<p>Skin cancer screening is an established secondary prevention measure, but its benefit depends critically on patient selection. While population-wide screening shows limited evidence for mortality reduction, clearly defined high-risk groups benefit from intensified, risk-adapted early detection. These groups include patients with a&#xa0;personal history of melanoma or nonmelanoma skin cancer, positive family history, high nevus count, immunosuppression and individuals with extreme UV exposure. Quality of examination, particularly the use of dermoscopy and digital monitoring in high-risk patients, is crucial for diagnostic yield. Future screening strategies should rely on individual risk factors and allocate resources to vulnerable populations to enable effective, cost-efficient, and patient-centered skin cancer early detection.</p>

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Hautkrebsscreening

  • Christoph Müller

摘要

Skin cancer screening is an established secondary prevention measure, but its benefit depends critically on patient selection. While population-wide screening shows limited evidence for mortality reduction, clearly defined high-risk groups benefit from intensified, risk-adapted early detection. These groups include patients with a personal history of melanoma or nonmelanoma skin cancer, positive family history, high nevus count, immunosuppression and individuals with extreme UV exposure. Quality of examination, particularly the use of dermoscopy and digital monitoring in high-risk patients, is crucial for diagnostic yield. Future screening strategies should rely on individual risk factors and allocate resources to vulnerable populations to enable effective, cost-efficient, and patient-centered skin cancer early detection.