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Multifocal melanoma in situ of the penis treated with topical Imiquimod

addressability. Another important factor influencing compliance is the personal history of melanoma. General compliance in patients registered with melanoma is higher, namely: 72.85%. Nevertheless, we consider a reason for concern the fact that 19 patients with melanoma failed to return spontaneously for follow-up and had to be contacted and reminded. Even after this, nine patients did not return, all of these addressing our department just to have their melanocytic lesions followed, but not for the initial excision of melanoma. The third factor that significantly influences patient compliance is age. Thus, the mean age of compliant patients is higher than that of the non-compliant patients, both in the case of the first and of the second follow-up visit. This could be explained by an increasing health concern with advanced age and with a better medical education. Compliance to the excision of a melanocytic lesions was 92.1% in our study, much higher than that with the dermoscopic follow-up; one possible explanation is that excision is perceived as an aggressive action, which is therefore serious and important. In our opinion, the results of this study are a cause for concern, revealing low patient compliance with the follow-up programs. Possible ways of improving compliance are as follows: return for follow-up shortly after the initial visit and the allocation of more time to inform patients making them more responsible in this respect, especially young patients. This paper was published under the frame of European Social Fund, Human Resources Development Operational Programme 2007-2013, project no. POSDRU/159/1.5/S/138776.