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Research Letter
February 2013

Enhanced Skin Self-examination: A Novel Approach to Skin Cancer Monitoring and Follow-up

Author Affiliations

Author Affiliations: School of Public Health, Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Australia (Dr Janda); College of Nursing, Mel and Enid Zuckerman College of Public Health, and The Arizona Cancer Center Skin Cancer Institute, The University of Arizona, Tucson (Dr Loescher); and Dermatology Research Center, The University of Queensland, School of Medicine, Princess Alexandra Hospital, Brisbane (Dr Soyer).

JAMA Dermatol. 2013;149(2):231-236. doi:10.1001/jamadermatol.2013.1218

Advances in mobile telephone technology and available dermoscopic attachments for mobile telephones have created a unique opportunity for consumer-initiated mobile teledermoscopy. At least 2 companies market a dermoscope attachment for an iPhone (Apple), forming a mobile teledermoscope. These devices and the corresponding software applications (apps) enable (1) lesion magnification (at least ×20) and visualization with polarized light; (2) photographic documentation using the telephone camera; (3) lesion measurement (ruler); (4) adding of image and lesion details; and (5) e-mail data to a teledermatologist for review. For lesion assessment, the asymmetry-color (AC) rule has 94% sensitivity and 62% specificity for melanoma identification by consumers.1 Thus, consumers can be educated to recognize asymmetry and color patterns in suspect lesions. However, we know little about consumers' use of mobile teledermoscopy for lesion assessment.

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