A question I am always asked when I teach GPs to do a skin check is “how should we examine the scalp, and how important is this for skin cancer?”. This issue is, of course, how many skin cancers “hide” under hair, how do we examine the scalp under the hair, and how important is all this? Continue reading “[2 min read] Skin cancer checks on the scalp | Prof David Wilkinson” →

This week we feature an interesting case from Dr Uchenna Nweze whose patient presented with a lesion during a skin check:

• 45-year-old male patient
• Past history of melanoma

What is your assessment? What would you do (if anything)?

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

In this week’s case discussion, we feature an interesting case from Dr Tim Aung:

• 45 year-old female
• Lesion noted during a skin check

Please review the clinical and dermoscopic images below. What would you do, and why?

Continue reading “Case discussion: How would you treat this patient? [16 November]” →

In this week’s case discussion, we feature a case from Dr Terry Harvey, whose patient came in for a skin check.

Please review the clinical and dermoscopic images below. What is your evaluation and what would you do next?

Continue reading “Case discussion: How would you treat this patient? [9 November]” →

In another interesting case from Dr Terry Harvey, we feature a male patient who presented for a skin check.

Please review the clinical and dermoscopic images below. What is your evaluation and what would you do next?

Continue reading “Case discussion: How would you treat this patient? [2 November]” →

This week we feature a case discussion from Dr Terry Harvey, whose patient came in for a skin check:

• Adult male
• No history

Please review the clinical and dermoscopic images below. What is your assessment and what would you do next?

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

In this week’s case discussion from Dr Pearly Cooray we present the following patient:

• 62 year-old male
• Lesion noted on forehead during skin check

Please review the clinical and dermoscopy images. What is your differential diagnosis and what would you do next?

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

In this week’s case discussion from Dr Richard Try we present the following patient:

• 50 year-old female
• Concern over growing lesion on shoulder

Please review the clinical and dermoscopy images. How do you interpret these? What would you do next?

Please leave your comment today and check back on Wednesday when we upload the pathology report!

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

We all use biopsy to confirm the clinical diagnosis of basal cell carcinoma (BCC), to determine the sub-type of BCC, and hence to plan the formal treatment – this is usually by excision with appropriate margins, but of course we also consider other destructive methods or topical treatments.

Colleagues will be aware of the technology that is reflectance confocal microscopy (RCM). This is special imaging of the sub-structure of the skin, typically available in specialist centres, and can be used to identify BCC sub type, and to map margins. Continue reading “[2 min read] Biopsy vs reflectance confocal microscopy in diagnosing BCC | Prof David Wilkinson” →

This week, we are sharing an interesting case provided by Prof. John Pyne:

• 60 year-old female school teacher
• No personal history of skin cancer
• New papule on central forehead with 2-month history
• Patient decided to have confocal imaging [live pathology] in preference to an excisional biopsy

Please review the dermoscopy images. What is your evaluation, and what would you do next (if anything)? Prof. John Pyne will share further details and guidance throughout the case discussion so please join in!

Continue reading “Case discussion: How would you treat this patient? [5 October]” →