Referral pattern and accuracy of clinical diagnosis of cutaneous melanoma.

摘要: Between 1981 and 1983, 329 patients with cutaneous melanoma registered in Amsterdam Rotterdam, The Netherlands, were analysed respect to the referral pattern accuracy of clinical diagnosis. With increasing Breslow thickness, a greater proportion referred surgeon than dermatologist (p less 0.01). overall suspicion rate was 61.6%. Suspicion for lesions or equal 2 mm thick vis-a-vis thickness group Accuracy diagnosis better dermatologists surgeons 0.01, after adjustment microstage). Differential diagnoses more often considered by Vague descriptions such as 'tumour' without specification frequently used Amelanotic melanomas missed clinically both disciplines (overall diagnostic 28.6%). It is emphasized that close cooperation between management highly desirable.