Assessment of the doctor’s tactics at the first admission of patients with skin pigmental tumors

Konopatskova Olga Michailovna, Stanchina Iuliia Valerievna

In recent years, there has been an increase in the number of pigmented skin tumors. Analysis of doctors' tactics in patients with such pathology will help to avoid possible mistakes and improve the situation of secondary prevention of melanoma of the skin. To determine the causes of neglect and errors of doctors with skin melanoma, the tactics at the pre-hospital stage were retrospectively studied in 3136 patients who were registered at an oncological dispensary in the Saratov region for the period from 1980 to 2019. A prospective similar analysis was carried out in a group of patients with pigmented skin nevi – 250 people. Results. The analysis made it possible to draw attention to organizational and tactical errors of polyclinic doctors. These include: lack of oncological alertness of first-contact doctors conducting an examination of the population; incomplete examination; superficial collection of anamnesis (without taking into account risk factors); violation of the principle of routing patients with suspected cancer; monitoring of pigmented skin formations in the presence of symptoms of their activation. Conclusions. The analysis of preclinical diagnostics for pigmented skin tumors showed that, as before, there are a number of organizational and tactical errors of first-contact doctors. The focus on these errors will not only increase the oncological alertness of this category of doctors, but also adjust tactics in this category of patients, which ultimately serves as a secondary prevention of skin melanoma.

Keywords:melanoma; pigmented nevus; tactics of first-contact doctors; medical errors.