Italian Euromelanoma Day Screening Campaign (2005-2007) and the planning of melanoma screening strategies

作者：Seidenari Stefania; Benati Elisa; Ponti Giovanni^*; Borsari Stefania; Ferrari Chiara; Albertini Giuseppe; Altomare Gianfranco; Arcangeli Fabio; Aste Nicola; Bernengo Maria Grazia; Bongiorno Maria Rita; Borroni Giovanni; Calvieri Stefano; Chimenti Sergio; Cusano Francesco; Fracchiolla Claudio; Gaddoni Giuseppe; Girolomoni Giampiero; Guarneri Biagio; Lanzoni Anna; Lombardi Mara; Lotti Torello; Mariotti Antonio; Marsili Franco; Micali Giuseppe; Parodi Aurora; Peris Ketty

来源：European Journal of Cancer Prevention, 2012, 21(1): 89-95.

DOI：10.1097/CEJ.0b013e3283498e14

• melanoma prevention strategy
• melanoma risk factors
• melanoma screening campaign
• skin cancer
• self-surveillance

Although no study has definitively shown that unfocused screening of skin cancer is effective, many campaigns have been organized with the aim of increasing awareness on melanoma risk factors. The objective of this study was to analyse the results of the Skin Cancer Screening Day in Italy during the period 2005-2007, to determine the priorities for melanoma control plans in a Mediterranean country. A total of 5002 patients were screened by dermatologists in 31 cities. Individuals who considered themselves to have many naevi and those with a family history of melanoma showed a higher number of common and atypical naevi. Ten melanomas, 20 basal cell carcinomas and two squamous cell carcinomas were histopathologically confirmed. Our observations provide the following suggestions for melanoma prevention strategies: (a) an unfocused campaign is suitable to inform the public about the importance of self-examination of the skin, but is not useful to identify a larger number of melanomas; and (b) melanoma screening campaigns should focus on a selected population, which meets rigorous risk criteria to maintain higher cost-effectiveness. The financial support to effective melanoma screening programmes could be increased, especially in southern populations where lower levels of self-surveillance and socioeconomic conditions represent risk factors for late identification of melanoma.

• 出版日期2012-1