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The management of dysplastic naevi: a survey of Australian dermatologists.
- Source :
-
The Australasian journal of dermatology [Australas J Dermatol] 2017 Nov; Vol. 58 (4), pp. 304-307. Date of Electronic Publication: 2017 Nov 02. - Publication Year :
- 2017
-
Abstract
- Background/objectives: The management of dysplastic naevi based on histopathological grading is a contentious issue. Comprehensive management guidelines are lacking and the approach taken varies between clinicians. The authors sought to understand how Australian dermatologists approach the management of biopsy-proven dysplastic naevi, and the impact of grading of dysplasia upon this management.<br />Methods: In total, 547 Fellows of the Australasian College of Dermatologists were surveyed and 218 responses were collected (40% response rate).<br />Results: Although all dermatologists surveyed would re-excise an incompletely removed severely dysplastic naevus, opinion was divided over whether to treat such a lesion as an in situ melanoma or a dysplastic naevus, with 55% of respondents using a 5-mm margin and the remainder opting for narrow margin re-excision. When the same lesion was reported to be clear of margins by 1 mm after biopsy and the clinical suspicion for melanoma was high, 44% would re-excise with a 5-mm margin.<br />Conclusions: The approach of Australian dermatologists to the management of dysplastic naevi varies between clinicians, reflecting the problems raised by the validity of histopathological grading.<br /> (© 2017 The Australasian College of Dermatologists.)
Details
- Language :
- English
- ISSN :
- 1440-0960
- Volume :
- 58
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- The Australasian journal of dermatology
- Publication Type :
- Academic Journal
- Accession number :
- 29094336
- Full Text :
- https://doi.org/10.1111/ajd.12720