Murchie Peter, Campbell Neil C
Department of General Practice and Primary Care, University of Aberdeen, Foresterhill Health Centre, Aberdeen, Scotland, UK.
Eur J Gen Pract. 2007;13(3):151-4. doi: 10.1080/13814780701627354.
The incidence of cutaneous melanoma is increasing amongst Caucasian populations worldwide. There are calls for melanoma to be regarded as a growing public health problem, with public and professional education to tackle it. Such programmes will increase public awareness of malignant melanoma and of pigmented lesions generally. In the UK, general practitioners face challenges in terms of primary prevention and education, diagnosis, primary treatment, and aftercare of patients with melanoma. Organizational changes are required to meet the increasing challenge posed to primary care by melanoma and should be based on the most rigorous evidence.
全球白种人群中皮肤黑色素瘤的发病率正在上升。有人呼吁将黑色素瘤视为一个日益严重的公共卫生问题,并通过公众和专业教育来应对。此类计划将提高公众对恶性黑色素瘤及一般色素沉着病变的认识。在英国,全科医生在黑色素瘤患者的一级预防与教育、诊断、初步治疗及后续护理方面面临挑战。需要进行组织变革,以应对黑色素瘤给初级医疗带来的日益增加的挑战,且变革应基于最严格的证据。