Divisione Melanoma e Sarcomi Muscolo-Cutanei, Istituto Europeo di Oncologia, Milan, Italy. alessandro.testori @ ieo.it
Dermatology. 2013;226 Suppl 1:28-31. doi: 10.1159/000348873. Epub 2013 May 29.
Surgery is the first option for treating melanoma regardless of stage at presentation. We surveyed a representative sample of hospitals to evaluate management and quality of surgical indications for melanoma in Italy. At analysis, hospitals were grouped into high- or low-volume centers, with the population median of 25 diagnoses serving as the cut-off. Surgery for primary melanoma was similar between hospital groups. More high-volume centers were organized to perform sentinel node biopsy (91 vs. 56%). There were no major differences between high- and low-volume centers concerning the surgical approach to stage III and IV disease.
手术是治疗黑色素瘤的首选方法，无论其在就诊时的阶段如何。我们对意大利的代表性医院样本进行了调查，以评估黑色素瘤的治疗管理和手术适应证的质量。在分析时，将医院分为高容量中心和低容量中心，以人群中位数 25 例诊断作为分界点。两组医院的原发性黑色素瘤手术情况相似。更多的高容量中心被组织起来进行前哨淋巴结活检（91 比 56%）。高容量中心和低容量中心在 III 期和 IV 期疾病的手术方法方面没有重大差异。
