dc.contributor.author |
Cheng, Harriet |
|
dc.contributor.author |
Oakley, Amanda |
|
dc.contributor.author |
Rademaker, Marius |
|
dc.coverage.spatial |
Australia |
|
dc.date.accessioned |
2022-05-22T22:46:41Z |
|
dc.date.available |
2022-05-22T22:46:41Z |
|
dc.date.issued |
2014-06 |
|
dc.identifier.citation |
(2014). Journal of Primary Health Care, 6(2), 123-128. |
|
dc.identifier.issn |
1172-6164 |
|
dc.identifier.uri |
https://hdl.handle.net/2292/59416 |
|
dc.description.abstract |
<h4>Introduction</h4>Although melanoma is rare in children, parental concern about skin lesions often results in specialist referral and/or excision of benign lesions.<h4>Aim</h4>To review dermatology referrals of children with skin lesions to determine reason for referral, macroscopic and dermatoscopic features of referred lesions, diagnosis, management and histology for excised lesions.<h4>Methods</h4>Referral letters, clinical and dermatoscopic images and outcomes were reviewed for skin lesions in children aged 0-18 years attending a teledermoscopy clinic over a 28-month period.<h4>Results</h4>Eighty-nine children with 128 lesions accounted for 9% of all referrals to the teledermoscopy clinic. The mean age of the children was 12 years (range 2-18 years). A 'changing mole' was the most common reason for referral (35 children; 39%), followed by 'possible melanoma' (19; 21%), and congenital naevus (9; 10%). The majority of lesions were benign melanocytic naevi (112 lesions; 88%). No lesions were diagnosed as melanoma or non-melanoma skin cancer. A history of change was given for 61/112 lesions (54%). Five lesions were excised; histopathological diagnoses were two spindle cell tumours of Reed, two compound naevi and one Spitz naevus.<h4>Discussion</h4>Change in a lesion, though a common trigger for referral, is less likely to indicate malignancy in children compared with adults and, as a sole criterion, does not necessitate specialist referral. Teledermoscopy clinics offer high quality macroscopic and dermatoscopic images and can assist in providing reassurance, where appropriate. |
|
dc.format.medium |
Electronic |
|
dc.language |
eng |
|
dc.publisher |
CSIRO Publishing |
|
dc.relation.ispartofseries |
Journal of primary health care |
|
dc.rights |
Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. |
|
dc.rights.uri |
https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm |
|
dc.rights.uri |
https://creativecommons.org/licenses/by-nc-nd/4.0/ |
|
dc.subject |
Humans |
|
dc.subject |
Nevus, Epithelioid and Spindle Cell |
|
dc.subject |
Skin Neoplasms |
|
dc.subject |
Dermoscopy |
|
dc.subject |
Dermatology |
|
dc.subject |
Telemedicine |
|
dc.subject |
Adolescent |
|
dc.subject |
Child |
|
dc.subject |
Child, Preschool |
|
dc.subject |
Referral and Consultation |
|
dc.subject |
Primary Health Care |
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dc.subject |
New Zealand |
|
dc.subject |
Female |
|
dc.subject |
Male |
|
dc.subject |
Pediatric |
|
dc.subject |
Clinical Research |
|
dc.subject |
Prevention |
|
dc.subject |
Cancer |
|
dc.subject |
1110 Nursing |
|
dc.subject |
1117 Public Health and Health Services |
|
dc.title |
Change in a child's naevus prompts referral to a dermatology service. |
|
dc.type |
Journal Article |
|
dc.identifier.doi |
10.1071/hc14123 |
|
pubs.issue |
2 |
|
pubs.begin-page |
123 |
|
pubs.volume |
6 |
|
dc.date.updated |
2022-04-18T21:29:59Z |
|
dc.rights.holder |
Copyright: The author |
en |
dc.identifier.pmid |
24892129 (pubmed) |
|
pubs.author-url |
https://www.ncbi.nlm.nih.gov/pubmed/24892129 |
|
pubs.end-page |
128 |
|
pubs.publication-status |
Published |
|
dc.rights.accessrights |
http://purl.org/eprint/accessRights/OpenAccess |
en |
pubs.subtype |
Journal Article |
|
pubs.elements-id |
852104 |
|
pubs.org-id |
Medical and Health Sciences |
|
pubs.org-id |
School of Medicine |
|
pubs.org-id |
Medicine Department |
|
dc.identifier.eissn |
1172-6156 |
|
pubs.record-created-at-source-date |
2022-04-19 |
|