Castelli F
Istituto di Clinica Dermatologica, Università degli Studi di Torino.
Minerva Med. 1993 Nov;84(11):615-20.
The correlation between anamnestic data, histological and clinical features in 306 stage I patients, studied at the Melanoma Centre in Turin during the period 1990-1991, have been analyzed. The somatic features, the distribution by sex and age, clinical findings, histological type, the Clark assessment and Breslow's thickness are reported. In a short interview, patients were asked about when the lesion and its modifications appeared. The patients have shown a low level of information about the risk of malignant melanoma. The answers prove totally unreliable and the comparison between anamnesis and histological picture has not helped to explain the natural history of melanoma. Both men and women with more formal education have been at greater risk for malignant melanoma than those with less education. The authors underline the importance of the public education campaign on early detection of this tumor.
对1990年至1991年期间在都灵黑色素瘤中心研究的306例I期患者的既往数据、组织学和临床特征之间的相关性进行了分析。报告了身体特征、性别和年龄分布、临床发现、组织学类型、克拉克评估和布雷斯洛厚度。在一次简短的访谈中,询问患者病变及其变化出现的时间。患者对恶性黑色素瘤风险的了解程度较低。答案完全不可靠,既往史与组织学图像之间的比较无助于解释黑色素瘤的自然史。受过更多正规教育的男性和女性患恶性黑色素瘤的风险均高于受教育程度较低者。作者强调了关于早期发现这种肿瘤的公众教育运动的重要性。