The effect of COVID-19 emergency in the management of melanoma in Italy
The COVID-19 pandemic has severely hampered the functioning of any health system, absorbing a considerable amount of resources and with the threat of widespread infection in the health services. The present survey has been carried out in Italy to evaluate if and how COVID-19 also affected skin melanoma management. We enrolled 13 Italian centres highly qualified in the diagnosis and care of skin melanoma. We compared a set of information evaluating the amount of activity for melanoma performed during February-April 2020 with the same quarter in 2019. The number of new melanoma diagnosis, biopsies, wide local excisions, overall pathology reports decreased. However, the most severe cases seem promptly managed with sentinel lymph node biopsies, new systemic treatments (north) and the total number of (advanced) treated patients (centre-south). The COVID-19 experience has underlined the need to exploit the help which may come from telemedicine.
WHO. COVID-19 significantly impacts health services for noncommunicable diseases, 1 June 2020 News release; https://www.who.int/news-room/detail/01-06-2020-covid-19-significantly-impacts-health-services-for-noncommunicable-diseases
Remuzzi A, Remuzzi G. COVID-19 and Italy: what next? Lancet 2020;395:1225-1228. DOI: https://doi.org/10.1016/S0140-6736(20)30627-9
Gisondi P, PIaserico S, Bordin C, et al. Cutaneous manifestations of SARS-CoV-2 infection: a clinical update. J Eur Acad Dermatol Venereol 2020 Jun 25. doi: 10.1111/jdv.16774. Online ahead of print. DOI: https://doi.org/10.1111/jdv.16774
Tagliaferri L, Di Stefani A, Schinzari G, et al. Skin cancer triage and management during COVID-19 pandemic. J Eur Acad Dermatol Venereol 2020;34:1136-1139. DOI: https://doi.org/10.1111/jdv.16529
AIOM-Airtum I Numeri del Cancro in Italia 2019. Intermedia editore, settembre 2019.
Quinlan C, Gill R, Murphy M. Increasing melanoma awareness amongst health and social care professionals in secondary care in an era of reduced skin cancer referrals. Clin Exp Dermatol 2020 Jun 2. doi: 10.1111/ced.14323. Online ahead of print. DOI: https://doi.org/10.1111/ced.14323
Tejera-Vaquerizo A, Nagore E. Estimated effect of COVID-19 lockdown on melanoma thickness and prognosis: a rate of growth model. J Eur Acad Dermatol Venereol 2020;34:e351-e353. DOI: https://doi.org/10.1111/jdv.16555
Gomolin T, Cline A, Handler MZ. The danger of neglecting melanoma during the COVID-19 pandemic. J Dermatolog Treat 2020;31:444-445. DOI: https://doi.org/10.1080/09546634.2020.1762844
Baumann BC, MacArthur KM, Brewer JD, et al. Management of primary skin cancer during a pandemic: Multidisciplinary recommendations. Cancer 2020;126:3900-3906. DOI: https://doi.org/10.1002/cncr.32969
Rossi E, Trakatelli M, Giacomelli L, et al. The COVID-19 outbreak in dermatologic surgery: resetting clinical priorities. J Eur Acad Dermatol Venereol 2020 May 26. doi: 10.1111/jdv.16672. Online ahead of print. DOI: https://doi.org/10.1111/jdv.16672
Argenziano G, Soyer HP, Chimenti S, et al. Dermoscopy of pigmented skin lesions: results of a consensus meeting via the Internet. J Am Acad Dermatol 2003;48:679-693. DOI: https://doi.org/10.1067/mjd.2003.281
Peccerillo F, Mandel VD, Di Tullio F, et al. Lesions Mimicking Melanoma at Dermoscopy Confirmed Basal Cell Carcinoma: Evaluation with Reflectance Confocal Microscopy. Dermatology 2019;235:35-44. DOI: https://doi.org/10.1159/000493727
Stanganelli I, Longo C, Mazzoni L, et al. Integration of reflectance confocal microscopy in sequential dermoscopy follow-up improves melanoma detection accuracy. Br J Dermatol 2015;172:365-371. DOI: https://doi.org/10.1111/bjd.13373
Tejera-Vaquerizo A, Cañueto J, Toll A, et al. Estimated Effect of COVID-19 Lockdown on Skin Tumor Size and Survival: An Exponential Growth Model. Actas Dermosifiliogr 2020; S0001-7310:30142-30143. DOI: https://doi.org/10.1016/j.adengl.2020.09.008
Liu W, Dowling JP, Murray WK, et al. Rate of growth in melanomas: characteristics and associations of rapidly growing melanomas. Arch Dermatol 2006;142:1551-1558. DOI: https://doi.org/10.1001/archderm.142.12.1551
Bruce AF, Mallow JA, Theeke LA. The use of teledermoscopy in the accurate identification of cancerous skin lesions in the adult population: A systematic review. J Telemed Telecare 2018;24:75-83. DOI: https://doi.org/10.1177/1357633X16686770
Cazzaniga S, Castelli E, Di Landro A, et al. Mobile teledermatology for melanoma detection: Assessment of the validity in the framework of a population-based skin cancer awareness campaign in northern Italy. J Am Acad Dermatol 2019;81:257-260. DOI: https://doi.org/10.1016/j.jaad.2019.02.036
Pagliarello C, Stanganelli I, Fabrizi G, et al. Digital Dermoscopy Monitoring: Is it Time to Define a Quality Standard? Acta Derm Venereol 2017;97:864-865. DOI: https://doi.org/10.2340/00015555-2663
Janda M, Swetter SM, Horsham C, Soyer HP. Virtual melanoma checks during a pandemic. Br J Dermatol 2020; 183(4):752-753. DOI: https://doi.org/10.1111/bjd.19255
Gabbrielli F, Bertinato L, De Filippis G, et al. Interim provisions on telemedicine healthcare services during COVID-19 health emergency. Version of April 13, 2020. https://www.iss.it/documents/20126/0/Rapporto+ISS+COVID19+n.+12+telemedicina.pdf/37b4b856-603a-76c1-1b85-5ff9c662bbbb?t=1586860608120.
- Abstract views: 2117
- PDF: 165
- HTML: 0
Copyright (c) 2021 the Author(s)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.