Dunkley M P, Morris A M
Dundee Royal Infirmary, Tayside.
Ann R Coll Surg Engl. 1991 Jul;73(4):248-52.
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.
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。