Macy-Roberts E, Ackerman A B
Am J Dermatopathol. 1982 Oct;4(5):391-8. doi: 10.1097/00000372-198210000-00003.
Two hundred twenty-seven malignant melanomas, exclusive of malignant melanoma in situ, were diagnosed in the Dermatopathology Laboratory of the New York University Medical Center in a 7-month period. Of these, 143 had been suspected of being malignant melanomas by the clinicians who submitted them. These lesions had been biopsied in various ways by surgeons and dermatologists, of whom those trained more than 10 years ago were found more likely to have done scalpel excisions, whereas dermatologists trained within the past 10 years had more likely done shave or punch biopsies. All too often, dermatologists failed to perform satisfactory biopsies of lesions that they suspected to be malignant melanomas clinically.
纽约大学医学中心皮肤病理学实验室在7个月内诊断出227例恶性黑色素瘤（原位恶性黑色素瘤除外）。其中，143例是由送检的临床医生怀疑为恶性黑色素瘤的。这些病变由外科医生和皮肤科医生通过各种方式进行了活检，结果发现，10多年前接受培训的医生更倾向于进行手术刀切除活检，而过去10年内接受培训的皮肤科医生更倾向于进行削除活检或钻孔活检。在很多情况下，皮肤科医生对临床上怀疑为恶性黑色素瘤的病变未能进行令人满意的活检。
