of the CSE were recorded. A total of 1328 patients were eligible for analysis (31 were excluded because of missing data).
Main Outcome Measures:
The median time (measured in seconds) needed for CSE with and without dermoscopy and according to total cutaneous lesion count.
Results:
The median time needed for CSE without dermoscopy was 70 seconds and with dermoscopy was 142 seconds, a significant difference of 72 seconds (P < .001). The use of dermoscopy increased the duration of CSE, and this increase was in direct proportion to the patient's total lesion count. In contrast, the time required to perform a CSE without dermoscopy remained the same irrespective of whether the patients had few or many lesions.
Conclusions:
A CSE aided by dermoscopy takes significantly longer than a CSE without dermoscopy. However, a thorough CSE, with or without dermoscopy, requires less than 3 minutes, which is a reasonable amount of added time to potentially prevent the morbidity and mortality associated with skin cancer.
