Olson J A, Jaques D P, Coit D G, Hwu W J
Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, New York, USA.
Clin Plast Surg. 2000 Jul;27(3):377-90, viii.
Strategies based on evidence are required to accurately stage and effectively follow patients with melanoma. The goal of staging is to define the extent of disease at the time of presentation to direct and assign prognosis. Patient surveillance is performed to assess treatment results and detect recurrences amenable to further treatment. Staging and surveillance require careful use of resources to be cost effective. This article addresses preoperative staging and post-treatment surveillance of patients with melanoma and outlines a method of follow-up based on available data.
需要基于证据的策略来准确地对黑色素瘤患者进行分期并有效地跟踪随访。分期的目的是在初次就诊时确定疾病的范围,以指导并判断预后。进行患者监测是为了评估治疗效果并检测适合进一步治疗的复发情况。分期和监测需要谨慎使用资源以提高成本效益。本文讨论了黑色素瘤患者的术前分期和治疗后监测,并根据现有数据概述了一种随访方法。