Impact of second histopathological review of melanocytic skin lesions at a melanoma reference center in Brazil

被引：0
|
作者：
Lozada, Walter A. [1 ]
Enokihara, Milvia M. [2 ]
Pedrosa, Moises S. [1 ]
Gonzaga, Ana L. [1 ]
Wainstein, Alberto J. [1 ]
Drummond-Lage, Ana P. [1 ]
机构：
[1] Fac Med Sci Minas Gerais, Dept Postgrad, Belo Horizonte, Brazil
[2] Univ Fed Sao Paulo, Dept Pathol, Sao Paulo, Brazil
来源：
ITALIAN JOURNAL OF DERMATOLOGY AND VENEREOLOGY | 2023年 / 158卷 / 01期
关键词：
Melanoma; Pathology; Dermatology; Education; medical; continuing; CUTANEOUS MELANOMA; PATHOLOGY; DIAGNOSIS; GUIDELINES; PARAMETERS; MANAGEMENT; OPINION; SOCIETY;
D O I：
10.23736/S2784-8671.23.07494-7
中图分类号：
R75 [皮肤病学与性病学];
学科分类号：
100206 ;
摘要：
BACKGROUND: After the biopsy of a suspicious melanocytic lesion, patients depend on the pathologist's precision of specimen evaluation. METHODS: We assessed the agreement between histopathological reports made by general pathologists and reviewed by a dermatopathologist to evaluate the impact on the patient's management. RESULT S: In 79 cases analyzed, underdiagnosis was observed in 21.6% and overdiagnosis in 17.7%, resulting in changes in the patients' conduct. The assessment of the Clark level, ulceration and histological type showed mild agreement (P<0.001); the Breslow thickness, surgical margin, and staging showed moderate agreement (P<0.001). CONCLUSIONS: A dermatopathologist's review should be incorporated into the routine of reference services for pigmented lesions.
引用
收藏
页码：49 / 54
页数：6
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