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Master Thesis

Dépistage des cancers cutanés chez les seniors : retour d’expérience dans un PSLA en Normandie

Abstract : The number of melanoma cases has tripled in the last thirty years, and the National Cancer Institute has issued screening recommendations, starting at age eighteen, based on regular skin examination of people with risk factors. The organization of this screening remains heterogeneous in France. The elderly population may have difficulty selfmonitoring and moving to a physician. As part of the Improvement of Professional Practices, a screening questionnaire was designed in May 2018 and tested by the general practitioners of Isigny Sur Mer. There is a high prevalence of risk factors as UV professionnal exposure in this territory. We conducted a retrospective study on the completion rate and content of screening files between June and August 2018. 833 patients aged 70 and over consulted during this period, for whom 102 screening files were completed, finding 71 patients with at least one melanoma risk factor. Following skin examination, suspicious lesion of cancer was found in 19 patients, addressed to the dermatologist, but only one was a histologically confirmed carcinoma. General practitioners reported that this specific consultation was timeconsuming. The prospects for improvement could be the awareness of at-risk professionals through occupational health physicians and health insurances, the assistance of allied health professionals in identifying patients at risk, better training of general practitioners and providing dermatological advices by remote consultation.
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Master Thesis
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Submitted on : Monday, February 17, 2020 - 2:40:41 PM
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  • HAL Id : dumas-02481441, version 1


Avran Audren. Dépistage des cancers cutanés chez les seniors : retour d’expérience dans un PSLA en Normandie. Médecine humaine et pathologie. 2019. ⟨dumas-02481441⟩



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