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Store-and-forward teledermatology for the most common skin neoplasms in Ukraine
Kira Kravets1,2, Olga Vasylenko2, Zhanna Dranyk2
1Kharkiv Medical Academy of Postgraduate Education, Kyiv, Ukraine.
Background:
Among all malignancies in Ukraine in 2016, the group of non-melanoma skin cancers headed the list in men and made up 21.6%. This group was second in women and made up 17.6%. The diagnostics of skin tumors are becoming increasingly relevant.
Methods:
The store-and-forward (SAF) method was used. The study included patients that were remotely diagnosed with melanocytic nevi, seborrheic keratoses, skin cancer, and skin melanoma. Patients signed up for remote diagnostics, were examined in person by dermatologists, and had tumors excised with a subsequent histological examination.
Results:
Using telemedicine, 108 melanocytic nevi, 97 seborrheic keratoses, 62 skin cancers, and 47 skin melanomas were diagnosed and selected. The accuracy of teledermatological examination and teledermoscopy compared to clinical examination and dermoscopy was 90.3 to 100.0%. The accuracy of teledermatological examination and teledermoscopy compared to histopathological diagnoses was 85.1 to 98.9%.
Conclusions:
Teledermatological diagnosis showed a high ability for detecting skin neoplasms in Ukraine.
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