Shin Su Hwan, Lee Won, Kim So Yoon, Jo Gwanghyun, Mun Je-Ho, Cho Soo Ick
Doctoral Program in Medical Law and Ethics, Yonsei University, Seoul, Korea.
Blue Urology Clinic, Seoul, Korea.
Ann Dermatol. 2019 Jun;31(3):300-306. doi: 10.5021/ad.2019.31.3.300. Epub 2019 May 1.
Both medical disputes and the incidence of skin cancer are increasing in Korea.
The aim of this study was to figure out the medical litigation related to skin cancer and propose a method to prevent the medical disputes.
Skin cancer-related judgments were searched by The Supreme Court of Korea's Written Judgment Management System based on the keywords for skin cancer. The search system included sentenced cases at the Lower Courts, the Appellate Courts, and the Supreme Court from 1997 to 2017.
Seven cases were selected as the litigation cases related to skin cancer. Four cases (57.1%) presented malignant melanoma, while the rest presented squamous cell carcinoma, metastatic skin cancer, and peripheral T cell lymphoma (1 case in each). Four cases resulted in death from cancer metastasis, and 3 cases presented as sequelae. The legal issues related to the medical disputes could be categorized as follows: misdiagnosis, delayed diagnosis, performance error, and lack of informed consent. Delayed diagnosis and lack of informed consent were the most common issues (n=4) in the precedents. Five cases (71.4%) were sentenced the awarded amounts to the plaintiff, including 2 cases of settlement decision. The average awarded amount was 42,553,644±27,567,455 Korean won.
Physicians should pay attention to the cases of the skin cancer to prevent medical malpractice and disputes. The practices pertaining to proper diagnosis, treatment plans, and obtaining an informed consent should be followed during the course of treating skin cancer.
在韩国，医疗纠纷和皮肤癌的发病率都在上升。
本研究旨在查明与皮肤癌相关的医疗诉讼，并提出预防医疗纠纷的方法。
通过韩国最高法院的书面判决管理系统，以皮肤癌相关关键词搜索与皮肤癌相关的判决。搜索系统包括1997年至2017年地方法院、上诉法院和最高法院的已判决案件。
七起案件被选为与皮肤癌相关的诉讼案件。四起案件（57.1%）为恶性黑色素瘤，其余分别为鳞状细胞癌、转移性皮肤癌和外周T细胞淋巴瘤（各1例）。四起案件因癌症转移导致死亡，三起案件表现为后遗症。与医疗纠纷相关的法律问题可分为以下几类：误诊、延迟诊断、医疗行为失误和缺乏知情同意。延迟诊断和缺乏知情同意是先例中最常见的问题（n = 4）。五起案件（71.4%）判决向原告支付赔偿金额，其中包括两起和解判决。平均赔偿金额为42,553,644 ± 27,567,455韩元。
医生应关注皮肤癌病例，以预防医疗事故和纠纷。在治疗皮肤癌的过程中，应遵循正确诊断、治疗方案和获得知情同意的操作规范。
