David Becker, MD, PC, New York, New York; Weill Cornell Medical Center, New York, New York.
Dermatol Surg. 2013 Oct;39(10):1496-501. doi: 10.1111/dsu.12311. Epub 2013 Sep 24.
There is a paucity of data regarding patient perceptions of nonmelanoma skin cancer (NMSC).
To describe patients' perceptions of skin lesions before a diagnosis of NMSC.
This was a descriptive study in a private practice setting. Patients with a previous biopsy of NMSC who presented for treatment were eligible. A self-administered questionnaire assessed what patient perceptions of lesions diagnosed as NMSCs had been before they were aware of the diagnosis. Medical records were reviewed for tumor type, size, and location.
One hundred sixty-three consecutive patients undergoing treatment for NMSC completed the questionnaire. The most common initial impressions of the lesion were skin cancer (20%), acne (19%), sore (10%), unknown (9%), dry skin (7%), age spot (6%), and injury (6%). Seventy-two percent of patients were the first to notice the lesion. Patients with a history of skin cancer were more likely to think the lesion was a skin cancer on initial impression (28% vs. 8%) (p < .001).
Understanding how patients perceive their skin cancers may aid in targeting educational strategies and increase awareness of skin cancer risk. Our data suggest that there are important subtleties in self-identification that may need to be taken into consideration in any educational campaign targeting NMSC.
有关非黑素瘤皮肤癌（NMSC）患者认知的资料匮乏。
描述患者在诊断为 NMSC 之前对皮肤损伤的认知。
这是在私人诊所环境中进行的描述性研究。先前接受过 NMSC 活检且前来治疗的患者符合入组条件。一份自填式问卷评估了患者在得知诊断结果之前对被诊断为 NMSC 的皮肤损伤的认知。对病历进行了肿瘤类型、大小和位置的回顾。
163 例连续接受 NMSC 治疗的患者完成了问卷。对损伤的最常见初始印象是皮肤癌（20%）、粉刺（19%）、溃疡（10%）、不明原因（9%）、皮肤干燥（7%）、老年斑（6%）和损伤（6%）。72%的患者首先注意到了损伤。有皮肤癌病史的患者更有可能在初次印象中认为损伤是皮肤癌（28%比 8%）（p<0.001）。
了解患者对皮肤癌的认知可能有助于确定教育策略，并提高对皮肤癌风险的认识。我们的数据表明，在任何针对 NMSC 的教育活动中，自我识别可能存在重要的细微差别，需要加以考虑。
