to select the main clinical and epidemiologic features of primary melanoma of the skin in the Republic of Belarus and to improve its early diagnosis based on optical and digital dermoscopy.
The material of the research was collected from the data on patients with first time established diagnosis of malignancy as well as from Belarusian - register of cancer statistics. All the patients were examined using Optical Dermatoscope - DermLite 3 with digital camera Nicon and the diagnostic system of digital skin research and digital epiluminiscent microscopy DermDOC.
In the period from 2012 to 2014 in the Vitebsk State Oncology Center were identified, by optical and digital dermoscopy, and treated 288 people with first -ever diagnosis of skin melanoma. Melanoma is much more common in women than in men. The ratio of diagnosed skin melanoma in men to that of women is 1: 1.55 (113men and 175 women, respectively) During the period from 2012 to 2014 most melanoma in both men and women is found at the age of 40 years and older. It was noted several upgrades incidence of melanoma of the skin: the first in 35 years, both men and women. Next rise in incidence occurs in men 45 and 65 years. In women, the incidence as observed peaks at age 45 and 65 years. Analyzing the data for the period from 2012 to 2014, we can see that the bulk of the patients are stage I and II disease - 30 and 47 %, respectively. The share of patients with stage III disease accounts for about 10 %, 5% are patients with stage IV disease. The stage is not set at 7% of patients. In our study, we paid attention on the prevalence of melanoma in the city and countryside.
Thus, the results of this study indicate an unfavorable epidemiological situation of melanoma of the skin. It noted the rapid increase in the incidence of this pathology in all age groups of both the urban and rural population. A positive aspect to be noted improvement in the quality of diagnosis of melanoma of the skin, namely, the identification of tumors in the early stages, which is achieved by the introduction of optical and digital dermoscopy, which became available in our Vitebsk State Oncology Center thankfully to international project under the supervision of the EU under the title: “Improvement of the health service by means of IT technology in dermal and lungs cancer diagnostics”.
Clinical trial identification
Ã¢â‚¬Å“Improvement of the health service by means of IT technology
All authors have declared no conflicts of interest.