Rosendahl Cliff, Cameron Alan, McColl Ian, Wilkinson David
School of Medicine, University of Queensland, Brisbane, Queensland.
Aust Fam Physician. 2012 Jul;41(7):482-7.
Skin cancer is a major cause of mortality and morbidity in Australia, and primary care doctors can, and should, treat most cases.
In this article we outline one method for the effective use of dermatoscopy in diagnosing melanoma and other skin malignancies in general practice.
The use of a dermatoscope in clinical practice has been shown to increase diagnostic accuracy and is considered the standard of care in assessing patients with pigmented skin lesions. Its use is also being increasingly applied to the diagnosis of nonpigmented skin lesions. Like any clinical tool, training is required for effective use. 'Chaos and clues' is a straightforward method of rapidly assessing suspicious pigmented skin lesions using a dermatoscope; its use can lead to improved diagnosis of melanoma and other skin malignancies.
皮肤癌是澳大利亚死亡和发病的主要原因，基层医疗医生能够且应该治疗大多数病例。
在本文中，我们概述了一种在全科医疗中有效使用皮肤镜诊断黑色素瘤和其他皮肤恶性肿瘤的方法。
临床实践中使用皮肤镜已被证明可提高诊断准确性，并且被认为是评估色素沉着性皮肤病变患者的护理标准。它也越来越多地应用于非色素沉着性皮肤病变的诊断。与任何临床工具一样，有效使用需要培训。“混乱与线索”是一种使用皮肤镜快速评估可疑色素沉着性皮肤病变的直接方法；其使用可改善黑色素瘤和其他皮肤恶性肿瘤的诊断。
