Katris P, Crock J G, Gray B N
Lions Cancer Institute, Perth, Western Australia, Australia.
Aust N Z J Surg. 1996 Feb;66(2):101-4. doi: 10.1111/j.1445-2197.1996.tb01122.x.
The Lions Cancer Institute, Perth, and the Western Australian Society of Plastic Surgeons have been investigating the feasibility of community based skin cancer screening. Members of the community responded to newspaper advertisements to attend free skin cancer screening events. This report presents preliminary results obtained from the methods development programme.
Seventeen screening clinics were conducted in Perth (4) and country towns (14) in Western Australia between January 1991 and October 1993. The participants were interviewed and given promotional literature and their personal profiles were determined. A total body skin examination was performed by a specialist plastic surgeon and any suspicious lesions were recorded and, if necessary, recommendations for further treatment was documented.
The number of individuals screened was 3397. Of these, 572 patients were referred to general practitioners for further medical attention of suspicious lesions, 79 patients were clinically diagnosed as having suspicious pigmented skin lesions (13.8% of total lesions and 2.3% of total sample screened). Of these, 53 individual patient pathology reports were obtained. Four invasive malignant melanomas and two in situ melanomas arising in Hutchinson's melanotic freckles were detected.
Debates concerning the efficacy of screening for skin cancer have recently received great attention from many medical disciplines. However, as yet the effectiveness of population based skin cancer screening programmes have not been adequately evaluated with randomized controlled studies. The study reported here provides some findings that may be used to enhance future screening studies.
珀斯的狮子癌症研究所和西澳大利亚整形外科医生协会一直在研究基于社区的皮肤癌筛查的可行性。社区成员回应报纸广告参加免费的皮肤癌筛查活动。本报告展示了从方法开发项目中获得的初步结果。
1991年1月至1993年10月期间，在西澳大利亚的珀斯（4个）和乡村城镇（14个）举办了17场筛查诊所。对参与者进行了访谈，发放了宣传资料，并确定了他们的个人资料。由一名专业整形外科医生进行全身皮肤检查，记录任何可疑病变，并在必要时记录进一步治疗的建议。
筛查的个体数量为3397人。其中，572名患者被转介给全科医生，以便对可疑病变进行进一步医疗关注，79名患者被临床诊断为患有可疑色素沉着性皮肤病变（占总病变的13.8%，占总筛查样本的2.3%）。其中，获得了53份个体患者的病理报告。检测到4例侵袭性恶性黑色素瘤和2例起源于哈钦森黑素雀斑的原位黑色素瘤。
关于皮肤癌筛查效果的争论最近受到了许多医学学科的极大关注。然而，基于人群的皮肤癌筛查项目的有效性尚未通过随机对照研究得到充分评估。本文报道的研究提供了一些可能用于加强未来筛查研究的发现。
