Accuracy of Diagnostic Biopsy for Cutaneous Melanoma : Implications for Surgical Oncologists
المؤلفون المشاركون
Hernández-Irizarry, Roberto
Hieken, Tina J.
Boll, Julia M.
Jones Coleman, Jamie E.
المصدر
International Journal of Surgical Oncology
العدد
المجلد 2013، العدد 2013 (31 ديسمبر/كانون الأول 2013)، ص ص. 1-7، 7ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2013-09-11
دولة النشر
مصر
عدد الصفحات
7
التخصصات الرئيسية
الملخص EN
Background and Objectives.
While excisional biopsy is recommended to diagnose cutaneous melanoma, various biopsy techniques are used in practice.
We undertook this study to identify how frequently final tumor stage and treatment recommendations changed from diagnostic biopsy to final histopathology after wide local excision (WLE).
Methods.
We compared the histopathology of the dermatopathologist-reviewed diagnostic biopsy and final WLE in 332 cutaneous melanoma patients.
Results.
Tumor sites were extremity (51%), trunk (33%), and head/neck (16%).
Initial biopsy types were excisional (56%), punch (21%), shave (18%), and incisional (5%).
Most diagnostic biopsies were margin positive regardless of technique, and 36% of patients had residual melanoma on WLE.
T-stage changed in 8% of patients, of whom 59% were diagnosed by punch biopsy, 15% by incisional biopsy, 15% by shave biopsy, and 11% by excisional biopsy (P<0.0001).
Treatment recommendations changed in 6%: 2% after excisional biopsy, 5% after shave biopsy, 18% after punch biopsy, and 18% after incisional biopsy (P<0.0001).
Conclusions.
Although most biopsy margins were positive, T-stage and treatment changed for only a minority of melanoma patients.
Our data provide valuable information to inform patient discussion regarding the likelihood of a change in prognosis and the need for secondary procedures after WLE.
These data support the superiority of dermatopathologist-reviewed excisional biopsy when feasible.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Hieken, Tina J.& Hernández-Irizarry, Roberto& Boll, Julia M.& Jones Coleman, Jamie E.. 2013. Accuracy of Diagnostic Biopsy for Cutaneous Melanoma : Implications for Surgical Oncologists. International Journal of Surgical Oncology،Vol. 2013, no. 2013, pp.1-7.
https://search.emarefa.net/detail/BIM-453704
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Hieken, Tina J.…[et al.]. Accuracy of Diagnostic Biopsy for Cutaneous Melanoma : Implications for Surgical Oncologists. International Journal of Surgical Oncology No. 2013 (2013), pp.1-7.
https://search.emarefa.net/detail/BIM-453704
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Hieken, Tina J.& Hernández-Irizarry, Roberto& Boll, Julia M.& Jones Coleman, Jamie E.. Accuracy of Diagnostic Biopsy for Cutaneous Melanoma : Implications for Surgical Oncologists. International Journal of Surgical Oncology. 2013. Vol. 2013, no. 2013, pp.1-7.
https://search.emarefa.net/detail/BIM-453704
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-453704
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر