Marghoob Ashfaq A, Changchien Lily, DeFazio Jennifer, Dessio Whitney C, Malvehy Josep, Zalaudek Iris, Halpern Allan C, Scope Alon
Dermatology Service, Department of Medicine, Memorial Sloan-Kettering Cancer Center, New York, NY 10022, USA.
Australas J Dermatol. 2009 Feb;50(1):1-13; quiz 14-5. doi: 10.1111/j.1440-0960.2008.00496_1.x.
Due to its particularly lethal nature and tendency to affect relatively young individuals, the timely diagnosis of melanoma remains of paramount importance for clinicians and their patients. Unfortunately, melanomas can mimic benign lesions that are overwhelmingly more common in the population than are melanomas, and misdiagnosis or delay in diagnosis of melanoma can occur. Misdiagnosis of melanoma serves as one of the most common causes for malpractice litigation brought against medical practitioners. In this review we describe seven clinical scenarios that represent challenges in melanoma diagnosis and discuss potential strategies for avoiding the errors that commonly give rise to those scenarios.
由于黑色素瘤具有特别致命的性质，且倾向于影响相对年轻的个体，因此对临床医生及其患者而言，黑色素瘤的及时诊断仍然至关重要。不幸的是，黑色素瘤可能会模仿在人群中比黑色素瘤更为常见的良性病变，从而导致黑色素瘤的误诊或诊断延迟。黑色素瘤的误诊是针对医生的医疗事故诉讼最常见的原因之一。在本综述中，我们描述了七种代表黑色素瘤诊断挑战的临床情况，并讨论了避免通常导致这些情况的错误的潜在策略。
