医師の検知は,より薄いメラノーマと関連していますか?
D S Epstein1, J R Lange, S B Gruber
1Department of Dermatology, Johns Hopkins School of Medicine, Baltimore, MD, USA.
JAMA
|February 24, 1999
まとめ
医師はより薄いメラノーマを検出し,早期発見率を向上させています. 医師の意識を高めることは,早期の皮膚性メラノーマを特定し,患者の生存結果を向上させるための鍵です.
科学分野:
- 皮膚科 皮膚科について
- 腫瘍学 腫瘍学
- 公衆衛生は公衆衛生である.
背景:
- 皮膚性メラノーマの腫瘍の深さは,患者の生存率の主要な予測因子です.
- 予後的に有利なメラノーマ病変の早期発見は,患者の生存率を改善することができます.
研究 の 目的:
- メラノーマの検出パターンを調査するために.
- メラノーマ腫瘍の厚さとの検出ソースを相関させるため.
主な方法:
- インタビュー調査が行われました.
- 1995年6月から1997年6月にかけてジョンズ・ホプキンス医療機関で新たに診断された一次性皮膚性メラノーマの患者を含む.
- メラノーマ腫瘍の厚さは,検出ソースに基づいて分析されました.
主要な成果:
- メラノーマのほとんどは (55%) 自己検知され,次に医師による検知 (24%).
- 医師は,自己検知病変 (平均厚さ0.9mm) と比較して,著しく薄いメラノーマ (平均厚さ0.23mm) を検出しました.
- 医師による検知は,より薄いメラノーマ (≤0.75mm) を特定するより高い確率と関連していました.
結論:
- 医師による検出は,より薄いメラノーマの特定に関連しています.
- 医師の意識の向上により,早期のメラノーマの検出が向上する可能性があります.
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