An observational cross-sectional study developed through the census of 333 examination requests,received between January/2012 and July/2012, in the Center for Telemedicine and Telehealth of SES-SC. We useda protocol for photographic lesion standardization, consisting of three steps (panoramic photo, close-up with rulerand dermoscopy). After collection, the data were sent to a virtual site on the Internet, and recorded with the useof an electronic health record containing the images, the skin phototype and demographic characteristics.RESULTS: The level of compatibility between the diagnosis of skin cancer in Santa Catarina's primary care and thediagnosis proposed by teledermatology was 19.02%. Proportionally, it was 21.21% for BCC, 44.44% for SCC and6.98% for MM. The protocol was statistically significant (p <0.05), with an OR of 38.77
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