Melanoma of the head and neck in Queensland.
Melanoma of the head and neck in Queensland.
复制标题
昆士兰州的头部和颈部黑色素瘤。
DOI：
10.1002/hed.2890050303
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发表时间：
1983
期刊：
影响因子：
--
通讯作者：
D. Hinckley
中科院分区：
文献类型：
--
作者：
T. Harris;D. Hinckley
昆士兰州的黑色素瘤发病率为每10万人中有40例，是世界上最高的。在皇家布里斯班医院7年间的740例黑色素瘤中，21.75%发生在头颈部。其中，46.5%为哈钦森黑色素雀斑，54.8%为组织学浅表雀斑，即克拉克I级和II级，或厚度小于0.76毫米，或两者兼而有之。由于浅表黑色素瘤很少发生局部复发和远处转移，因此与较厚的病变或侵袭深度较大的病变相比，建议对这些病变进行较少的根治性手术切除，在这些病变中，可能需要积极切除甚至局部淋巴结清扫。鼻子、眼睑、耳朵和头皮等部位的解剖差异会影响扩散模式，因此需要在每个部位进行不同的治疗。
The incidence of melanoma in Queensland, 40 cases per 100,000 population, is the highest in the world. In this series of 740 melanomas over a 7-year period at the Royal Brisbane Hospital, 21.75% occurred on the head and neck. Of these, 46.5% arose in Hutchinson's melanotic freckle and 54.8% were histologically superficial, that is, Clark Levels I and II or less than 0.76 mm in thickness, or both. As local recurrence and distant metastasis is infrequent in superficial melanoma, less radical surgical excision of these lesions is advocated than for thicker lesions or those exhibiting a greater depth of invasion, where aggressive excision and even regional node dissection may be required. Anatomical variations in areas such as the nose, eyelid, ear, and scalp influence patterns of spread and necessitate differences in treatment at each site.