By Sajjad Rajpar, Jerry Marsden
The ABC of dermis melanoma is designed to spice up GP self assurance within the prognosis and referral of dermis melanoma, concentrating on differential analysis and customary pitfalls. based on the most recent great instructions within the united kingdom, this ebook outlines top perform administration in fundamental care, while additionally protecting the Australian standpoint in this melanoma. Chapters on non-surgical therapy and prevention also are integrated.
This new hugely illustrated name within the winning ABC sequence offers a concise, authentic and functional assessment of pores and skin cancers and pre-cancerous lesions for basic practitioners, junior medical professionals and scientific scholars.
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Leg ulcers A leg ulcer failing to respond to standard treatment will occasionally turn out to be malignant. This may be either SCC (a Marjolin’s ulcer) or BCC (Fig. 6). Radiation sites Radiotherapy scars show progressive changes with time. There may be pallor, speckled pigmentation, prominent telangiectasia and breakdown of tissue into a necrotic ulcer (Fig. 7). This is often misinterpreted as recurrent skin cancer or development of a new cancer at the site of exposure to ionizing radiation, and a skin biopsy may be required.
Skin cancer. A practical guide to management. Martin Dunitz, 2002 Harris AJ, Burge SM. Basal cell carcinomas on the legs: an under-diagnosed problem? Br J Dermatol 1996; 135 (Suppl. 47):22. CHAPTER 8 Benign pigmented lesions Sajjad Rajpar, Jerry Marsden OVERVIEW • It is essential to take a proper history and perform a thorough examination when assessing a pigmented lesion. • Benign pigmented lesions are usually long-standing and have a history of little or no change in size, shape or colour. • Acquired melanocytic naevi are the commonest pigmented lesions to be confused with melanoma in young adults.
3 Café-au-lait macule. There is a well-demarcated, uniformly coloured brown macule. Fig. 4 Congenital melanocytic naevus. There is a fleshy papillomatous plaque with excessive growth of terminal hair. 1 Clinical characteristics of junctional, compound and intradermal naevi Location of naevus cells History Age of appearance (years) Change in size Examination Type of lesion Size (mm) Colour Border Symmetry Differential diagnosis Junctional naevus Compound naevus Intradermal naevus Dermo-epidermal junction Dermo-epidermal junction and dermis Dermis 5–30 Gradual increase in size as the child grows, and during pregnancy 5–35 Gradual increase in size as the child grows, and during pregnancy ≥ 20 Usually does not change in size Macule 1–5 Light to dark brown – evenly coloured Well demarcated Symmetrical Melanoma, simple lentigo, solar lentigo, freckle Papule with various degrees of elevation 5–10 Light to dark brown – evenly coloured Well demarcated Symmetrical Melanoma, seborrhoeic keratosis, dermatofibroma, haemangioma Papule 2–10 Brown, speckled, pink or skin coloured Well demarcated Symmetrical Skin tag, basal cell carcinoma Fig.
ABC of Skin Cancer by Sajjad Rajpar, Jerry Marsden