Doubling of excisions of genuine disease is the important issue

EDITOR,—After reading the title of Christopher B Del Mar and Adele C Green's paper, “Aid to diagnosis of melanoma in primary medical care,”1 I thought, “Great: something to support the budgeting of medical photography departments,” which have always been an important part of any dermatology service. I was therefore disappointed when I examined the findings more closely and realised that the authors had distorted the interpretation of their results to fit their original beliefs. Their main point is that in the city in which the intervention was carried out, where clinical photography was introduced into …