Which Skin Lesions Are For Dermoscopic Tracking?

It must be accented that removing a skin lesion is much safer than any tracking of it. If there are any atypical dermoscopic signs, the first advice is to remove it, and if for any reason the patient doesn’t want to do that, dermoscopic tracking is recommended.

First condition for dermoscopic tracking is that the lesion in question is NOT SUSPICIOUS OF MELANOMA in any dermoscopic sense.

Only if the first condition is met dermoscopic tracking is advised, in the following manner:

  • All persons with high melanoma risk factors are advised to do check-ups once a year.
  • Skin lesions with any of the signs of irregularity, and no dermoscopic melanoma suspicion are controlled every 3 to 6 months in the first year. If there are no signs of evolution within the first year, yearly follow ups are recommended. If there is any sign of evolution within the first year, preventive removal is advised.
  • Skin lesions that have been injured, leaking, bleeding or inflamed are controlled on 4 to 6 weeks. Namely, during that period of time a complete restoration of the lesion to it’s previous state should be accomplished. If the mentioned signs get lost during that period, yearly follow ups are advised. If any of the signs persist after 4 to 6 weeks, preventive removal is advised.
  • Skin lesions that itch, tingle or ache to any extent are controlled on 3 to 6 months, if the dermoscopic finding is completely correct.