Screening strategy
Whole body skin checks were conducted using a handheld dermatoscope,
completed by an accredited skin cancer doctor focusing upon AK, NMSC and
MSC using the chaos and clues
algorithm16 and
prediction without pigment, a decision algorithm for non-pigmented skin
malignancy.17 These
methods have been shown to significantly increase the diagnostic
accuracy of detecting AK, NMSC and MSC when used by experienced
clinicians. A digital dermatoscope with 10x magnification and LEDHQ
illumination (Heine Delta 30, Heine, Optotechnic GhbH, Herrsching,
Germany) was used to inspect any skin lesions as dermoscopy
(epiluminescence microscopy) significantly increases the diagnostic
accuracy of detecting PSC, NMSC and MSC when used by experienced
clinicians.18,19