Retrospective review of primary melanomas excised at Waikato Hospital, New Zealand, 2002-2003

被引:3
作者
Barker, Scott [1 ]
Oakley, Amanda [1 ]
Rademaker, Marius [1 ]
机构
[1] Waikato Hosp, Hamilton, New Zealand
关键词
early detection of melanoma; early diagnosis; excision waiting time; first specialist assessment waiting time; malignant melanoma; melanoma diagnosis; waiting list; CUTANEOUS MALIGNANT-MELANOMA; POPULATION; EDUCATION;
D O I
10.1111/j.1440-0960.2007.00319.x
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100227 [皮肤病学];
摘要
The aim of this study was to review and compare melanomas referred by general practitioners and melanomas identified at specialist clinics. The medical records relating to 113 primary melanomas excised at Waikato Hospital (a specialist regional base hospital) during 2002 and 2003 were reviewed retrospectively. Forty-seven melanomas (41%) were detected when patients attended specialist clinics (mainly plastic surgery and dermatology), and 66 melanomas (59%) were specifically referred by general practitioners. The melanomas detected at specialist clinics had a lower mean Breslow thickness than those referred by general practitioners (0.57 mm compared with 1.45 mm). Patients referred by general practitioners waited a mean of 26.5 days (range 0-94 days) for first specialist assessment. Following specialist assessment, patients waited a mean of 24.2 days (0-81 days) before excision biopsy.
引用
收藏
页码:14 / 17
页数:4
相关论文
共 16 条
[1]
[Anonymous], ETHN POP PROJ ISS TR
[2]
CLARK WH, 1967, ADV BIOL SKIN PIGMEN, P621
[3]
Is physician detection associated with thinner melanomas? [J].
Epstein, DS ;
Lange, JR ;
Gruber, SB ;
Mofid, M ;
Koch, SE .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1999, 281 (07) :640-643
[4]
Ernstoff MS, 2000, CLIN PLAST SURG, V27, P317
[5]
Clinical and histologic trends of melanoma [J].
Johnson, TM ;
Dolan, OM ;
Hamilton, TA ;
Lu, MC ;
Swanson, NA ;
Lowe, L .
JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY, 1998, 38 (05) :681-686
[6]
Incidence of malignant melanoma in Auckland, New Zealand: Highest rates in the world [J].
Jones, WO ;
Harman, CR ;
Ng, AKT ;
Shaw, JHF .
WORLD JOURNAL OF SURGERY, 1999, 23 (07) :732-735
[7]
Invasive cutaneous malignant melanoma in Sweden, 1990-1999 -: A prospective, population-based study of survival and prognostic factors [J].
Lindholm, C ;
Andersson, R ;
Dufmats, M ;
Hansson, J ;
Ingvar, C ;
Möller, T ;
Sjödin, H ;
Stierner, U .
CANCER, 2004, 101 (09) :2067-2078
[8]
Presentation and detection of invasive melanoma in a high-risk population [J].
McPherson, M ;
Elwood, M ;
English, DR ;
Baade, PD ;
Youl, PH ;
Aitken, JF .
JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY, 2006, 54 (05) :783-792
[9]
*NIH CLIN EXC, 2005, CANC SERV GUID IMPR, P33
[10]
*NZ HLTH INF SERV, 2006, CANC REG DEATHS 2001