Cooke K, McNoe B, Spears G
Department of Preventive and Social Medicine, University of Otago Medical School, Dunedin.
N Z Med J. 1993 Nov 24;106(968):493-5.
To outline the initial general practice care of pigmented naevi presented for assessment of malignancy.
Fifty six general practitioners completed a brief record for each patient presenting a pigmented skin lesion for assessment of malignancy; records were maintained prospectively for periods over October 1988 to April 1989. 2614 records were received.
Numbers of consultations increased sharply with age to peaks at 15-19 for men and 30-44 for women; at ages 20 44 the sex ratio was 1.9 (F/M). Lesions were usually typical (51%) or atypical (24%) moles. 22% of patients were biopsied by the practitioner and 8% were referred, to dermatologists (4%) or surgeons (4%).
The age pattern of presentations is younger than is optimal. General practitioners' decisions and actions are of crucial importance in the effective functioning of melanoma early detection programmes.
概述对色素痣进行恶性评估时最初的全科医疗护理。
56名全科医生为每位前来评估恶性色素性皮肤病变的患者填写一份简要记录；1988年10月至1989年4月期间前瞻性地保存记录。共收到2614份记录。
就诊次数随年龄急剧增加，男性在15 - 19岁达到峰值，女性在30 - 44岁达到峰值；在20 - 44岁年龄段，性别比为1.9（女/男）。病变通常为典型（51%）或非典型（24%）痣。22%的患者由医生进行活检，8%被转诊至皮肤科医生（4%）或外科医生（4%）。
就诊的年龄模式比理想情况更年轻。全科医生的决策和行动对黑色素瘤早期检测项目的有效运作至关重要。
