Asertividad en el diagnóstico clínico de los tumores cutáneos

Background: There is an increase in the incidence rates of skin cancer in Chile. Aim: To study the clinical diagnostic accuracy (CDA) for skin cancer. Material y methods: CDA was defined as the percentage of agreement between clinical and pathological diagnosis. Approximately 600,000 pathological re...

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Autores principales:	Zemelman,Viviana, Valenzuela,Carlos Y, Fich,Félix, Roa,Johanna, Honeyman,Juan
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2003
Materias:	Melanoma
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872003001200009
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spelling	oai:scielo:S0034-988720030012000092004-04-16Asertividad en el diagnóstico clínico de los tumores cutáneosZemelman,VivianaValenzuela,Carlos YFich,FélixRoa,JohannaHoneyman,Juan Melanoma Background: There is an increase in the incidence rates of skin cancer in Chile. Aim: To study the clinical diagnostic accuracy (CDA) for skin cancer. Material y methods: CDA was defined as the percentage of agreement between clinical and pathological diagnosis. Approximately 600,000 pathological reports from five hospitals in Santiago were reviewed. A total of 2,593 skin tumours; 230 Malignant Melanoma (MM); 412 Squamous Cell Carcinoma (SCC) and 1,951 Basal Cell Carcinoma (BCC) were studied. These tumours were clinically diagnosed and surgically treated by dermatologists. The CDA was studied for each tumour, by the anatomical localization of the tumour, Breslow Index in MM, by age and sex of the patient. Results: The highest CDA was observed for BCC (76.2%); followed by MM (64.3%) and SCC (34.7%). By anatomical localization, for MM the highest CDA was observed in the soles (p <0.05); for BCC, the hightest CDA was in the face (p <0.05). No significant differences were observed in SCC. By age, for MM, the CDA was higher in patients aged less than 50 years. No differences in CDA by age were observed in the other two tumours. By sex, no differences were found. A higher CDA was found in MM with Breslow indexes III and IV than for MM with Breslow indexes I and II. Conclusions: CDA is affected by the clinical variables analyzed in this study. A more accurate clinical diagnosis of skin cancer could be obtained taking into account these variables (Rev Méd Chile 2003; 131: 1421-7).info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.131 n.12 20032003-12-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872003001200009es10.4067/S0034-98872003001200009
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Melanoma
spellingShingle	Melanoma Zemelman,Viviana Valenzuela,Carlos Y Fich,Félix Roa,Johanna Honeyman,Juan Asertividad en el diagnóstico clínico de los tumores cutáneos
description	Background: There is an increase in the incidence rates of skin cancer in Chile. Aim: To study the clinical diagnostic accuracy (CDA) for skin cancer. Material y methods: CDA was defined as the percentage of agreement between clinical and pathological diagnosis. Approximately 600,000 pathological reports from five hospitals in Santiago were reviewed. A total of 2,593 skin tumours; 230 Malignant Melanoma (MM); 412 Squamous Cell Carcinoma (SCC) and 1,951 Basal Cell Carcinoma (BCC) were studied. These tumours were clinically diagnosed and surgically treated by dermatologists. The CDA was studied for each tumour, by the anatomical localization of the tumour, Breslow Index in MM, by age and sex of the patient. Results: The highest CDA was observed for BCC (76.2%); followed by MM (64.3%) and SCC (34.7%). By anatomical localization, for MM the highest CDA was observed in the soles (p <0.05); for BCC, the hightest CDA was in the face (p <0.05). No significant differences were observed in SCC. By age, for MM, the CDA was higher in patients aged less than 50 years. No differences in CDA by age were observed in the other two tumours. By sex, no differences were found. A higher CDA was found in MM with Breslow indexes III and IV than for MM with Breslow indexes I and II. Conclusions: CDA is affected by the clinical variables analyzed in this study. A more accurate clinical diagnosis of skin cancer could be obtained taking into account these variables (Rev Méd Chile 2003; 131: 1421-7).
author	Zemelman,Viviana Valenzuela,Carlos Y Fich,Félix Roa,Johanna Honeyman,Juan
author_facet	Zemelman,Viviana Valenzuela,Carlos Y Fich,Félix Roa,Johanna Honeyman,Juan
author_sort	Zemelman,Viviana
title	Asertividad en el diagnóstico clínico de los tumores cutáneos
title_short	Asertividad en el diagnóstico clínico de los tumores cutáneos
title_full	Asertividad en el diagnóstico clínico de los tumores cutáneos
title_fullStr	Asertividad en el diagnóstico clínico de los tumores cutáneos
title_full_unstemmed	Asertividad en el diagnóstico clínico de los tumores cutáneos
title_sort	asertividad en el diagnóstico clínico de los tumores cutáneos
publisher	Sociedad Médica de Santiago
publishDate	2003
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872003001200009
work_keys_str_mv	AT zemelmanviviana asertividadeneldiagnosticoclinicodelostumorescutaneos AT valenzuelacarlosy asertividadeneldiagnosticoclinicodelostumorescutaneos AT fichfelix asertividadeneldiagnosticoclinicodelostumorescutaneos AT roajohanna asertividadeneldiagnosticoclinicodelostumorescutaneos AT honeymanjuan asertividadeneldiagnosticoclinicodelostumorescutaneos
_version_	1718436126105010176

Asertividad en el diagnóstico clínico de los tumores cutáneos

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