为了获取更好的使用体验,丁香公开课推荐使用 Chrome 或 Firefox 浏览器

如果您使用 IE 浏览器,推荐使用 IE11 版本

Steven Bentman 丁香诊所 马里兰大学医学院附属医院

马里兰大学医学院附属医院视频 / 时长20分钟

丁香诊所全科培训课程 46:说说常见皮肤癌

¥18

  • 此课程购买后可永久观看
  • 已有 21 人购买
加载中...
  • 课程简介
  • 全部评论

课程介绍

在丁香诊所「全科医生强化培训班」中,马里兰大学医学院附属医院医生委员会主席 Steve Bentman 与大家一起讨论《皮肤癌》。

光化性角化病是一种癌前病变,常见且呈恶性,不会扩散。鳞状细胞癌微恶性,可转移;黑色素瘤恶性程度非常高,可致死。光化性角化病与阳光暴露有关,可局部用 5-氟尿嘧啶杀死分裂细胞,但 Steve Bentman 一般用冰冻或手术切除,或滴用液氮。

基底细胞癌是因为表皮细胞出现了问题,男性 40 岁为高危因素,可扩散,可用 5-氟尿嘧啶、干扰素α以及手术切除剜除术等。若手上有东西可直接切开再缝上,但脸则不愿意这样,脸部手术逐次刮一点并送检,当被告知边界清晰,则已经恢复。

鳞状细胞癌是上皮角化细胞的恶性病变,主要原因是阳光照射,肤白易得,且与 HPV 有关。HPV 疫苗虽可预防宫颈癌,但不能防止鳞癌。银屑病药口服后暴露在紫外线下可改善症状,但时间长易感鳞癌,大于 2 cm 或深度大于 6 cm 易转移,长得快或免疫缺陷也是不良征兆。有人三天前得了这个病没什么,但三个月前得了这个病则有问题。

黑色素瘤是恶性度很高的肿瘤,可致死,可发生于皮肤、消化道、神经系统等,由痣演变而来,需及时切除。I 型 5 年生存率 90%,IV 期 5 年生存率小于 2%,痣不对称,边界不规则,颜色各异,如果有痣的话需要检查全身。

晒黑会提升皮肤癌的概率,晒黑之前涂的液体、防晒霜只能降低皮肤癌的风险,但不能消除。

更多精彩内容请点击此处观看丁香公开课全部课程。

封面图片来源:shutterstock 网站

展开全部

Steven Bentman 丁香诊所 马里兰大学医学院附属医院

Steven Bentman,马里兰大学医学院附属医院医生委员会主席。

M.D, University of Maryland Upper Chesapeake Medical Center 500 Upper Chesapeake Drive Belair Maryland

Experience:
June 1998-Present
Emergency Medicine Physician
Medical Director of the Department of Emergency Medicine,(July 2007--Present) Maryland Emergency Medicine Network, University of Maryland.
President of the Medical Staff, (January 2010-January 2014)
Board Member University of Maryland Upper Chesapeake Medical Center (Januaryl/10-1/2014)
Vice President of the Medical Staff, (January2009-- December 2010) Upper Chesapeake Medical Center
Interim Chairman of the Department of Emergency Medicine (December 2006--July2007)
Interim Chairman of the Department of Emergency Medicine (July 2004 -- January 2005)
Member of the Medical Executive Committee(August 2004 -- February 2006), (December2006--Present)
Member of the Performance Improvement Committee(August 2004 -- February 2006), (December 2006--Present)
Member of the STEMI Committee (July 2008 -- Present)
Member of the Stroke Committee (July 2008 -- Present)
Member of the Ethics Committee (July 1998 -- July 2007)
Best Physicians in Baltimore Maryland 2010
Doctor Awards 2005 Best Bedside Manner, Best Communicator
Physician of the Quarter 2001 recognized for service excellence

June 1992-June 1998
Emergency Medicine Physician:
Capital Emergency Associates/EM Care Doctors Hospital
8118 Good luck Road
Lanham, MD 20706

Associate Partner Capital Emergey Associates Education Sel'Vices Coordinator/EMS
Physician Member of the Fast-track Committee Implementation
Physician Member of the Emergey Medicine Department Renovation Committee
Member of Capital Emergency Associates and EM Care Leadership Team
Instructor Nursing Internship Program
Preceptor for the Anne Arundel Hospital Physician Assistant Program
Preceptor for the Essex Community College Physician Assistant Program
Chairman of the Emergency Department Task Force Committee

July 1988- June 1992
Internist
Internal Medicine Physician
White Marsh Medical Center 8817 Bel Air Road
Baltimore MD 21236

July 1985 -- June 1988
Resident Internal Medicine (July 1985- June 1987)
Harrisburg Hospital
South Front Street
Harrisburg PA 17101

Chief Medical Resident (July 1987-- June 1988)
Member of the Special Care Committee (July 1987 -- June 1988)
Member of the Trauma Team

July 1984 - June 1985
Intern Internal Medicine (Julyl984-Junel985)
Lincoln Hospital
234 East 149, Street
Bronx New York

Education
June 1984
Medical Doctor, Universidad Autonoma de Ciudad Juarez Ciudad Juarez, Chihuahua Mexico
June 1979
Bachelor of Science, Long Island University, C. W. Post,Greendale New York
June 1974, High School Diploma, Division Avenue High School, Division Avenue, Levittown New York 11756

Certifications
Board of Internal Medicine, ABIM 1992
Board of Emergency Medicine, BECM 1992
Advanced Cardiac Life-support
Advanced Trauma Life-support
Advanced Pediatric Life-support

Professional Organizaions
Amencan College of Emergency Physicians
Physician Leadershlp Academy Member (Aug. 2003-Present)

Professional Licenses
Pennsylvania
Maryland
Virginia

Hospital Affiliations
University of Maryland Upper Chesapeake Medical Center, 500 Upper Chesapeake Drive, Bel Air, Maryland 21014
University of Maryland Harford Memorial Hospital, 501 South Union Avenue,
Havre de Grace Maryland 21078
更多

网友讨论