Full‐body skin examination in screening for cutaneous malignancy: a focus on concealed sites and the practices of Australian dermatologists
James P. Pham, Nicholas Allen, Phoebe Star, Anne E. Cust, Cameron Stewart, Pascale Guitera, Ashfaq A. Marghoob, Annika Smith- Dermatology
Abstract
Background
Full‐body skin examination (FSE) is a vital practice in the diagnosis of cutaneous malignancy. Precisely how FSE should be conducted with respect to concealed site inclusion remains poorly elucidated.
Objective
To establish the approach of Australian dermatologists to concealed site examination (CSE).
Methods
A cross‐sectional study was performed consisting of an online self‐administered 11‐question survey delivered to fellows of the Australasian College of Dermatologists.
Results
There were 237 respondents. Anogenitalia was the least often examined concealed site (4.6%), and 59.9, 32.9, and 14.3% reported always examining the scalp, breasts, and oral mucosa, respectively. Patient concern was the most frequently cited factor prompting examination, while many cited low incidence of pathology and limited chaperone availability as the main barriers to routine examination of these sites.
Conclusion
Most Australian dermatologists do not routinely examine breasts, oral mucosal, or anogenital sites as part of an FSE. Emphasis should be made on identifying individual patient risk factors and education regarding self‐examination of sensitive sites. A consensus approach to the conduct of the FSE, including concealed sites, is needed to better delineate clinician responsibilities and address medicolegal implications.