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Does ultrasound-based follow-up improve survival outcomes of patients with stage 1-2 melanoma? A study in the European Journal of Cancer compared the efficacy of an ultrasound-based follow-up with a clinical follow-up to determine whether ultrasonography of the regional lymph nodes and abdomen improves melanoma-specific survival.
Different protocols have been used to follow up melanoma patients in stage 1-2 but there is no consensus on the complementary tests that should be requested, or the appropriate intervals between visits. Continue reading “Does ultrasound-based follow-up improve survival of melanoma patients?”
In this month’s skin cancer update video, Associate Professor Giuseppe Argenziano discusses which adjuvant therapies are most effective in the treatment of advanced melanoma.
In stage 3 melanoma patients who have their primary tumour surgically excised, five-year recurrence rates are 70 percent in patients who receive no adjuvant therapy; 64 percent in patients who receive Interferon; 59 percent in patients who receive Ipilimumab; 38 percent in patients who receive Nivolumab; and 37 percent in patients who receive a combination of target therapies. Continue reading “Skin Cancer Update with A/Prof Giuseppe Argenziano [November]”
The US Food and Drug Administration has approved Novartis’ Tafinlar-Mekinist combination for use as a stage 3 melanoma treatment, just four months after the drug was approved for treatment of non-small cell lung cancer with a BRAF V600E mutation.
The BRAF/MEK combination can now be used to treat this particular mutation after studies found that the drug halved patients’ risk of death or melanoma recurrence compared to placebo, in a phase 3 study completed in September. Continue reading “Stage 3 Melanoma Treatment Approved”
In this short video, experienced skin cancer doctor Colin Armstrong demonstrates how to use steri-strips for wound closures on thin skin, particularly on elderly patients. Continue reading “How to Close Wounds on Paper Thin Skin”
If you perform skin cancer surgery in your practice, you might be interested to see the 1-minute video below with experienced skin cancer doctor Hamilton Ayres. Dr Ayres uses the principle of hydrodissection to remove a lesion on a patient’s ear. The injected fluid helps to separate the tissue planes and facilitates excision. Continue reading “How to Use the Principle of Hydrodissection in Skin Cancer Surgery”
Experienced skin cancer doctor Hamilton Ayres gives a quick overview of all you need to know about local anaesthetics, possible side effects and considerations to take into account before you perform a surgical procedure. Continue reading “A Quick Guide to Local Anaesthetics for Skin Cancer Procedures”
In this week’s case discussion, we would like to provide some guidance on the management of the melanoma case we discussed last week. Please see below a short video on the definitive excision and repair of the melanoma, performed by Dr Colin Armstrong. We hope you find the video helpful, and we look forward to your feedback and your own case submissions.
In this short skin cancer update video, Associate Professor Giuseppe Argenziano presents the case of an older female patient with a rare skin malignancy on her cheek. Merkel cell carcinoma is a rare and very aggressive type of skin cancer. Giuseppe recommends a combination of surgery and radiotherapy when treating this rare skin tumour.
“Well, here it is. After teaching my foundations of skin cancer course with HealthCert for 10 years, and with almost 3000 alumni, Paul and I have finally written the book! Many, many doctors ask me “which is the best book for me?”. Well, if you are a mainstream GP, this is it – in my view.
We wrote this because, as far as we could see, there is no such book on the market. And, most patients with skin cancer are treated by GPs. And, it is not easy. The book is simple and straightforward. All evidence based, clear and basic one to keep on your desk.
I hope you like it.”
In the video Dr Tony Dicker explains how to plan and perform the perfect ellipse, a technique used for the removal of almost all skin cancers. The experienced surgeon goes through all steps to follow and shares his tricks for the best cosmetic outcomes. Continue reading “Skin Cancer Surgery – Ellipse Geometry [10 May]”