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| Fältnamn | Indikatorer | Metadata |
|---|---|---|
| 000 | 04194naa a2200697 4500 | |
| 001 | oai:gup.ub.gu.se/330762 | |
| 003 | SwePub | |
| 008 | 240528s2023 | |||||||||||000 ||eng| | |
| 024 | 7 | a https://gup.ub.gu.se/publication/3307622 URI |
| 024 | 7 | a https://doi.org/10.5826/dpc.1303a2442 DOI |
| 040 | a (SwePub)gu | |
| 041 | a eng | |
| 042 | 9 SwePub | |
| 072 | 7 | a ref2 swepub-contenttype |
| 072 | 7 | a art2 swepub-publicationtype |
| 100 | 1 | a Longo, C.4 aut |
| 245 | 1 0 | a Delphi Consensus Among International Experts on the Diagnosis, Management, and Surveillance for Lentigo Maligna |
| 264 | 1 | c 2023 |
| 520 | a Introduction: Melanoma of the lentigo maligna (LM) type is challenging. There is lack of consensus on the optimal diagnosis, treatment, and follow-up. Objectives: To obtain general consensus on the diagnosis, treatment, and follow-up for LM. Methods: A modified Delphi method was used. The invited participants were either members of the International Dermoscopy Society, academic experts, or authors of published articles relating to skin cancer and melanoma. Participants were required to respond across three rounds using a 4-point Likert scale). Consensus was defined as >75% of participants agreeing/strongly agreeing or disagreeing/strongly disagreeing. Results: Of the 31 experts invited to participate in this Delphi study, 29 participants completed Round 1 (89.9% response rate), 25/31 completed Round 2 (77.5% response rate), and 25/31 completed Round 3 (77.5% response rate). Experts agreed that LM diagnosis should be based on a clinical and dermatoscopic approach (92%) followed by a biopsy. The most appropriate primary treatment of LM was deemed to be margin-controlled surgery (83.3%), although non-surgical modalities, especially imiquimod, were commonly used either as alternative off-label primary treatment in selected patients or as adjuvant therapy following surgery; 62% participants responded life-long clinical follow-up was needed for LM. Conclusions: Clinical and histological diagnosis of LM is challenging and should be based on macroscopic, dermatoscopic, and RCM examination followed by a biopsy. Different treatment modalities and follow-up should be carefully discussed with the patient. | |
| 650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Dermatologi och venereologi0 (SwePub)302042 hsv//swe |
| 650 | 7 | a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Dermatology and Venereal Diseases0 (SwePub)302042 hsv//eng |
| 653 | a melanoma | |
| 653 | a lentigo maligna | |
| 653 | a Delphi | |
| 653 | a diagnosis | |
| 653 | a management | |
| 700 | 1 | a Navarrete-Dechent, C.4 aut |
| 700 | 1 | a Tschandl, P.4 aut |
| 700 | 1 | a Apalla, Z.4 aut |
| 700 | 1 | a Argenziano, G.4 aut |
| 700 | 1 | a Braun, R. P.4 aut |
| 700 | 1 | a Bataille, V.4 aut |
| 700 | 1 | a Cabo, H.4 aut |
| 700 | 1 | a Hoffmann-Wellhenhof, R.4 aut |
| 700 | 1 | a Forsea, A. M.4 aut |
| 700 | 1 | a Garbe, C.4 aut |
| 700 | 1 | a Guitera, P.4 aut |
| 700 | 1 | a Raimond, K.4 aut |
| 700 | 1 | a Marghoob, A. A.4 aut |
| 700 | 1 | a Malvehy, J.4 aut |
| 700 | 1 | a Del Marmol, V.4 aut |
| 700 | 1 | a Moreno, D.4 aut |
| 700 | 1 | a Nehal, K. S.4 aut |
| 700 | 1 | a Nagore, E.4 aut |
| 700 | 1 | a Paoli, John,d 1975u Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för dermatologi och venereologi,Institute of Clinical Sciences, Department of Dermatology and Venereology4 aut0 (Swepub:gu)xpaojo |
| 700 | 1 | a Pellacani, G.4 aut |
| 700 | 1 | a Peris, K.4 aut |
| 700 | 1 | a Puig, S.4 aut |
| 700 | 1 | a Soyer, H. P.4 aut |
| 700 | 1 | a Swetter, S.4 aut |
| 700 | 1 | a Stratigos, A.4 aut |
| 700 | 1 | a Stolz, W.4 aut |
| 700 | 1 | a Thomas, L.4 aut |
| 700 | 1 | a Tiodorovic, D.4 aut |
| 700 | 1 | a Zalaudek, I.4 aut |
| 700 | 1 | a Kittler, H.4 aut |
| 700 | 1 | a Lallas, A.4 aut |
| 710 | 2 | a Göteborgs universitetb Institutionen för kliniska vetenskaper, Avdelningen för dermatologi och venereologi4 org |
| 773 | 0 | t Dermatology Practical & Conceptualg 13:3q 13:3x 2160-9381 |
| 856 | 4 8 | u https://gup.ub.gu.se/publication/330762 |
| 856 | 4 8 | u https://doi.org/10.5826/dpc.1303a244 |
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