Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori, IRCCS IRST, Meldola, Italy.
Dermatology. 2013;226 Suppl 1:3-6. doi: 10.1159/000348860. Epub 2013 May 29.
To evaluate organizational structure and diagnostic procedures used by the Italian hospital network for identifying cutaneous melanoma.
A nationwide survey of a representative sample of centers was conducted.
Diagnosis occurs mainly in ambulatory dermatology clinics (91%). In all high-volume hospitals, clinical and dermoscopic examination is available at first consultation or as an additional service, compared to 89% of low-volume hospitals. Computer-assisted videodermoscopy is available in 75% of hospitals, with a statistically significant difference between high- and low-volume hospitals (86 vs. 62%; p < 0.001). First consultation is generally an integrated clinical/dermoscopic evaluation (55% of high-volume centers vs. 47% of low-volume hospitals); digital evaluation is available for monitoring suspicious lesions and high-risk patients in 25% of high-volume centers versus 19% of low-volume centers.
The organizational structure and diagnostic procedures in Italian hospitals are in line with modern diagnostic procedures for early diagnosis of melanoma. Dermatologists have a central role in managing diagnosis of primitive melanoma.
评估意大利医院网络用于识别皮肤黑色素瘤的组织结构和诊断程序。
对中心的代表性样本进行了全国范围的调查。
诊断主要发生在门诊皮肤科诊所（91%）。在所有高容量医院，临床和皮肤镜检查可在首次就诊时提供，或作为附加服务，而低容量医院则为 89%。计算机辅助视频皮肤镜检查在 75%的医院中可用，高容量和低容量医院之间存在统计学显著差异（86 对 62%；p<0.001）。首次就诊通常是综合的临床/皮肤镜评估（高容量中心的 55%对低容量医院的 47%）；数字评估可用于监测可疑病变和高风险患者，在高容量中心的 25%对低容量中心的 19%。
意大利医院的组织结构和诊断程序符合早期诊断黑色素瘤的现代诊断程序。皮肤科医生在管理原发性黑色素瘤的诊断中发挥着核心作用。
