By Sajjad Rajpar, Jerry Marsden
The ABC of dermis melanoma is designed to spice up GP self assurance within the analysis and referral of epidermis melanoma, concentrating on differential analysis and customary pitfalls. in keeping with the newest great instructions within the united kingdom, this publication outlines most sensible perform administration in fundamental care, when additionally overlaying 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, real and useful evaluate of pores and skin cancers and pre-cancerous lesions for normal practitioners, junior medical professionals and scientific scholars.
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Extra resources for ABC of 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.
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. This is why a ‘new junctional naevus’ arising after the age of 35–40 years may well be an early melanoma. It is usual to have a mixture of different types of melanocytic naevi in an individual, although each lesion may not always go through every stage of evolution.
Tion’ criterion is that melanoma grows and changes. Two-thirds of melanoma are new lesions, with the remainder developing from pre-existing benign melanocytic naevi. As it is unusual to develop new benign naevi after the age of 30 years, new pigmented lesions developing after this age should be scrutinized carefully for melanoma. Melanoma typically darkens, increases in size and becomes more irregular in outline over a period of 2–12 months. Change in colour tends to be noticed by patients before a change in size or shape.
ABC of Skin Cancer by Sajjad Rajpar, Jerry Marsden