Surveillance of Patients for Early Detection of Melanoma Patterns in Dermatologist vs Patient Discovery
Surveillance of Patients for Early Detection of Melanoma Patterns in Dermatologist vs Patient Discovery
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DOI：
10.1001/archdermatol.2011.135
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发表时间：
2011-06-01
影响因子：
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通讯作者：
Ferris, Laura K.
中科院分区：
文献类型：
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作者：
McGuire, Sean T.;Secrest, Aaron M.;Ferris, Laura K.
目的：为了确定哪组患者最有可能和最不可能独立于皮肤科医生的评估而检测到自己的黑色素瘤，设计：回顾性分析。设置：学术皮肤科，从2003年1月1日到2008年12月31日。患者：167例连续的经活检证实的黑色素瘤患者。主要结果测量：皮肤科医生检查发现的黑色素瘤比例与患者提请检查皮肤科医生注意的黑色素瘤比例。二次分析研究谁检测到黑色素瘤（皮肤科医生与患者）和患者年龄，个人皮肤癌史，黑色素瘤家族史，和病变的深度之间的关联：在167个黑色素瘤，101（60.5%）引起皮肤科医生的注意的病人。皮肤科医生的检测与患者年龄50岁或以上（P=.002）、个人皮肤癌史（P
Objective: To determine which groups of patients are most and least likely to detect their own melanomas independent of dermatologist evaluation.Design: Retrospective analysis.Setting: Academic dermatology department from January 1, 2003, through December 31, 2008.Patients: One hundred sixty-seven consecutive patients with incident biopsy-confirmed melanomas.Main Outcome Measures: Proportion of melanomas found on dermatologist examination vs those brought to the attention of the examining dermatologist by the patient. Secondary analysis examined associations between who detected the melanoma (dermatologist vs patient) and patient age, personal history of skin cancer, family history of melanoma, and depth of lesion.Results: Of the 167 melanomas, 101 (60.5%) were brought to the attention of the dermatologist by the patient. Detection by a dermatologist was significantly associated with patient age of 50 years or older (P=.002), personal skin cancer history (P