Thissen M R, Neumann H A, Berretty P J, Ideler A H
Academisch Ziekenhuis, afd. Dermatologie, Maastricht.
Ned Tijdschr Geneeskd. 1998 Jul 4;142(27):1563-7.
To determine the policy of dermatologists practising in the Netherlands in the treatment of basal cell carcinoma.
Written enquiry.
Catharina Hospital, Eindhoven, the Netherlands.
All 293 dermatologists practising in the Netherlands were sent a questionnaire in May 1996 containing 15 questions about diagnosis and treatment of basal cell carcinoma.
Eighteen forms dropped off because of termination of the practice or joint completion in group practices. The response was 76% (208/275). The diagnosis was made usually on the basis of histological examination (71% of the respondents; 84% in a tumour recurrence). Excision was the preferred treatment for all subtypes of basal cell carcinoma; second choices were cryosurgery or curettage/electrocoagulation. Roentgen contact therapy has been practically abandoned. New methods such as photodynamic therapy and immunotherapy are being used only sporadically on an experimental basis. Most dermatologists regarded tumour recurrences as a bigger problem than primary tumours. They attempt to reduce the percentage of recurrences by giving advice about risk factors (sunlight).
Too little use is being made of diagnostic biopsy to enable an optimal choice of therapy of basal cell carcinomas, especially in cases of recurrence tumours.
确定荷兰皮肤科医生治疗基底细胞癌的策略。
书面询问。
荷兰埃因霍温的卡塔琳娜医院。
1996年5月，向荷兰所有293名皮肤科医生发放了一份问卷，其中包含15个关于基底细胞癌诊断和治疗的问题。
18份问卷因医生停止执业或集体执业共同填写而未收回。回复率为76%（208/275）。诊断通常基于组织学检查（71%的受访者；肿瘤复发时为84%）。切除是基底细胞癌所有亚型的首选治疗方法；其次是冷冻手术或刮除术/电凝术。X线接触疗法实际上已被摒弃。光动力疗法和免疫疗法等新方法仅在实验基础上偶尔使用。大多数皮肤科医生认为肿瘤复发比原发性肿瘤问题更大。他们试图通过提供有关危险因素（阳光）的建议来降低复发率。
诊断性活检的使用过少，无法为基底细胞癌的治疗做出最佳选择，尤其是在复发性肿瘤的情况下。
