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On the Horizon
August 1999

Management of Cutaneous Lymphomas Using a Multidisciplinary Approach

Arch Dermatol. 1999;135(8):907-911. doi:10.1001/archderm.135.8.907

THE CONCEPT OF multidisciplinary care has gained wide acceptance during the last decade. A MEDLINE search from 1966 to 1998, using the term multidisciplinary as a title word, retrieved 1747 journal articles, with 805 of these published since 1990. The few articles related to dermatological disease include multidisciplinary management of leg ulcers, latex allergy, wound care, and skin cancers, particularly malignant melanoma.13 The development of multidisciplinary cancer care has been facilitated by the establishment of specialized cancer treatment centers, such as the Comprehensive Cancer Centers (CCCs) in the United States, with similar regional cancer units in Europe. A recent consensus statement by the American Federation of Clinical Oncologic Societies4 stated that "to achieve optimum outcome, most cancer care delivery should be planned and coordinated by a multidisciplinary team of oncologic health care professionals." This quality cancer care provides patients access to a multidisciplinary team of cancer providers, spanning the full continuum of care, including prevention, early detection, staging evaluation, initial and subsequent treatment, long-term follow-up, palliative and hospice care, and supportive psychosocial services.4

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