Landow R K
University of Southern California School of Medicine, Los Angeles.
Compr Ther. 1988 Apr;14(4):25-32.
As a result of our improved understanding of the biologic importance of the various forms of pigmented skin lesions, we now have the ability to distinguish troublesome spots from those having no medical importance. These circumstances parallel an astronomical rise in the incidence of malignant melanoma. When evaluating the skin, attention to the concepts presented here will allow a high degree of accuracy in classifying moles in the benign or malignant category. For the most part, consideration of the lesion's border, shape, color, and size provides sufficient information with which to decide when a biopsy is warranted. Moles should never be destroyed by burning or freezing. If they are important enough to be removed, histologic verification of their nature must be obtained.
由于我们对各种色素沉着性皮肤病变的生物学重要性有了更深入的了解，现在我们有能力区分有问题的斑点和那些没有医学重要性的斑点。这些情况与恶性黑色素瘤发病率的大幅上升相平行。在评估皮肤时，关注这里提出的概念将使我们在将痣分类为良性或恶性类别时具有高度的准确性。在大多数情况下，考虑病变的边界、形状、颜色和大小就足以提供足够的信息来决定何时需要进行活检。痣绝不能通过烧灼或冷冻来去除。如果它们重要到需要切除，必须对其性质进行组织学验证。
