دورية أكاديمية
Management of Small and Intermediate Congenital Nevi: A Nationwide Survey in Italy
| العنوان: | Management of Small and Intermediate Congenital Nevi: A Nationwide Survey in Italy |
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| المؤلفون: | Stanganelli, Ignazio, Ascierto, Paolo, Bono, Riccardo, De Giorgi, Vincenzo, Pimpinelli, Nicola, Chiarion-Sileni, Vanna, Palmieri, Giuseppe, Pizzichetta, Maria Antonietta, Testori, Alessandro |
| سنة النشر: | 2013 |
| المجموعة: | Istituto Nazionale di Fisica Nucleare (INFN): Open Access Repository |
| مصطلحات موضوعية: | Dermatology |
| الوصف: | Objective: Small- and intermediate-sized congenital nevi (SCN and ICN) undergo periodic clinical monitoring or surgical excision. We analyzed the management of SCN and ICN in the Italian hospital network. Methods: A nationwide survey of a representative sample of centers was conducted. Data were analyzed grouping centers by melanoma incidence into high-volume (>25 diagnoses per year) and low-volume (≤25 diagnoses per year). Results: In the pediatric population, 11% of SCN and 22% of ICN are excised, the remainder undergoing clinical monitoring at intervals of 6 months to 2 years (SCN) and of 6 months to 1 year (ICN). In adults, 24% of SCN and 41% of ICN are excised. Clinical monitoring of SCN varies from 6-monthly (most common among low-volume hospitals) to every 2 years; preferred strategies for ICN are follow-up at 1 year (51%) or follow-up at 6 months (42%). For prophylactic surgery, complete excision is preferred. Conclusions: The Italian hospital network values management and treatment of SCN and ICN. In most cases natural evolution prompts prophylactic excision. Clinical examination is an important monitoring tool, though follow-up frequency depends on the clinician's experience and practice. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| العلاقة: | url:https://www.openaccessrepository.it/communities/itmirrorTest; https://www.openaccessrepository.it/record/155676Test |
| DOI: | 10.1159/000348861 |
| الإتاحة: | https://doi.org/10.1159/000348861Test https://www.openaccessrepository.it/record/155676Test |
| حقوق: | info:eu-repo/semantics/openAccess |
| رقم الانضمام: | edsbas.E9230792 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1159/000348861 |
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