癌と検死官について
JAMA
|February 21, 1977
まとめ
法医学解剖は1.7%の症例で癌を明らかにし,未治療の疾患の進行と突然死におけるその役割についての洞察を提供します. これらの発見は,病理学および医療法学的な文脈において極めて重要です.
科学分野:
- 法医学病理学 法医学病理学 法医学病理学
- 腫瘍学 腫瘍学
- 公共衛生は公衆衛生である.
背景:
- 法医学解剖での癌の検出は,まれに報告されています.
- 法医学解剖は,未治療の癌の自然史にユニークな窓を開くことができます.
- 臨床的に隠された癌は,予期せぬ形で,または解剖時に現れる可能性があります.
研究 の 目的:
- 法医学解剖における癌の発生率を決定するために.
- 突然の予期せぬ死亡における癌の役割を調査する.
- 癌の自然な進化を理解するための法医学解剖の価値を強調する.
主な方法:
- 1,300回の連続した法医学解剖のレビュー.
- 癌症例の特定と分類.
- 癌のプレゼンテーションと死因の分析.
主要な成果:
- 癌は22例 (1.7%) で,様々な原発部位と組織学的タイプで特定されました.
- 進行した癌は,時には突然の,予期せぬ死の原因であった.
- 既知の癌患者の自殺は珍しく,明らかに自殺した患者の解剖で確認された癌は稀であった.
結論:
- 法医学的な解剖は,オカルト症例を含むがんを特定するのに貴重なものです.
- これらの解剖は,統計的,臨床的,および医療法的な目的のために重要なデータを提供します.
- 法医学病理学者は,このような研究を通じて"コミュニティ病理学者"として重要な役割を果たします.
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