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

页码：49 / 54

页数：6