GD08 Integrating dermatology into Nepal’s cancer control strategy: the role of noninvasive tools like dermoscopy in skin cancer screening and early detection

Abstract Cancer poses a significant public health challenge in Nepal, with a substantial number of new cases and deaths annually. Nepal’s Cancer Control Strategy (2022–2030) emphasizes early detection, prevention and public education. A cross-sectional screening study using dermoscopy was conducted on 120 patients, with biopsies performed on suspicious lesions. Community outreach programmes, reaching 800 participants in urban and rural areas, focused on ultraviolet protection, smoking cessation and early skin cancer signs. The study indicated that skin cancer accounts for 2–3% of all cancers in Nepal, with melanoma and nonmelanoma types being most common. Screening of 120 patients detected 25 early-stage skin cancers (21%), with melanoma representing 40% of these cases. Dermoscopy demonstrated a 90% diagnostic performance in identifying suspicious lesions. Public awareness campaigns resulted in an 85% increase in participant knowledge regarding skin cancer prevention. The National Health Insurance Program has facilitated access to care, providing free biopsies and treatment to all patients with cancer since its inception. Statistical analysis confirmed a significant association between ultraviolet exposure, smoking and skin cancer risk (P < 0.05). Noninvasive tools like dermoscopy are essential for effective skin cancer screening, enabling early diagnosis and reducing the need for invasive procedures. Despite being under-recognized, skin cancer is a significant public health issue in Nepal. Early detection through dermatological examination and enhanced public awareness can lead to reduced mortality and improved patient quality-of-life outcomes. The Nepal National Health Insurance Program plays a vital role in improving access to free skin cancer care. Integrating dermatology into the Nepal Cancer Control Strategy is crucial to address this growing burden to improve the quality of life of patients.