医生检测是否与更薄的黑色素瘤有关?
D S Epstein1, J R Lange, S B Gruber
1Department of Dermatology, Johns Hopkins School of Medicine, Baltimore, MD, USA.
JAMA
|February 24, 1999
概括
医生发现更薄的黑色素瘤,提高了早期检测率. 提高医生意识是识别早期皮肤黑色素瘤和提高患者生存结果的关键.
科学领域:
- 皮肤病学 皮肤病学
- 在瘤学瘤学.
- 公共卫生 公共卫生
背景情况:
- 皮肤黑色素瘤瘤深度是患者生存的主要预测因素.
- 预后有利的黑色素瘤病变的早期检测可以提高患者的生存率.
研究的目的:
- 为了研究黑色素瘤检测模式.
- 为了将检测来源与黑色素瘤瘤厚度相关联.
主要方法:
- 进行了一项采访调查.
- 包括1995年6月至1997年6月期间在约翰霍普金斯医疗机构新诊断的原发性皮肤黑色素瘤患者.
- 根据检测来源,分析了黑色素瘤瘤的厚度.
主要成果:
- 大多数黑色素瘤 (55%) 是自我检测,其次是医生检测 (24%).
- 与自我检测的病变 (平均厚度为0.9毫米) 相比,医生检测到的黑色素瘤显著较薄 (平均厚度为0.23毫米).
- 医生检测与识别较薄的黑色素瘤 (≤0.75毫米) 的可能性更高有关.
结论:
- 医生检测与识别更薄的黑色素瘤有关.
- 提高医生意识可能会导致早期黑色素瘤的检测增加.
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