国际专家之间关于诊断,管理和监测Lentigo Maligna的德尔菲共识
Caterina Longo1,2, Cristian Navarrete-Dechent3,4, Philipp Tschandl5
1Department of Dermatology, University of Modena and Reggio Emilia, Modena, Italy.
Dermatology practical & conceptual
|July 5, 2023
概括
专家们就使用临床和皮肤学方法诊断阴茎恶性黑色素瘤 (LM) 达成共识,随后进行活检. 边际控制的手术是首选的,与非手术的选择,如imiquimod也使用,并建议终身随访.
科学领域:
- 皮肤病学 皮肤病学
- 在瘤学瘤学.
背景情况:
- 长期恶性 (LM) 黑色素瘤带来了诊断和治疗方面的挑战.
- 对于LM的最佳管理策略缺乏建立的共识.
研究的目的:
- 为了实现专家的共识,对诊断,治疗和后续的lentigo恶性 (LM).
主要方法:
- 一种经过修改的Delphi方法,涉及31名皮肤病和黑色素瘤的国际专家.
- 三轮调查使用4点利克特级来确定共识 (>75%的同意).
主要成果:
- 诊断共识:临床和皮肤镜方法 (92%),其次是活检.
- 治疗共识:以边缘控制的手术 (83.3%) 作为主要治疗方法,并指出因非标签的初级或辅助使用而使用 imiquimod.
- 随访共识:62%的人同意需要对LM进行终身临床随访.
结论:
- 诊断LM需要一个全面的方法,包括宏观,皮肤,RCM和组织学检查.
- 对于LM的治疗决定,包括手术和非手术选择,需要与患者进行仔细的讨论.
- 对于LM患者来说,长期临床随访被认为是重要的.
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