I read with interest the editorial “Why Perform Dermoscopy” by Menzies and Zalaudek1 in the September issue of the ARCHIVES. To support the role of dermoscopy in the routine management of pigmented skin lesions, Menzies and Zalaudek assert a significant increase in both sensitivity and specificity for melanoma compared with naked-eye examination and refer to meta-analysis data showing an increase in mean sensitivity of 19%. They also propose that naked-eye examination alone will probably miss more melanoma than naked-eye examination plus dermoscopy.
Carli P. Dermoscopy Not Yet Shown to Increase Sensitivity of Melanoma Diagnosis in Real Practice. Arch Dermatol. 2007;143(5):659-675. doi:10.1001/archderm.143.5.664-b