[Malignant XXXX in a private dermatology practice. A quality control study].

@entity1 @entity5 @entity1489 @entity957 @entity1141 @entity2118 @entity320 @entity1491
BACKGROUND AND OBJECTIVE: The campaign for early detection of @entity320 and the increase in @entity1 with photodamaged skin have a remarkable influence on the daily dermatological routine. Could these factors lead to the introduction of quality control in a private dermatology practice? @entity1 AND METHODS: Over a period of one year the diagnoses of all @entity1 were registered. The clinical diagnosis of any @entity1489 undergoing surgical removal was compared with the final histopathological diagnosis. RESULTS: 56% of 3004 diagnoses involved females; 44%, males. In 40.5%, the possibility of a @entity2118 was raised. 49% of the 291 @entity5 removed were malignant (107 @entity1491 , 20 @entity957 , 16 @entity320 ) while 11.7% were malignant precursor lesions. 48% of 44 melanocytic naevi with clinical atypia showed @entity1141 but none were a @entity320 . No @entity5 were detected among 59 clinically benign @entity5 . In 71.8% of cases, the clinical diagnosis agreed with the result of the histopathological examination. CONCLUSIONS: This study shows, in concordance with literature, that a dermatologist can provide high quality treatment and prophylaxis of @entity1489 . With an optimal cost-performance ratio, he or she is the most competent partner for @entity1 and health insurance companies.
