Please use this identifier to cite or link to this item: https://dora.health.qld.gov.au/qldresearchjspui/handle/1/381
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dc.contributor.authorAllan, C. P.en
dc.contributor.authorGreen, A. C.en
dc.contributor.authorMalt, M. K.en
dc.contributor.authorHughes, M. C. B.en
dc.contributor.authorBrown, L. J.en
dc.contributor.authorBayley, G. J.en
dc.contributor.authorKhosrotehrani, K.en
dc.contributor.authorSmithers, B. M.en
dc.contributor.authorBeesley, V. L.en
dc.contributor.authorD'Arcy, J.en
dc.contributor.authorWilliamson, R.en
dc.contributor.authorBarbour, A. P.en
dc.contributor.authorWeedon, D.en
dc.contributor.authorTriscott, J. A.en
dc.contributor.authorZonta, M. J.en
dc.contributor.authorWood, D. J.en
dc.date.accessioned2018-06-16T20:33:06Z-
dc.date.available2018-06-16T20:33:06Z-
dc.date.issued2015en
dc.identifier.citation112, (4), 2015, p. 359-365en
dc.identifier.otherRISen
dc.identifier.urihttp://dora.health.qld.gov.au/qldresearchjspui/handle/1/381-
dc.description.abstractBackground Knowledge of variation in diagnosis and surgery in high-risk primary melanoma patients is limited. We assessed frequency and determinants of diagnostic procedures, wide local excision (WLE) and sentinel lymph node biopsy (SLNB). Methods People in Queensland newly diagnosed with melanoma, clinical stage 1b or 2, were recruited prospectively. Patient information was collected from questionnaires and pathology records. Differences in surgical procedures in relation to host and tumor characteristics were assessed. Results In 787 participants, primary melanoma was diagnosed by surgical excision (74%), shave (14%), punch (12%) or incisional (1%) biopsy. General practitioners (GPs) diagnosed 80%. Diagnostic procedure differed by remoteness of residence, health sector, treating doctor's specialty and melanoma site and thickness. 766 patients had WLE, 86% by surgeons. Of 134 residual melanomas, 13 (10%) were ≤ 1 mm at diagnosis but > 1 mm at WLE, mostly after shave biopsy. SLNB was performed in 261 (33%) patients. SLNB was more common in those under 50, in remoter locations or treated by GP initially, and less common with head and neck melanoma. Conclusion Diagnostic and surgical procedures for primary melanoma vary substantially and partial biopsy can influence initial tumor microstaging. Patient, tumor and doctor characteristics influence SLNB practice. J. Surg. Oncol. 2015; 112:359-365.<br />en
dc.languageenen
dc.relation.ispartofJournal of Surgical Oncologyen
dc.titleProspective study of patterns of surgical management in adults with primary cutaneous melanoma at high risk of spread, in Queensland, Australiaen
dc.typeArticleen
dc.subject.keywordsadultageden
dc.subject.keywordsarticleen
dc.subject.keywordsAustraliaen
dc.subject.keywordscancer stagingen
dc.subject.keywordscutaneous melanomaen
dc.subject.keywordsfemaleen
dc.subject.keywordshigh risk patienten
dc.subject.keywordshumanen
dc.subject.keywordsmajor clinical studyen
dc.subject.keywordsmaleen
dc.subject.keywordsmiddle ageden
dc.subject.keywordspatient informationen
dc.subject.keywordsprimary tumoren
dc.subject.keywordspriority journalen
dc.subject.keywordsprospective studyen
dc.subject.keywordspunch biopsyen
dc.subject.keywordssentinel lymph node biopsyen
dc.subject.keywordsskin biopsyen
dc.subject.keywordswide excisionen
dc.relation.urlhttp://linksource.ebsco.com/ls.b6e6cc08-c492-42af-aec4-c6084e18e68c.true/linking.aspx?sid=EMBASE&issn=10969098&id=doi:10.1002%2Fjso.24013&atitle=Prospective+study+of+patterns+of+surgical+management+in+adults+with+primary+cutaneous+melanoma+at+high+risk+of+spread%2C+in+Queensland%2C+Australia&stitle=J.+Surg.+Oncol.&title=Journal+of+Surgical+Oncology&volume=112&issue=4&spage=359&epage=365&aulast=Smithers&aufirst=B.+Mark&auinit=B.M.&aufull=Smithers+B.M.&coden=JSONA&isbn=&pages=359-365&date=2015&auinit1=B&auinitm=M.en
dc.relation.urlhttp://www.embase.com/search/results?subaction=viewrecord&from=export&id=L605866773http://dx.doi.org/10.1002/jso.24013en
dc.identifier.risid673en
dc.description.pages359-365en
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.cerifentitytypePublications-
item.fulltextNo Fulltext-
item.grantfulltextnone-
item.openairetypeArticle-
Appears in Sites:Sunshine Coast HHS Publications
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