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Related Experiment Videos

Skin biopsy indications in primary care practice: a population-based study

T P Jones1, P E Boiko, M W Piepkorn

  • 1University of Washington School of Medicine, Seattle, USA.

The Journal of the American Board of Family Practice
|November 1, 1996
PubMed
Summary

Primary care providers biopsied 1215 skin lesions, finding most were benign. This study highlights the need for enhanced provider education on early skin cancer detection and increased patient awareness.

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Area of Science:

  • Dermatology
  • Primary Care Medicine
  • Oncology

Background:

  • Understanding skin biopsy practices in primary care is crucial for early detection and management of skin lesions.
  • Assessing primary care providers' (PCPs) experience with skin cancer and lesion identification methods is essential.

Purpose of the Study:

  • To describe the types and variability of skin lesions biopsied by PCPs.
  • To evaluate PCPs' prior skin cancer experience and their methods for identifying suspicious lesions.
  • To inform educational strategies for improving skin cancer detection in primary care settings.

Main Methods:

  • A retrospective review of 1215 skin biopsy reports from family physicians, internists, physician assistants, and certified nurse midwives.
  • Provider surveys and interviews were conducted to gather data on experience and lesion identification.

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  • Data collected between June 1989 and February 1992 within a health maintenance organization.

    • Main Results:

    • Out of 1215 biopsied lesions, 1004 (82.6%) were benign, 89 (7.3%) premalignant, and 122 (10.0%) malignant.
    • The most common biopsy diagnoses included nevi, seborrheic keratoses, actinic keratoses, cysts, and dermatofibromas.
    • Seventy percent of providers reported that patients most frequently initiated the discussion about skin lesions.

    Conclusions:

    • A significant proportion of skin biopsies in primary care settings reveal benign conditions, but a notable percentage are premalignant or malignant.
    • Educational initiatives should focus on enhancing PCPs' skills in early skin cancer detection.
    • Improving access to visual dermatology resources and increasing patient awareness are key to reducing skin cancer morbidity.