乌克兰常见皮肤肿瘤的存储转发远程皮肤病学。
Store-and-forward teledermatology for the most common skin neoplasms in Ukraine.
作者信息
Kravets Kira, Vasylenko Olga, Dranyk Zhanna, Bogomolets Olga
机构信息
Kharkiv Medical Academy of Postgraduate Education, Kyiv, Ukraine.
Dr. Bogomolets Institute of Dermatocosmetology, Kyiv, Ukraine.
出版信息
Acta Dermatovenerol Alp Pannonica Adriat. 2018 Jun;27(2):79-83.
BACKGROUND
Among all malignancies in Ukraine in 2016, the group of non-melanoma skin cancers headed the list in men and made up 21.6%. This group was second in women and made up 17.6%. The diagnostics of skin tumors are becoming increasingly relevant.
METHODS
The store-and-forward (SAF) method was used. The study included patients that were remotely diagnosed with melanocytic nevi, seborrheic keratoses, skin cancer, and skin melanoma. Patients signed up for remote diagnostics, were examined in person by dermatologists, and had tumors excised with a subsequent histological examination.
RESULTS
Using telemedicine, 108 melanocytic nevi, 97 seborrheic keratoses, 62 skin cancers, and 47 skin melanomas were diagnosed and selected. The accuracy of teledermatological examination and teledermoscopy compared to clinical examination and dermoscopy was 90.3 to 100.0%. The accuracy of teledermatological examination and teledermoscopy compared to histopathological diagnoses was 85.1 to 98.9%.
CONCLUSIONS
Teledermatological diagnosis showed a high ability for detecting skin neoplasms in Ukraine.
背景
在2016年乌克兰的所有恶性肿瘤中，非黑色素瘤皮肤癌在男性中位居榜首，占21.6%。该组在女性中排第二，占17.6%。皮肤肿瘤的诊断变得越来越重要。
方法
采用存储转发（SAF）方法。该研究纳入了通过远程诊断患有黑素细胞痣、脂溢性角化病、皮肤癌和皮肤黑色素瘤的患者。患者报名参加远程诊断，由皮肤科医生亲自检查，并切除肿瘤随后进行组织学检查。
结果
通过远程医疗，诊断并选取了108例黑素细胞痣、97例脂溢性角化病、62例皮肤癌和47例皮肤黑色素瘤。与临床检查和皮肤镜检查相比，远程皮肤病检查和远程皮肤镜检查的准确率为90.3%至100.0%。与组织病理学诊断相比，远程皮肤病检查和远程皮肤镜检查的准确率为85.1%至98.9%。
结论
在乌克兰，远程皮肤病诊断显示出检测皮肤肿瘤的高能力。
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