Learning from mistakes: errors in approaches to melanoma and the urgent need for updated national guidelines

Simionescu, Olga; Blum, Andreas; Grigore, Mariana; Costache, Mariana; Avram, Alina; Testori, Alessandro

doi:10.1111/ijd.13165

Cited by 5 publications

(7 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[26][27][28] Despite all efforts in research, although skin cancer diagnosis is usually not difficult in typical cases, early detection remains challenging to this day. 29,30 This study shows that phenotypic traits are the best candidates to become screening markers for skin cancer risk and that this risk could be instantly evaluated at first glance, using three parameters of the anatomy of the iris, irrespective of the reason that brings a patient to the clinician's office.…”

Section: Discussionmentioning

confidence: 97%

“…There has been an increasing focus on screening, primary prevention and early detection in skin cancer worldwide in the last decade, with a high number of studies on self‐assessment questionnaires, risk factor analysis, total body skin examination emphasis and even more complex computer‐aided risk assessment tools . Despite all efforts in research, although skin cancer diagnosis is usually not difficult in typical cases, early detection remains challenging to this day …”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

The iris signal: blue periphery, tan collaret and freckles pattern – strong indicators for epidermal skin cancer in South‐Eastern Europe

Grigore

Furtunescu

Minca

et al. 2018

Acad Dermatol Venereol

View full text Add to dashboard Cite

The results of this study sustain the hypothesis that blue periphery with light brown collaret and freckles iris pattern is a reliable phenotypic marker for epidermal skin cancer. The results of this study differ from previous reports in which skin cancer risk was associated with a homogeneous blue iris. We account these differences in the characteristics of the recruited patients (S-E European, skin type II and III). The assessment of iris colour patterns is an easy and inexpensive detection tool in skin cancer risk assessment.

show abstract

Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

The iris signal: blue periphery, tan collaret and freckles pattern – strong indicators for epidermal skin cancer in South‐Eastern Europe

Grigore

Furtunescu

Minca

et al. 2018

Acad Dermatol Venereol

View full text Add to dashboard Cite

show abstract

“…Thanks to the results of this study was obtained significant evidence for SPSM process of systems weaknesses within the context of the health care organization. Preservation specimen integrity and antigenicity in pathology specimens is the essential stair in comletely diagnoses and 10% neutral buffered formalin (NBF) has been a traditional preservative [12,13]. Preservation of the specimen helps prevent decomposition, inhibit microbial growth, and prevent autolysis [13,14].…”

Section: Discussionmentioning

confidence: 99%

The Surgical Pathology Specimen Safety Study: Management Errors in the Operating Room

Bülbüloğlu¹,

Aslan²,

Gıersbergen³

2018

Surgery Curr Res

View full text Add to dashboard Cite

Background: Surgical Pathology Specimen Management (SPSM) is a collaborative process essential part of patient safety in the operating room. Safe SPSM is important to providing accurate diagnosis and effective treatment for surgical patients. Aim:The aim of this study is to observe the practice of SPSM in an education and research hospital. Data sources: Recommended practices of AORN about SPSM was reviewed and a questionnaire form was prepared and conducted. One day survey of surgical pathology material is comprised of 4 excisions, 10 resections a total of 14 specimens in this study. Researcher were observed SPSM process that reported 25 cases.Results: No process is used for SPSM by the hospital. Identification of patient and specimen information was being in an electronic format. Also, specimens have been held in a shelving unit at room temperature for about 20 to 23 centigrade degrees. Surgical specimen errors were defined in all stages of the SPSM process, in the intraoperative phase during specimen ordering (8%), labeling (6%), containment (4%), transport or storage (40%), and collection (8%). It was determined that the most common contributing parameters were mistakes in communication errors, staff carelessness, information deficit, and lack of policies/protocols issue. Conclusion:The result of this study was reached scientifically evidence about SPSM process was proved insufficient conditions.

show abstract

“…A review of the literature shows 13 previously reported cases of pigmented lesions initially treated cosmetically with cryotherapy and/or laser treatment, later diagnosed as LM/LMM [8,[22][23][24][25][26] ( Table 2). The ages range from 59 to 72, with seven males and six females.…”

Section: Discussionmentioning

confidence: 99%

“…Of the 13 reported cases, 8 were found to have invasive LMM (61.5%) on final excision and one patient had lymph node metastasis. Additional reports document other forms of melanoma, including nodular, amelanotic, and metastatic, occurring after prior laser or cosmetic treatment of presumed benign lesions [24][25][26][27][28]. Stankiewicz et al describe three patients who presented for cosmetic removal of pigmented lesions, two referred by physicians, all found to be LM or melanoma in situ before any cosmetic intervention, underscoring the importance of careful evaluation of presumed benign pigmented lesions before treatment [5].…”

Section: Discussionmentioning

confidence: 99%

Lentigo maligna melanoma with a history of cosmetic treatment: Prevalence, surgical outcomes and considerations

et al. 2017

View full text Add to dashboard Cite

Introduction Lentigo maligna (LM) is melanoma in situ on sun-damaged skin and presents diagnostic challenges due to overlapping features with benign pigmented lesions. Cosmetic treatments may be inadvertently performed on LM. The aim of this study is to estimate the prevalence of LM with prior cosmetic treatment, and evaluate surgical outcomes. Study Design and Methods Retrospective review of biopsy-proven LM presenting over a ten-year period (2006–2015). Prior cosmetic treatment and biopsies were recorded. Records were reviewed for demographic data, clinical characteristics, and surgical outcomes. Results 37/503 (7.4%) patients with LM reported prior cosmetic therapy. Most (95%) were on the head and neck; mean size 1.9 centimeters. Most patients reported cryotherapy (73%), followed by laser (29.7%), topical bleaching agents (18.9%), and electrodessication and/or curettage (5.3%). Ten patients (27%) received two or more modalities. Eight patients (21.6%) reported prior benign biopsies. Six patients (16%) had invasive disease, two on initial biopsy and 4/34 (11.7%) upstaged upon excision. Average margin for clearance was 9.1 millimeters. Conclusion Prior cosmetic treatment of LM is not uncommon, and may delay diagnosis and obscure borders, resulting in wider surgical margins. Clinicians should consider a biopsy confirming the benign nature of equivocal lesions prior to cosmetic treatment.

show abstract

Learning from mistakes: errors in approaches to melanoma and the urgent need for updated national guidelines

Abstract: Based on the present results, we propose that in countries lacking national guidelines, clinicians should adhere to international evidence-based guidelines for the diagnosis and treatment of melanoma.

Cited by 5 publications

References 24 publications

The iris signal: blue periphery, tan collaret and freckles pattern – strong indicators for epidermal skin cancer in South‐Eastern Europe

The iris signal: blue periphery, tan collaret and freckles pattern – strong indicators for epidermal skin cancer in South‐Eastern Europe

The Surgical Pathology Specimen Safety Study: Management Errors in the Operating Room

Lentigo maligna melanoma with a history of cosmetic treatment: Prevalence, surgical outcomes and considerations

Contact Info

Product

Resources

About