Characteristics of 637 melanomas documented by 27 general practitioners on the Skin Cancer Audit Research Database

被引：8

作者：

Balcells, Clara Jimenez ^{[1
]}

Hay, Jeremy ^{[2
]}

Keir, Jeff ^{[3
]}

Rosendahl, Nikita ^{[4
]}

Coetzer-Botha, Martelle ^{[3
]}

Wilson, Tobias ^{[5
]}

Clark, Simon ^{[4
,6
,7
]}

Baade, Astrid ^{[8
]}

Becker, Cath ^{[9
,10
]}

Bookallil, Luke ^{[11
]}

Clifopoulos, Chris ^{[3
]}

Dicker, Tony ^{[3
]}

Denby, Martin Paul ^{[12
]}

Duthie, Douglas ^{[13
]}

Elliott, Charles ^{[14
]}

Fishburn, Paul ^{[3
]}

Foley, Mark ^{[15
]}

Franck, Mark ^{[16
]}

Giam, Irene ^{[17
]}

Gordillo, Patricio ^{[18
]}

Lilleyman, Alister ^{[19
]}

Macauley, Roger ^{[20
]}

Maher, James ^{[21
]}

McPhee, Ewen ^{[22
]}

Reid, Michael ^{[23
]}

Shirlaw, Bob ^{[24
]}

Siggs, Graeme ^{[25
]}

Spark, Robert ^{[26
]}

Stretch, John ^{[27
]}

van den Heever, Keith ^{[28
]}

van Rensburg, Thinus ^{[29
]}

Watson, Chris ^{[30
]}

Kittler, Harald ^{[31
]}

Rosendahl, Cliff ^{[3
,6
]}

机构：

[1] 4D Skin Canc Clin, Belmt North, NSW, Australia

[2] Upper Hutt Skin Clin, Wellington, New Zealand

[3] Univ Queensland, Fac Med, Primary Care Clin Unit, POB 734, Herston, Qld 4157, Australia

[4] Univ Queensland, Fac Med, Herston, Qld, Australia

[5] SCARD, Brisbane, Qld, Australia

[6] Univ Tehran Med Sci, Tehran, Iran

[7] Douglas Hanly Moir Pathol, Macquarie Pk, NSW, Australia

[8] Gladstone GP Superclin, Gladstone, Qld, Australia

[9] Wairarapa Skin Clin, Masterton, New Zealand

[10] Wairarapa Hosp, Lansdowne, Masterton, New Zealand

[11] Univ New England, Armidale, NSW, Australia

[12] Silverdale Med, Auckland, New Zealand

[13] Darwin Skin Canc Clin, Parap, NT, Australia

[14] Solarderm Skin Canc Practice, Caboolture, Qld, Australia

[15] Skin Clin, Marlborough Blenheim, New Zealand

[16] MoleSafe Skin Canc Clin, Windsor, Vic, Australia

[17] Skin2 Clin, Deakin, ACT, Australia

[18] Cairns Skin Canc Clin, Cairns, Qld, Australia

[19] Newcastle Skin Check, Charlestown, NSW, Australia

[20] Bateau Bay Med Ctr, Bateau Bay, NSW, Australia

[21] Skin Canc Ballarat, Alfredton, Vic, Australia

[22] Emerald Med Grp, Emerald, Qld, Australia

[23] Nelson Bay Skin Canc Clin, Nelson Bay, NSW, Australia

[24] Springfield Lakes, Lakeside Med, Qld, Australia

[25] Regency Med Clin, Sefton Pk, SA, Australia

[26] Toukley Family Practice, Toukley, NSW, Australia

[27] Bond Univ, Robina, Qld, Australia

[28] CQ Skin Canc Clin, Bucasia, Qld, Australia

[29] Kippax Ochre Med Ctr, Holt, ACT, Australia

[30] Brisbane City Doctors, Brisbane, Qld, Australia

[31] Med Univ Vienna, Dept Dermatol, Vienna Dermatol Imaging Res Grp, Vienna, Austria

来源：

AUSTRALASIAN JOURNAL OF DERMATOLOGY | 2021年 / 62卷 / 04期

关键词：

anatomical site; Breslow thickness; characteristics; diameter; general practitioner; melanoma; primary care; Skin Cancer Audit Research Database; MALIGNANT-MELANOMA; SITE DISTRIBUTION; CLASSIFICATION; DIAGNOSIS; DIAMETER; PATTERNS; EXPOSURE; SUBTYPES;

D O I：

10.1111/ajd.13705

中图分类号：

R75 [皮肤病学与性病学];

学科分类号：

100206 ;

摘要：

Background and Objective: Most melanomas (including melanomas in situ), in Australasia, are treated by general practitioners (GPs). Previously undescribed, the characteristics of a series of melanomas treated by multiple GPs are examined. Patients and Methods: Six hundred and thirtyseven melanomas treated by 27 Australasian GPs during 2013 and documented on the Skin Cancer Audit Research Database (SCARD) were analysed by anatomical site, subtype, Breslow thickness, diameter, associated naevi and linked adverse outcomes. Results: Most melanomas (59.7%) were on males, mean age at diagnosis being 62.7 years (range 1896). Most (65.0%) were in situ, with a high incidence of lentiginous melanoma (LM) (38.8%) and 32% were naevus associated. Most LM (86.4%) were in situ, compared to 55% of superficial spreading melanoma (SSM) (P < 0.0001). There was male predominance on the head, neck and trunk and female predominance on extremities. There was no significant association between Breslow thickness and diameter, with small melanomas as likely to be thick as large melanomas, and melanomas <= 3 mm diameter, on average, more likely to be invasive than larger melanomas. There was a positive correlation between age and both melanoma diameter and Breslow thickness. Seven cases progressed to melanomaspecific death: Five nodular melanoma (NM) and two SSM, one of which was thin (Breslow thickness 0.5 mm). Conclusions: A large series of melanomas treated by Australasian GPs were predominantly in situ, with a high proportion of LM subtype. With implications for GP training, NM linked to death was overrepresented and there was a novel finding that older patients had larger diameter melanomas.

引用

页码：496 / 503

页数：8

共 32 条

[1] Utility of lesion diameter in the clinical diagnosis of cutaneous melanoma [J].