CRITERIA FOR MANAGEMENT OF MELANOSIS
CRITERIA FOR MANAGEMENT OF MELANOSIS
复制标题
黑变病的治疗标准
DOI：
--
复制
发表时间：
1966
期刊：
影响因子：
--
通讯作者：
L. Zimmerman
中科院分区：
文献类型：
--
作者：
L. Zimmerman
致编辑：您在三月号上标题为“癌性黑变病”的专题照片，以及您在四月号上的社论“Primum non nocere”，促使我拿起笔。这篇社论非常恰当地表明，眼外科医生和许多其他抗击癌症的医生都犯下了过度手术的罪行。结节性筋膜炎和角化棘皮瘤这两种病变被特别引用为导致不必要的担忧和根治性手术的假癌病症的例子。虽然我同意有时对这些病变的治疗过于必要，但我怀疑是否对它们进行了很多切除术。另一方面，我知道许多是在诊断出癌性黑变病后进行的。发生于结膜获得性黑色素变性区域的真正的恶性黑色素瘤预后不良，我不会与那些相信这一点的人争论。
To the Editor: Your Feature Photo captioned "Cancerous Melanosis" in the March issue followed by your editorial " Primum non nocere " in the April issue have prompted me to take up the pen. The editorial quite properly suggests that ophthalmic surgeons, along with many other physicians fighting cancer, have been guilty of excessive surgery. The two lesions specifically cited as examples of pseudocancerous conditions leading to unnecessary concern and to radical operations were nodular fasciitis and keratoacanthoma. While I agree that these lesions are sometimes treated more vigorously than is necessary, I doubt that very many exenterations have been done for them. On the other hand, I know that many have been performed after a diagnosis of cancerous melanosis has been made. A genuine malignant melanoma arising in an area of acquired melanosis of the conjunctiva carries a poor prognosis, and I will not quarrel here with those who believe that