昆士兰北部地区全科医疗中的小型皮肤切除术

Minor skin excisions in general practice in North Queensland.

作者信息

Heal Clare, Buettner Petra, Raasch Beverly, Browning Sheldon

机构信息

General Practice and Rural Medicine, James Cook University, Queensland, Australia.

出版信息

Aust Fam Physician. 2006 Oct;35(10):825-8.

PMID:17019461

Abstract

OBJECTIVE

To describe the demographics of patients presenting with skin cancer to general practitioners in rural North Queensland, the sites from which skin cancers are removed, and their histology.

METHODS

Data was recorded from 1247 consecutive patients who attended for minor skin lesion excisions.

RESULTS

Close to half (46.7%) of lesions excised were skin cancers. We excised more squamous cell carcinomas than basal cell carcinomas (0.74:1). Our number needed to treat (benign or dysplastic naevi excised per melanoma) was 8.4. Mean age for excision of melanoma, basal cell carcinoma and squamous cell carcinoma was 55, 60.9 and 63.8 years respectively. Relative tumour density was greatest in the face, scalp and neck region for all skin cancers.

DISCUSSION

In this sample of Mackay GPs, there was a very high yield of skin cancers from all excisions. We could consider lowering our threshold for excision of pigmented lesions.

摘要

目的

描述向昆士兰北部农村地区全科医生就诊的皮肤癌患者的人口统计学特征、切除皮肤癌的部位及其组织学特征。

方法

记录了1247例因轻微皮肤病变切除术前来就诊的连续患者的数据。

结果

切除的病变中近一半（46.7%）为皮肤癌。我们切除的鳞状细胞癌比基底细胞癌多（比例为0.74:1）。我们的治疗所需数量（每切除1例黑色素瘤所切除的良性或发育异常痣的数量）为8.4。黑色素瘤、基底细胞癌和鳞状细胞癌切除的平均年龄分别为55岁、60.9岁和63.8岁。所有皮肤癌的相对肿瘤密度在面部、头皮和颈部区域最高。