Prospects of screening skin neoplasms in servicemen of the Armed Forces of Ukraine

Objective — to improve the methods of diagnosis of skin neoplasms and to optimize the management of patients-service­men.Materials and methods. A literature review and analysis of the results of clinical and instrumental studies of military personnel with skin neoplasms are presented.Results and discussion. Management of diagnosis and treatment of skin neoplasms is a difficult task, especially for the early detection of skin neoplasms and the provision of medical care in accordance with international recommendations and guidelines, particularly in the Armed Forces. An important issue is that the examination and management of patients with skin neoplasms are not accompanied by photodocumentation of dermatoscopic images (namely, this situation exists in the real outpatient practice of the vast majority of Ukrainian dermatovenereologists and cosmetologists) since it is difficult to compare the results of the current and previous examinations when observing a patient, especially if they conducted by different specialists. This is due to the fact that specialists do not have a standardized protocol for detection, examination and fixation of dermatoscopic signs using a certain sequence and unified terminology of their description. In addition, there are a number of issues requiring further development in relation to the provision of medical care to military patients with skin neoplasms. The Dermatological Service of Ukraine is currently in a state of reform, which significantly reduces the possibility of early patient visits to the dermatologist and, accordingly, worsens the early diagnosis of skin tumors, especially in conscripts. A complicating factor is also the insufficient regulation of the algorithm and route of the patient with skin neoplasms in order to verify or exclude their malignant nature.Conclusions. Modern views on the diagnosis and treatment of dermatovenerological neoplasms need to be changed in order to early detect skin neoplasms and provide medical care in accordance with international recommendations and guidelines, especially in the ranks of the Armed Forces of Ukraine. In Ukraine, the identification and care of military patients with skin neoplasms is an issue that needs further development.