User:Jamesjonathan7/sandbox

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Practice Editing Here (Nov 23rd in-class Wiki session work)

 * This is a place to practice clicking the "edit" button and practice adding references (via the citation button).

Assignment # 3

 * Note: You will be emailing your assignment # 3 directly to your tutor, however, please paste a version here that excludes your personal information. This will allow us to support your efforts on Wikipedia prior to editing "live" in the article.

Proposed Changes:

I propose adding the following sentences and image to the “Diagnosis” section

Most patients with Mycosis Fungoides have early stage disease (Stage IA-IIA) at the time of their initial diagnosis. These patients with early stage disease that is primarily confined to the skin have a favorable prognosis. Patients with advanced stage (Stage IIB-IVB) are often refractory to treatment and have an unfavorable prognosis. Treatment of patients with advanced stage disease is designed to reduce tumor burden, delay disease progression, and preserve quality of life.

Rationale for Proposed Changes:

These proposed changes will add more detailed information about how Mycosis Fungoides is diagnosed and how the stage at which this disease is diagnosed impacts treatment outcomes & prognosis. These changes are not designed to replace any text already included in the article, but rather to elaborate on existing information. Currently, there is no information on how Mycosis Fungoides is staged and the prognosis section only contains general relative survival information, which changes based on stage of diagnosis.

After meeting with Dr. Wang, she indicated that the diagnosis and prognosis section of the Wikipedia page on Mycosis Fungoides is severely lacking and may be difficult for patients to interpret. Currently, the Wikipedia page only lists the relative 5-year survival rate which is not helpful for patients who are diagnosed with Mycosis Fungoides at different stages.

Controversies

Accurate staging in Mycosis Fungoides is essential to determine treatment and prognosis. Mycosis Fungoides staging relies on the tumor, node, metastasis, blood (TNMB) classification proposed by the Mycosis Fungoides Cooperative Group and revised by the International Society for Cutaneous Lymphomas/European Organization of Research and Treatment of Cancer, which considers the extent of skin involvement (T), presence of lymph node (N), visceral, disease (M), and detection of Sezary cells in the peripheral blood (B). It is unclear if the revisions are widely accepted/utilized.

Critique of Source

This source is a review that summarizes the prognosis of this disease by stage of diagnosis and the relevant disease progression and treatment. The article is part of a two-part review series on Mycosis Fungoides diagnosis and management. Overall, the article satisfies the MEDRS criteria, however the article is a little bit older than 5 years. There are no conflicts of interest indicated and the article does not have any major sources of bias.

Jawed SI, Myskowski PL, Horwitz S, Moskowitz A, Querfeld C. Primary cutaneous T-cell lymphoma (mycosis fungoides and Sézary syndrome): part II. Prognosis, management, and future directions. J Am Acad Dermatol. 2014 Feb;70(2):223.e1-17; quiz 240-2. doi: 10.1016/j.jaad.2013.08.033. PMID: 24438970. Mycosis fungoides

What to post on the Wikipedia article talk page?

 * This will also be covered on Nov 23rd in class. Your group should use the below template to share an outline of your proposed improvements (including your new wording and citations). Article talk pages are not places to share your assignment answers. The Wikipedia community will be more interested in viewing your exact article improvement suggestions including where you plan to improve the article (which section), what wording you suggest, and the exact citation (Note: all citations must meet WP:MEDRS)
 * You will not be able to paste citations directly from your sandbox to talk pages (unless you are interested in editing/learning Wiki-code in the "source editing" mode). We suggest re-adding your citations on the talk page manually (using the cite button and populating the citation by pasting in the DOI, website, or PMID). You will have to repeat this process yet again when you edit the actual article live.
 * Talk Page Template: CARL Medical Editing Initiative/Fall 2020/Talk Page Template