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Malignant Melanoma: A Statistical Review of Clinical and Histological Diagnoses

Malignant Melanoma: A Statistical Review of Clinical and Histological Diagnoses Abstract Becker1 reported that of 169 lesions diagnosed as malignant melanoma clinically, only 43% were confirmed as such microscopically. Conversely, of 151 specimens diagnosed microscopically, only 48% were so diagnosed clinically. The editors of "The Year Book of Dermatology and Syphilology" (1954-1955 Series) considered these statistics highly distressing to those interested in the education and training of dermatologists. They expressed the hope that these figures did not hold true for the majority of dermatology departments of medical schools in the United States. It was felt that a comparable study of the material available at the Dermato-Pathology Laboratory of The Johns Hopkins University School of Medicine would be of interest in relation to Becker's report. This study is based upon specimens submitted from November, 1925, through March, 1955, for pathological diagnosis. The clinical diagnoses were made by dermatologists and/or graduate students in dermatology. The pathological diagnoses were made by Dr. Lloyd W. Ketron. References 1. References 1, 3, 4, and 5. 2. Becker, S. W.: Pitfalls in the Diagnosis and Treatment of Melanoma , A. M. A. Arch. Dermat. & Syph. 69:11-30, 1954. 3. Sulzberger, M. B., and Baer, R. L.: Year Book of Dermatology and Syphilology (1954-1955 Series), Chicago, The Year Book Publishers, Inc. diagnosis 4. Am. J. Clin. Path. 22:1054-1060, 1952. 1955. 5. Swerdlow, M.: Nevi: A Problem of Mis 6. Becker, S. W.: Diagnosis and Treatment of Pigmented Nevi: Consideration of Some of the Pitfalls , Arch. Dermat. & Syph. 60:44-65, 1949. 7. Allen, A. C., and Spitz, S.: Malignant Melanoma: A Clinicopathological Analysis of the Criteria for Diagnosis and Prognosis , Cancer 6:1-45, 1953. 8. Beerman, H.; Lane, R. A. G., and Shaffer, B.: Pigmented Nevi and Malignant Melanoma of the Skin: A Survey of Some of the Recent Literature , Am. J. M. Sc. 229:444-465 and 584-600, 1955. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives of Dermatology American Medical Association

Malignant Melanoma: A Statistical Review of Clinical and Histological Diagnoses

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References (7)

Publisher
American Medical Association
Copyright
Copyright © 1956 American Medical Association. All Rights Reserved.
ISSN
0096-5359
DOI
10.1001/archderm.1956.01550120038009
Publisher site
See Article on Publisher Site

Abstract

Abstract Becker1 reported that of 169 lesions diagnosed as malignant melanoma clinically, only 43% were confirmed as such microscopically. Conversely, of 151 specimens diagnosed microscopically, only 48% were so diagnosed clinically. The editors of "The Year Book of Dermatology and Syphilology" (1954-1955 Series) considered these statistics highly distressing to those interested in the education and training of dermatologists. They expressed the hope that these figures did not hold true for the majority of dermatology departments of medical schools in the United States. It was felt that a comparable study of the material available at the Dermato-Pathology Laboratory of The Johns Hopkins University School of Medicine would be of interest in relation to Becker's report. This study is based upon specimens submitted from November, 1925, through March, 1955, for pathological diagnosis. The clinical diagnoses were made by dermatologists and/or graduate students in dermatology. The pathological diagnoses were made by Dr. Lloyd W. Ketron. References 1. References 1, 3, 4, and 5. 2. Becker, S. W.: Pitfalls in the Diagnosis and Treatment of Melanoma , A. M. A. Arch. Dermat. & Syph. 69:11-30, 1954. 3. Sulzberger, M. B., and Baer, R. L.: Year Book of Dermatology and Syphilology (1954-1955 Series), Chicago, The Year Book Publishers, Inc. diagnosis 4. Am. J. Clin. Path. 22:1054-1060, 1952. 1955. 5. Swerdlow, M.: Nevi: A Problem of Mis 6. Becker, S. W.: Diagnosis and Treatment of Pigmented Nevi: Consideration of Some of the Pitfalls , Arch. Dermat. & Syph. 60:44-65, 1949. 7. Allen, A. C., and Spitz, S.: Malignant Melanoma: A Clinicopathological Analysis of the Criteria for Diagnosis and Prognosis , Cancer 6:1-45, 1953. 8. Beerman, H.; Lane, R. A. G., and Shaffer, B.: Pigmented Nevi and Malignant Melanoma of the Skin: A Survey of Some of the Recent Literature , Am. J. M. Sc. 229:444-465 and 584-600, 1955.

Journal

A.M.A. Archives of DermatologyAmerican Medical Association

Published: Dec 1, 1956

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