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面试官: What exactly is mole mapping, and what can it do for you? 大发娱乐将在接下来的《大发体育官网》节目中对此进行探讨.
Dr. 道格·格罗斯曼 is an expert in early diagnosis and treatment of skin cancers at Huntsman Cancer Institute and also head of the Mole Mapping Program. 那个名字引起了我的兴趣.
什么是摩尔映射?
Dr. 格罗斯曼: This is a unique program that we've offered at the Huntsman Cancer Institute for the past ten years, and essentially it involves taking full-body photographs of your skin. This is for patients who are at high risk for melanoma. 要么他们得了黑色素瘤, 这是他们家族的遗传, or they have lots of moles or what we call atypical moles. The most sensitive indicator for early melanoma is a change. The only way we can know that a lesion is changing is if we compare it at two points in time. So patients come in and we get the photographs just once. 这可以作为一个基准, 然后在以后的访问中, we can refer to these and confirm that given moles are stable and detect changing moles.
Then we educate patients and family members to use these photographs, 然后大发娱乐大发娱乐提供给他们在家里使用. So patients are checking at home and they're also seeing us, and we've detected a lot of melanomas at an early stage. 我认为同样重要的是, we've avoided a lot of unnecessary biopsies and surgeries because we can confirm spots aren't changing; we don't need to remove them.
The Value of Visual Records in Skin Cancer Detection
面试官: 在摩尔映射之前，你是怎么做的?
Dr. 格罗斯曼: 好吧, when I first came here and we didn't have total body photography, I used to take photographs of individual areas of the skin where there were moles, again with the idea being that I'm trying to monitor individual moles. 同时, we started taking high-resolution photographs of individual moles, although about ten years ago we realized that wasn't the best approach.
Our studies have shown that most melanomas in fact don't evolve from moles. 它们在正常皮肤中发育. Only about maybe 30% of melanomas will arise from moles. 如果你只看摩尔数, you're going to miss a lot of the new melanomas that are arising in the normal skin. 所以大发娱乐真的需要一个全身的方法, so we switched to full body photography and we've been doing that ever since.
面试官: 如果有人拿走了你的工具, would you be seriously hindered in what it is you are able to do for your patients, 你认为?
Dr. 格罗斯曼: 我将. Having a photograph gives me a huge advantage when I'm examining a patient. 如果我没有照片, then really one is just guessing about which mole might be changing or be particularly suspicious.
面试官: You said it's a unique program to Huntsman Cancer Institute. 为什么其他地方不这么做? It seems pretty simple to take a picture of the body.
Dr. 格罗斯曼: 这很简单，但是很贵. We have to have someone available to take the pictures who's trained to do that, 大发娱乐必须有拍照的设备, we have to have the IT support to securely archive all the photographs from thousands of patients, and so it's not something that one could provide in an office space practice and have it be profitable. 但是在癌症研究所的支持下, we're able to provide this to patients who come here.
痣测绘对病人护理的影响
面试官: 你觉得它救了多少人的命?
Dr. 格罗斯曼: 这个问题很难回答.
面试官: 确定.
Dr. 格罗斯曼: I do know that we've detected a lot of melanomas that patients were not aware of when they came in, and we were able to tell that from the photography. As I said earlier, also avoid unnecessary procedures. 成千上万的损伤, we avoided having to biopsy because I was able to confirm from the baseline photograph that there was no change.
面试官: 是的. I think that's one of the big discussions in medicine right now: how do we avoid some of these unnecessary procedures that cost thousands of dollars?
Dr. 格罗斯曼: 正确的.
面试官: If somebody's looking for more information on mole mapping, 来决定他们是否感兴趣, 他们从哪里得到这些信息? We provide some basic information on the Huntsman Cancer Institute's website. If you go to that website and search "mole mapping," you'll find the information we've provided.
更新日期：2024年8月1日
最初发布日期：2014年9月9日