By Sajjad Rajpar, Jerry Marsden
The ABC of pores and skin melanoma is designed to spice up GP self assurance within the prognosis and referral of epidermis melanoma, targeting differential prognosis and customary pitfalls. in response to the most recent great directions within the united kingdom, this e-book outlines top perform administration in basic care, while additionally overlaying the Australian standpoint in this melanoma. Chapters on non-surgical remedy and prevention also are incorporated.
This new hugely illustrated identify within the profitable ABC sequence offers a concise, authentic and sensible assessment of pores and skin cancers and pre-cancerous lesions for normal practitioners, junior medical professionals and scientific scholars.
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Additional resources for ABC of Skin Cancer
Assessment of any pigmented lesion requires an accurate history to be taken and physical signs to be elicited (including inspection and palpation), and for the two to be integrated to reach a compatible diagnosis; spot diagnosis is dangerous and should always be avoided, however great the temptation. Benign pigmented lesions are normally long-standing and have a history of little or no change in size, shape or colour. Once a confident diagnosis is made, simple reassurance is usually sufficient.
1 Differential diagnosis of non-melanoma skin cancer Types of pathology Common examples Premalignant and malignant Actinic keratosis Keratoacanthoma Bowen’s disease Other skin cancers Sebaceous hyperplasia Pyogenic granuloma Melanocytic naevi Appendageal tumours Cysts Seborrhoeic keratosis Chondrodermatitis Molluscum Viral warts Tinea Folliculitis/acne Eczema, psoriasis Leg ulcers Granuloma annulare Hyperplasia Benign growths Infections Others Sebaceous hyperplasia These lesions are usually multiple and seen on the forehead, nose and cheeks (Fig.
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