Who removes pigmented skin lesions?
Who removes pigmented skin lesions?
复制标题
DOI：
10.1016/s0190-9622(97)80324-6
复制
发表时间：
1997-05-01
影响因子：
13.8
通讯作者：
Dorevitch, AP
中科院分区：
文献类型：
--
作者：
Marks, R;Jolley, D;Dorevitch, AP
工作背景：越来越多的色素性皮肤病变被切除，因为担心可能malignancy.Objective：我们的目的是确定良性与恶性色素性肿瘤的比例，由不同类别的医生切除，并验证是否有任何改善后5年的教育计划。方法：在1989年和1994年提交给主要组织病理学服务的所有色素性病变被评估为切除病变的医生的类别、肿瘤类型、患者的年龄和性别。皮肤科医生的良性/恶性比率最低，全科医生最高。全科医生似乎很难将脂溢性角化病和黑色素细胞痣与恶性病变区分开来;这些良性病变的发生率高度依赖于患者的年龄。在5年期间，我们观察到全科医生的黑色素细胞痣的良性/恶性比率的改善，但不是为脂溢性角化病。结论：有改善的空间，由医生在区分黑色素细胞痣和脂溢性角化病从黑色素瘤。对于全科医生来说尤其如此，澳大利亚和其他国家的公众被鼓励首先寻求关于可疑色素性病变的建议。
Background: Increasing numbers of pigmented skin lesions are being removed because of concern about possible malignancy.Objective: Our purpose was to determine the ratio of benign to malignant pigmented tumors removed by different categories of physician and to verify whether any improvement had occurred after 5 years of educational programs.Methods: All pigmented lesions submitted to a major histopathology service in the years 1989 and 1994 were assessed as to the category of physician who removed the lesion, tumor type, and age and sex of the patient.Results: Dermatologists had the lowest benign/malignant ratio and general practitioners had the highest. General practitioners appeared to have difficulty differentiating both seborrheic keratoses and melanocytic nevi from malignant lesions; the frequency of these benign lesions was highly dependent on the age of the patient. During the 5-year period we observed an improvement among general practitioners in the benign/malignant ratio for melanocytic nevi, but not for seborrheic keratoses.Conclusion: There is room for improvement by physicians in differentiating both melanocytic nevi and seborrheic keratoses from melanomas. This is especially true for general practitioners, from whom the public in Australia and in other countries is encouraged to first seek advice about a suspect pigmented lesion.