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皮肤恶性黑色素瘤:诊断过程审核

Cutaneous malignant melanoma: audit of the diagnostic process.

作者信息

Dunkley M P, Morris A M

机构信息

Dundee Royal Infirmary, Tayside.

出版信息

Ann R Coll Surg Engl. 1991 Jul;73(4):248-52.

Abstract

The results of a study of the diagnostic process in 202 cutaneous malignant melanomas over a 5-year period in one region are presented. Patient delay of more than 3 months was noted in at least 60% of cases, and delay after presentation was identified in 21% of the case histories. In 12% of the cases an opportunity for earlier diagnosis had been missed. The factors leading to delay in diagnosis are highlighted and the need for the dissemination of information relating to the early stages of the disease is emphasised.

摘要

本文呈现了对某一地区202例皮肤恶性黑色素瘤在5年期间诊断过程的研究结果。至少60%的病例存在患者延迟超过3个月的情况,并且在21%的病历中发现就诊后存在延迟。在12%的病例中,错过了早期诊断的机会。文中强调了导致诊断延迟的因素,并着重指出有必要传播与该疾病早期阶段相关的信息。

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本文引用的文献

2
Relationship between patients' early recognition of melanoma and depth of invasion.患者对黑色素瘤的早期识别与浸润深度之间的关系。
Cancer. 1982 Jan 1;49(1):198-200. doi: 10.1002/1097-0142(19820101)49:1<198::aid-cncr2820490138>3.0.co;2-9.
3
Factors related to patient delay in seeking medical attention for cutaneous malignant melanoma.与皮肤恶性黑色素瘤患者延迟就医相关的因素。
Cancer. 1984 Dec 15;54(12):3048-53. doi: 10.1002/1097-0142(19841215)54:12<3048::aid-cncr2820541239>3.0.co;2-m.
4
The incidental malignant melanoma.偶发性恶性黑色素瘤。
Br Med J (Clin Res Ed). 1983 Aug 13;287(6390):485-6. doi: 10.1136/bmj.287.6390.485.
6
Subungual malignant melanoma: difficulty in diagnosis.甲下恶性黑色素瘤:诊断困难。
Br Med J. 1974 Feb 23;1(5903):310-2. doi: 10.1136/bmj.1.5903.310.
8
Missed malignant melanomas.漏诊的恶性黑色素瘤。
Br Med J (Clin Res Ed). 1986 Jun 7;292(6534):1524-5. doi: 10.1136/bmj.292.6534.1524-a.
10
Missed malignant melanomas.漏诊的恶性黑色素瘤
Br Med J (Clin Res Ed). 1986 Apr 12;292(6526):1000-1. doi: 10.1136/bmj.292.6526.1000.

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