ACCURACY IN THE CLINICAL-DIAGNOSIS OF MALIGNANT-MELANOMA
ACCURACY IN THE CLINICAL-DIAGNOSIS OF MALIGNANT-MELANOMA
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DOI：
10.1001/archderm.126.6.763
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发表时间：
1990-06-01
影响因子：
--
通讯作者：
LEVENSTEIN, MJ
中科院分区：
文献类型：
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作者：
GRIN, CM;KOPF, AW;LEVENSTEIN, MJ
纽约（NY）大学医学中心皮肤和癌症单位肿瘤科的计算机化数据库（1955年至1982年）包括13，878处病变的数据。在这些病变中，214例经临床和组织学诊断为恶性黑色素瘤（MM）。另外51个病变，临床诊断为其他非MM，组织学上发现MM。79个病变临床诊断为MM，但组织学上发现其他实体。对临床诊断准确性的分析表明，在所研究的三个时期（1955年至1963年，1964年至1973年，1974年至1982年）有一些改善。虽然最佳时期（1974年至1982年）的诊断准确率仅为64%，但在84.5%的经组织学证实的MM病例中诊断出MM，反映了高度的敏感性。
The computerized database (1955 through 1982) of the Oncology Section of the Skin and Cancer Unit of New York (NY) University Medical Center includes data on 13,878 lesions. Of these lesions, 214 were diagnosed clinically and histologically as malignant melanoma (MM). An additional 51 lesions, diagnosed clinically as other than MMs, were found histologically to be MM. Seventy-nine lesions were clinically diagnosed as MM but were found histologically to be other entities. An analysis of the clinical diagnostic accuracy showed some improvement over the three periods studied (1955 through 1963, 1964 through 1973, and 1974 through 1982). Although the diagnostic accuracy for the best period (1974 through 1982) was only 64%, the diagnosis of MM was made in 84.5% of the histologically proved cases of MM, reflecting a high degree of sensitivity.