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Dysplastic Nevus: Management by Canadian Dermatologists.
Priya Sapra1, Cheryl Rosen2, Sanjay Siddha2
1Department of Medicine, Royal College of Surgeons in Ireland, Dublin, Ireland priyasapra01@gmail.com.
Journal of Cutaneous Medicine and Surgery
|April 3, 2015
Summary
Canadian dermatologists continue to use the term dysplastic nevus. Most do not reexcise mild to moderate atypia lesions with positive margins.
Area of Science:
- Dermatology
- Oncology
- Pathology
Background:
- Management of dysplastic nevi lacks consensus.
- No prior data existed on Canadian dermatologists' practices for these lesions.
Purpose of the Study:
- To survey Canadian dermatologists on their opinions regarding dysplastic nevus terminology and treatment.
- To establish prevailing practices among Canadian dermatologists for managing dysplastic nevi.
Main Methods:
- An online survey was distributed to 613 members of the Canadian Dermatology Association.
- The survey comprised 25 questions and was available in English and French.
Main Results:
- 179 dermatologists responded to the survey.
- A majority of respondents believe the term "dysplastic nevus" should be retained.
- Most participants reported never reexcising lesions with mild to moderate atypia, even with positive margins.
Conclusions:
- The term "dysplastic nevus" remains in common use among Canadian dermatologists.
- Canadian dermatologists generally do not reexcise dysplastic nevi with mild to moderate atypia if margins are positive.
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