Case discussion: How would you treat this patient? [4 November]

Case discussion

This week we have an interesting case from Dr Colin Armstrong. An 85-year-old male presented for a skin check and suspected for melanoma. Please review the clinical and dermoscopic images below.

How would you biopsy this suspicious pigmented lesion on the chest? What is your differential diagnosis?

Continue reading “Case discussion: How would you treat this patient? [4 November]”

Case discussion: How would you treat this patient? [28 October]

Case discussion

This week we have an interesting case. What do you make of the clinical and dermoscopic images below?

Is there a differential diagnosis? If so, how would you biopsy?

Continue reading “Case discussion: How would you treat this patient? [28 October]”

Case discussion: How would you treat this patient? [21 October]

Case discussion

This week we have another engaging case. A 65-year-old Caucasian female with no history of melanoma presented for excision of a cyst on her back. A full skin check was done and a pigmented skin lesion was noted on her lower back.

How would you respond to this presentation?

Continue reading “Case discussion: How would you treat this patient? [21 October]”

Case discussion: How would you treat this patient? [14 October]

Case discussion

This week we have another engaging case. A 75-year-old Caucasian Australian male with a past history of solar keratosis and no previous melanoma or significant personal or family history of melanoma. Previously, he worked only indoors. The patient presented for opinion on a darker area of change in an existing “freckle” on his neck that was present for several years.

How would you respond to this presentation?

case discussion

case discussion

case discussion

Update:

How would you manage a patient with these findings? Please share your feedback.

SYNOPTIC REPORT FOR MALIGNANT MELANOMA
Diagnosis: Invasive malignant melanoma Site: Right mid neck Subtype: Superficial spreading Margin status: Involved Tumour Thickness (Breslow): 0.7mm Clark level: 3 Ulceration: Absent Mitotic count: 1/mm² Microsatellites: Not identified Perineural invasion: Not identified Lymphovascular invasion: Not identified Regression: – Early (TILS): Minimal (non-brisk) – Late (Fibrosis): Absent Associated benign naevus: Not identified Excision Margins: – Peripheral invasive: 1.5mm – Peripheral in-situ: Involved – Deep: Tumour focally abuts the deep margin.

We encourage you to participate in the case discussions and submit your own clinical images and questions, so we can all learn together.

MORE CASE DISCUSSIONS


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Case discussion: How would you treat this patient? [30 September]

case discussion

This week we have an engaging case from Dr Armstrong. A pink lesion was found on a patient’s right arm during a routine skin exam. The patient was unaware of the lesion. Continue reading “Case discussion: How would you treat this patient? [30 September]”

[4 min read] Family history of melanoma increases risk of melanoma, SCC and BCC

family history

How does a family history of melanoma affect your patients’ risk of developing melanoma and keratinocyte cancers such as squamous cell carcinoma and basal cell carcinoma? Continue reading “[4 min read] Family history of melanoma increases risk of melanoma, SCC and BCC”

[5 min read] Australia heading for shortfall in skin specialists

skin cancer

Skin cancer experts warn that Australia is heading for a shortfall in dermatologists – a dangerous situation for the country with the world’s highest rate of melanoma.

With over 800,000 skin cancers diagnosed in Australia each year, it is vital that we have enough doctors with knowledge in skin cancer diagnosis and treatment to meet the rising patient demand. Continue reading “[5 min read] Australia heading for shortfall in skin specialists”

[9 min read] Genetic testing motivates behaviour changes in at-risk melanoma patients

genetic causes

Would genetic testing motivate behaviour changes in patients at high risk of melanoma? Melanoma is one of the most severe types of skin cancer, with around 14,000 new cases and 2,000 deaths in Australia each year. Continue reading “[9 min read] Genetic testing motivates behaviour changes in at-risk melanoma patients”

[4 min read] Behavioural counselling to prevent skin cancer

behavioural counselling

Australia is the skin cancer capital of the world, with two in three Australians diagnosed with the disease by the age of 70. A recent report looked at recommendations on behavioural counselling for the primary prevention of skin cancer. Continue reading “[4 min read] Behavioural counselling to prevent skin cancer”

[8 min read] Decline in GP income calls for skills upgrade

income

There has been a decline in the average hourly income for general practitioners as other specialists see a healthy rise in theirs, highlighting the need for GPs to diversify their skills and seek a field of subspecialisation. Continue reading “[8 min read] Decline in GP income calls for skills upgrade”