Case discussion: How would you treat this patient? [23 April]

Case discussion

This week we have another interesting case. This lesion was on the arm and the patient was unaware of it.

What is your assessment of the clinical and dermoscopic images, and what would you do next? 

Continue reading “Case discussion: How would you treat this patient? [23 April]”

Case discussion: How would you treat this patient? [16 April]

Case discussion

This week we have an interesting case from Dr Nameer Wadea. An 34-year-old male, uses sun bed frequently and had developed two small lesions on the left side of the face – injures them when he shaves. Dr Wadea asks “your opinion regarding liquid nitrogen vs excisional biopsy – as cosmetic concern is important”

Please review and describe your evaluation, and proposed next step/s? Continue reading “Case discussion: How would you treat this patient? [16 April]”

Skin Cancer Update with Prof Giuseppe Argenziano [April 2018]

skin cancer update APR18

In this month’s skin cancer update, Professor Giuseppe Argenziano discusses melanoma that arise within pre-existing congenital naevi.

The risk of melanoma arising out of large congenital naevi in a person’s lifetime is 1 in 10. The risk in intermediate congenital naevi is 1 in 200 and the risk in small congenital naevi is 1 in 200,000. Thus, the risk increases with the size of the naevus. Continue reading “Skin Cancer Update with Prof Giuseppe Argenziano [April 2018]”

How can computer vision aid in melanoma detection?

computer vision

How can computer vision aid in melanoma detection? A study recently published in the Journal of the American Academy of Dermatology compared the diagnostic accuracy of computer algorithms to dermatologists using dermoscopic images.

The study involved 100 randomly selected dermoscopic images comprising of 50 melanomas, 44 naevi, and six lentigines. Researchers used both non-learned and machine learning methods to combine individual automated predictions into “fusion” algorithms. In a companion study, eight dermatologists classified the lesions in the 100 images as either benign or malignant. Continue reading “How can computer vision aid in melanoma detection?”

Case discussion: How would you treat this patient? [26 March]

Case discussion

This week we have an interesting case from Dr Colin Armstrong. An elderly gentleman presented for a skin check, and a very obvious dark lesion on the lower back was noted.

Please review and describe the clinical and dermoscopic image. What is your evaluation, and proposed next step/s?

Continue reading “Case discussion: How would you treat this patient? [26 March]”

Case discussion: How would you treat this patient? [19 March]

This week we have an engaging case from Dr Dorothy Dowd. A mid thirties gentleman obviously has multiple mole syndrome from the image below. So, two issues:

  1. What is your assessment of the 2 lesions Dr Dowd shows here?
  2. How do you manage these patients in your practice?

Continue reading “Case discussion: How would you treat this patient? [19 March]”

A New Way to Evaluate Acral Lesions

lesions

This month’s article is an editorial in the British Journal of Dermatology by Tschandl and Wiesner, that explores recent advances in aspects of imaging of pigmented skin lesions.

It is a quick, worthwhile read to consider recent developments. My primary reason for highlighting this article this month, however, is because it includes work by Lallas et al mentioning a new way to evaluate acral lesions. Continue reading “A New Way to Evaluate Acral Lesions”

Case discussion: How would you treat this patient? [12 March]

Case discussion

This week we have an interesting case from Dr David Stewart. An 52-year-old male, renal transplant patient presents with a lesion on his Right ear.

Please review and describe the clinical and dermoscopic image. What is your evaluation, and proposed next step/s?

Continue reading “Case discussion: How would you treat this patient? [12 March]”

Case discussion: How would you treat this patient? [5 March]

Case discussion

This week we have an interesting case from Dr Slavko Doslo. An 74-year-old female presented for a skin check and a lesion was noted on examination. 

Please review and describe the clinical and dermoscopic image. What is your evaluation, and proposed next step/s? Continue reading “Case discussion: How would you treat this patient? [5 March]”

Case discussion: How would you treat this patient? [26 February]

Case discussion

This week we have an engaging case from Dr Tim Aung. An 80-year-old male with past history of melanoma and NMSC. The below shown lesion was noted on regular skin check. 

Please review and describe the clinical and dermoscopic image. What is your evaluation, and proposed next step/s? Continue reading “Case discussion: How would you treat this patient? [26 February]”