[The treatment of basal cell carcinoma patients by dermatologists in Netherland]

Autor: M R, Thissen, H A, Neumann, P J, Berretty, A H, Ideler
Jazyk: Dutch; Flemish
Rok vydání: 1998
Předmět:
Zdroj: Nederlands tijdschrift voor geneeskunde. 142(27)
ISSN: 0028-2162
Popis: To determine the policy of dermatologists practising in the Netherlands in the treatment of basal cell carcinoma.Written enquiry.Catharina Hospital, Eindhoven, the Netherlands.All 293 dermatologists practising in the Netherlands were sent a questionnaire in May 1996 containing 15 questions about diagnosis and treatment of basal cell carcinoma.Eighteen forms dropped off because of termination of the practice or joint completion in group practices. The response was 76% (208/275). The diagnosis was made usually on the basis of histological examination (71% of the respondents; 84% in a tumour recurrence). Excision was the preferred treatment for all subtypes of basal cell carcinoma; second choices were cryosurgery or curettage/electrocoagulation. Roentgen contact therapy has been practically abandoned. New methods such as photodynamic therapy and immunotherapy are being used only sporadically on an experimental basis. Most dermatologists regarded tumour recurrences as a bigger problem than primary tumours. They attempt to reduce the percentage of recurrences by giving advice about risk factors (sunlight).Too little use is being made of diagnostic biopsy to enable an optimal choice of therapy of basal cell carcinomas, especially in cases of recurrence tumours.
Databáze: OpenAIRE