A simple test that can make a real difference
By dermatologists Luigi Cornacchia, Eleonora De Luca and Marta Grimaldi
Introduction
Detecting melanoma at an early stage can dramatically change the prognosis.
Today, thanks to epiluminescence (digital dermatoscopy), it is possible to closely examine skin lesions and identify early suspicious signs, often invisible to the naked eye.
This is a quick, non-invasive examination that plays an increasingly central role in dermatological prevention.
What is epiluminescence
Epiluminescence is a diagnostic technique that uses a device called a videodermatoscope. This instrument magnifies the skin and illuminates its superficial layers and, when deemed necessary by the dermatologist, allows images of moles to be captured for follow-up over time.
This enables the dermatologist to:
◆ analyze the structure, color, and borders of moles
◆ distinguish benign lesions from suspicious ones
◆ detect early signs of melanoma
Compared to simple visual inspection, dermatoscopy provides a far more accurate and reliable evaluation.
Why it is essential for early melanoma detection
Melanoma is one of the most aggressive types of skin cancer, but it has a key characteristic:
when detected early, it is highly treatable.
Epiluminescence makes it possible to:
◆ identify changes before they become visible
◆ reduce unnecessary biopsies
◆ monitor high-risk moles over time
“Early diagnosis is the most effective tool we have against melanoma.”
When a dermatoscopy exam is recommended
A dermatological examination with epiluminescence is recommended:
◆ once a year as a preventive check
◆ if you have many moles
◆ if you have a fair skin phototype
◆ in case of a family history of melanoma
◆ if a mole changes in shape, color, or size
A useful reference for patients to identify potentially risky lesions is the ABCDE rule:
- Asymmetry
- Border irregularity
- Color variation
- Diameter increase
- Evolution over time
If any of these signs appear, it is important to undergo a dermatological examination as soon as possible.
A quick, painless, and non-invasive exam
Epiluminescence:
◆ is painless
◆ requires no preparation
◆ takes about 20 minutes
◆ can be repeated over time without contraindications
In some cases, digital images of selected lesions can be stored for future comparison, allowing precise monitoring over time and more accurate early diagnosis.
The value of prevention
Dermatological prevention is not only about checking moles, but also about taking conscious care of your skin.
Proper sun exposure, the use of adequate protection, and regular check-ups are simple actions that can have a significant impact on your health.
Conclusion
Epiluminescence is now one of the most effective tools for early melanoma detection.
A simple, quick, and accessible examination that can truly make a difference.
Taking just a few minutes for a check-up can mean intervening in time.