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揭示转移性黑色素瘤诊断与治疗的障碍:一例报告

Uncovering Barriers to the Diagnosis and Treatment of Metastatic Melanoma: A Case Report.

作者信息

Alexander Samone, Georgies Marina M, Alcolea Tamayo Yoelbis, Abeysekera Maria

机构信息

College of Medicine, California Northstate University College of Medicine, Elk Grove, USA.

Department of Family Medicine, Saint Agnes Medical Center, Fresno, USA.

出版信息

Cureus. 2024 Dec 14;16(12):e75716. doi: 10.7759/cureus.75716. eCollection 2024 Dec.

DOI:10.7759/cureus.75716
PMID:39811233
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11730496/
Abstract

Melanoma is a malignant disorder of the skin that originates from melanocytes. It is the most aggressive of the skin malignancies. This case study presents a unique case of a 52-year-old male gardener with melanoma on the plantar side of his foot, which progressed to a large ulcer. Delayed care, attributed to insurance mistakes and language barriers, allowed for advancing the patient's condition, highlighting the detrimental impact of healthcare barriers on patient outcomes. The case emphasizes the urgent need for simplified and efficient healthcare processes and access to timely intervention. Addressing systemic disparities and implementing culturally competent care practices are necessary to provide equitable access to healthcare, reduce disease progression, and improve patient outcomes.

摘要

黑色素瘤是一种起源于黑素细胞的皮肤恶性疾病。它是最具侵袭性的皮肤恶性肿瘤。本病例研究呈现了一个独特的案例,一名52岁的男性园丁,其足底患有黑色素瘤,并发展成了一个大溃疡。由于保险失误和语言障碍导致的护理延误,使患者病情加重,凸显了医疗障碍对患者预后的不利影响。该病例强调了简化高效的医疗流程以及获得及时干预的迫切需求。解决系统性差异并实施具有文化胜任力的护理措施对于提供公平的医疗服务、减少疾病进展和改善患者预后是必要的。

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本文引用的文献

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Determination of the Association between Perceived Stigma and Delay in Help-Seeking Behavior of Women with Breast Cancer.乳腺癌女性感知到的耻辱感与寻求帮助行为延迟之间关联的测定
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Anatomic location of primary melanoma: Survival differences and sun exposure.原发性黑素瘤的解剖位置:生存差异与阳光暴露。
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Masculine Discrepancy Stress and Psychosocial Maladjustment: Implications for Behavioral and Mental Health of Adolescent Boys.
男性差异压力与心理社会适应不良:对青少年男性行为和心理健康的影响。
Psychol Men Masc. 2018 Oct;19(4):560-569. doi: 10.1037/men0000132.. Epub 2017 Sep 11.
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Association of health insurance with outcomes in adults ages 18 to 64 years with melanoma in the United States.美国 18 至 64 岁成年人黑色素瘤患者的医疗保险与结局的相关性。
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Why is melanoma so metastatic?为什么黑色素瘤如此具有转移性?
Pigment Cell Melanoma Res. 2014 Jan;27(1):19-36. doi: 10.1111/pcmr.12172. Epub 2013 Oct 17.
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Dysplastic nevi and melanoma.发育不良痣和黑色素瘤。
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The effect of botulinum toxin type A on full-face intense pulsed light treatment: a randomized, double-blind, split-face study.
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Public Health Rep. 2003 Jul-Aug;118(4):293-302. doi: 10.1093/phr/118.4.293.
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Errors in medical interpretation and their potential clinical consequences in pediatric encounters.儿科诊疗中医学解读的错误及其潜在临床后果。
Pediatrics. 2003 Jan;111(1):6-14. doi: 10.1542/peds.111.1.6.