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COVID-19疫情对意大利黑色素瘤治疗的影响。

The effect of COVID-19 emergency in the management of melanoma in Italy.

机构信息

Andrea Anichini, Salvatore Asero, Melissa Bersanelli, Corrado Caracò, Vincenzo De Giorgi, Anna Maria Di Giacomo, Claudio Feliciani, Virginia Ferraresi, Paola Ghiorzo, Antonio M. Grimaldi, Michele Guida, Mario Mandalà, Daniela Massi, Simone Mocellin, Giuseppe Palmieri, Roberto Patuzzo, Maria Antonietta Pizzichetta, Roberto Ricci, Giulio Rossi, Pietro Quaglino, Paola Queirolo, Rebecca Senetta, Ignazio Stanganelli, Marco Tucci.

出版信息

Dermatol Reports. 2021 Mar 17;13(1):8972. doi: 10.4081/dr.2021.8972. eCollection 2021 Mar 18.

DOI:10.4081/dr.2021.8972
PMID:33824708
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8018261/
Abstract

The COVID-19 pandemic has severely hampered the functioning of any health system, absorbing a considerable amount of resources and with the threat of widespread infection in the health services. The present survey has been carried out in Italy to evaluate if and how COVID-19 also affected skin melanoma management. We enrolled 13 Italian centres highly qualified in the diagnosis and care of skin melanoma. We compared a set of information evaluating the amount of activity for melanoma performed during February-April 2020 with the same quarter in 2019. The number of new melanoma diagnosis, biopsies, wide local excisions, overall pathology reports decreased. However, the most severe cases seem promptly managed with sentinel lymph node biopsies, new systemic treatments (north) and the total number of (advanced) treated patients (centre-south). The COVID-19 experience has underlined the need to exploit the help which may come from telemedicine.

摘要

新冠疫情严重阻碍了任何卫生系统的运作,消耗了大量资源,且对医疗卫生服务构成广泛感染威胁。本次调查在意大利开展,以评估新冠疫情是否以及如何影响皮肤黑色素瘤的管理。我们纳入了13个在皮肤黑色素瘤诊断和护理方面资质很高的意大利中心。我们比较了一组信息,评估2020年2月至4月期间黑色素瘤的活动量,并与2019年同一季度进行对比。新黑色素瘤诊断、活检、广泛局部切除、总体病理报告的数量均有所减少。然而,最严重的病例似乎通过前哨淋巴结活检、新的全身治疗(北部)以及(晚期)治疗患者总数(中南部)得到了及时处理。新冠疫情的经历凸显了利用远程医疗可能带来的帮助的必要性。

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本文引用的文献

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Cutaneous manifestations of SARS-CoV-2 infection: a clinical update.新型冠状病毒感染的皮肤表现:临床最新进展。
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[Estimated Effect of COVID-19 Lockdown on Skin Tumor Size and Survival: An Exponential Growth Model].[新冠疫情封锁对皮肤肿瘤大小和生存的估计影响:指数增长模型]
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Management of primary skin cancer during a pandemic: Multidisciplinary recommendations.大流行期间原发性皮肤癌的管理:多学科建议。
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Virtual melanoma checks during a pandemic.疫情期间的虚拟黑色素瘤检查。
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