基底细胞癌的随访:当前医疗实践的核查  

Follow-up of basal cell carcinomas:An audit of current practice

作　　者：Mc Loone N.M. Tolland J. Walsh M. Dolan O.M. 罗素菊 

机构地区：[1]Department of Dermatology,The Royal Hospitals,Grosvenor Road,Belfast BT12 6BA,United Kingdom

出　　处：《世界核心医学期刊文摘（皮肤病学分册）》2006年第10期9-10,共2页Digest of the World Core Medical JOurnals:Dermatology

摘　　要：Background:Follow-up of patients after treatment of basal cell carcinoma(BCC)allows for monitoring of recurrence and detection of new tumours,but adds a significant burden to outpatient clinics.At the skin tumour clinic in the dermatology department,the Royal Hospitals,Belfast,all patients are reviewed for 2 years after surgical excision of a low-risk primary BCC.Objectives:An audit was undertaken to determine the quality of data set recorded relating to prognostic factors for BCCs to determine the rate of recurrence and number of new primary tumours detected and to determine the completeness of follow-up by patients.Method:Patients who had primary BCCs treated by excision were identified from a database held at the clinic.Medical charts were reviewed to determine data recorded about lesions,the number of recurrent BCCs and new tumours detected,and the number of patients completing follow-follow-up.Results:Between January 1999 and December 2000,114 patients had 121 primary BCCs excised.BCC location and sizewere recorded in 100%and 35%of cases,respectively.Histological type was stated for morphoeic or multifocal lesions.Two years of follow-up was completed by 53%of patients and 1 year by 78%of patients.The rate of recurrence was low,with 2 BCC recurring within 2 years of excision.The risk of developing a new BCC was 11.6%in the first year and 6.3%in the second year.Conclusions:Follow-up of patients after excision of a low-risk BCC at the clinic has been reduced to 1 year.A proforma has been developed to encourage documentation of prognostic factors.Background:Follow-up of patients after treatment of basal cell carcinoma(BCC)allows for monitoring of recurrence and detection of new tumours,but adds a significant burden to outpatient clinics.At the skin tumour clinic in the dermatology department,the Royal Hospitals,Belfast,all patients are reviewed for 2 years after surgical excision of a low-risk primary BCC.Objectives:An audit was undertaken to determine the quality of data set recorded relating to prognostic factors for BCCs to determine the rate of recurrence and number of new primary tumours detected and to determine the completeness of follow-up by patients.Method:Patients who had primary BCCs treated by excision were identified from a database held at the clinic.Medical charts were reviewed to determine data recorded about lesions,the number of recurrent BCCs and new tumours detected,and the number of patients completing follow-follow-up.Results:Between January 1999 and December 2000,114 patients had 121 primary BCCs excised.BCC location and sizewere recorded in 100%and 35%of cases,respectively.Histological type was stated for morphoeic or multifocal lesions.Two years of follow-up was completed by 53%of patients and 1 year by 78%of patients.The rate of recurrence was low,with 2 BCC recurring within 2 years of excision.The risk of developing a new BCC was 11.6%in the first year and 6.3%in the second year.Conclusions:Follow-up of patients after excision of a low-risk BCC at the clinic has been reduced to 1 year.A proforma has been developed to encourage documentation of prognostic factors.

关 键 词：基底细胞癌 医疗实践 皮肤肿瘤 原发肿瘤 病例记录 复发率 患者数量 危险率 工作方式 

分 类 号：R739.5[医药卫生—肿瘤]