By Sajjad Rajpar, Jerry Marsden
The ABC of epidermis melanoma is designed to spice up GP self belief within the analysis and referral of epidermis melanoma, concentrating on differential prognosis and customary pitfalls. according to the newest great directions within the united kingdom, this publication outlines top perform administration in basic care, when additionally protecting the Australian standpoint in this melanoma. Chapters on non-surgical remedy and prevention also are integrated.
This new hugely illustrated identify within the winning ABC sequence offers a concise, actual and functional assessment of epidermis cancers and pre-cancerous lesions for common practitioners, junior medical professionals and clinical scholars.
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Extra info for ABC of Skin Cancer
Seborrhoeic keratoses are not premalignant and do not need treatment unless symptomatic. Dermatofibroma Dermatofibroma (benign fibrous histiocytoma) is a benign tumour that consists of fibroblasts and histiocytes. It most commonly appears on the lower legs of women as a firm dermal papule or nodule measuring 5–10 mm in diameter (Fig. 12). The overlying skin is grey, brown or pink. Palpation is particularly helpful in diagnosis, as thickening of the skin is felt beyond the visible boundaries, and pinching the lesion causes dimpling in the centre since they are confined to the dermis.
Bowen’s disease It may be impossible to distinguish between Bowen’s disease and superficial BCC. This is particularly so on the lower limb, but also on the trunk. There may be a characteristic thread-like edge to a superficial BCC, but otherwise little difference. 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.
The number of melanocytic naevi directly predicts the risk of melanoma, so that individuals with > 100 lesions have a 7–11-fold greater risk of melanoma. It has been shown that sun protection in children reduces the development of melanocytic naevi. It is likely that most acquired melanocytic naevi start as junctional naevi (Fig. 5), which progress over time to compound naevi (Fig. 6) and then intradermal naevi (Fig. 7). This means that in children and teenagers, most melanocytic naevi are junctional and compound, evolving to intradermal naevi in adults between 20 and 30 years.
ABC of Skin Cancer by Sajjad Rajpar, Jerry Marsden