Bern A, Rassner G
Universitäts-Hautklinik Tübingen, Abteilung Dermatologie I.
Z Hautkr. 1988 Apr 15;63(4):273-81.
138 patients suffering from histologically proven malignant melanoma of the skin were questioned about the period of time that had elapsed between recognizing the tumor and seeing a doctor. The average time was 331 days, but there was considerable variation. The main reason for the delay in seeking medical advice was a lack of knowledge concerning the nature of malignant melanoma. The patient's social background was the determining factor in how much time went by until he saw a physician. 20% of the melanomas were coincidental findings. The time which elapsed between seeing a doctor and initiation of therapy was 179 days on the average. This period largely depended on the specialization of the physician and the kind of evaluation given. Our analysis should help to shorten the time which elapses between recognition of the tumor by the patient and initiation of treatment by the physician. A reduction of this period should improve the prognosis of malignant melanoma.
对138例经组织学证实的皮肤恶性黑色素瘤患者询问了从发现肿瘤到就医之间的时间间隔。平均时间为331天，但存在相当大的差异。延迟就医的主要原因是对恶性黑色素瘤的性质缺乏了解。患者的社会背景是决定其多久后才就医的因素。20%的黑色素瘤是偶然发现的。从就医到开始治疗的平均时间为179天。这段时间很大程度上取决于医生的专业程度和所做评估的类型。我们的分析应有助于缩短患者发现肿瘤到医生开始治疗之间的时间。缩短这段时间应能改善恶性黑色素瘤的预后。
