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Updated: Jun 23, 2025

Combining Reflectance Confocal Microscopy with Optical Coherence Tomography for Noninvasive Diagnosis of Skin Cancers via Image Acquisition
Published on: August 18, 2022
Multidisciplinary patient-centered approach to the management of skin cancer
Brigitte Dréno1, Peter Mohr2, Jérôme Sicard3
1Department of Dermatology and Skin Cancer and Unit of Cell and Gene Therapy, Nantes University Hospital, Nantes, France.
Abstract:
In recent years, new approaches for optimal patient management of cancer have focused on patient-centered care, with integration of tumour-directed treatment and patient-directed supportive and palliative care throughout the disease journey from prevention through screening, diagnosis, treatment, and follow-up. In 2022, at the International Forum of Dermatology (IFD), a scientific session was entirely dedicated to highlight recent developments on patient-centered approaches in skin cancer. An international panel of different groups of participants involved in a patient's journey on the management of skin cancer presented and discussed challenges and barriers that persist in the field of skin cancer prevention and care pathways. Although primary prevention remains a crucial step in the prevention of melanoma, the different surveys performed during the last 20 years demonstrate that the use of sunscreen increases very slowly. Secondary prevention that includes skin screening and diagnostic measures may benefit from the development of digital tools. To improve adherence, patients need accurate, reliable information about their disease and the treatment options, and this type of content that can also be made available on digital tools. Shared decision-making is a hallmark of a patient-centered approach and requires health care providers who can communicate well to patients and their families, underscoring the pivotal role of health care professionals all through the patient journey. Health care providers have a crucial role in supporting patients through their journey in skin cancer. They will benefit from mobile apps and technologies that have been developed recently to address challenges in skin cancer prevention, detection and care, including those that are primarily directed to the patient. However, more peer-reviewed studies are needed as well as regulations to ensure that apps are accurate, reliable, and up to date.
Insights
Patient-centered care is key for managing skin cancer, integrating treatment with supportive care. Digital tools and shared decision-making show promise, but require more research and regulation for accuracy.
Area of Science:
- Dermatology
- Oncology
- Digital Health
Background:
- Patient-centered care integrates tumor-directed and supportive care throughout the cancer journey.
- Recent developments in patient-centered approaches for skin cancer were highlighted at the 2022 International Forum of Dermatology (IFD).
Purpose of the Study:
- To discuss persistent challenges and barriers in skin cancer prevention and care pathways.
- To explore the role of digital tools and shared decision-making in improving patient adherence and care.
Main Methods:
- A scientific session at the IFD featured an international panel discussing current issues in skin cancer management.
- Review of recent surveys on sunscreen use and the potential of digital tools for secondary prevention (skin screening and diagnosis).
Main Results:
- Primary prevention of melanoma is crucial, but sunscreen use has increased slowly.
- Digital tools can enhance secondary prevention, improve patient adherence through reliable information, and support shared decision-making.
- Healthcare providers play a vital role and can benefit from mobile apps and technologies.
Conclusions:
- Patient-centered care requires effective communication and support from healthcare professionals.
- Further peer-reviewed studies and regulations are necessary to ensure the accuracy and reliability of digital health tools for skin cancer care.
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