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This week we have another great case from Dr Slavko Doslo. An older female presented for a skin check and there was an obvious standout lesion on her face.
We have the clinical and dermoscopy picture below. What do you think about the lesion? What are the next steps you would take to treat this patient? Continue reading “Case discussion: How would you treat this patient? [02 October]”
Skin cancer doctors and dermatologists may be tempted to over-treat patients with minor skin cancers in order to make a financial profit for performing higher-cost procedures, according to a symposium focusing on controversies in dermatology.
A presentation entitled “Inconvenient Truths in Skin Cancer Care” was delivered at the 26th European Academy of Dermatology and Venereology Congress by Dr Tamar Nijsten from Erasmus Medical Center in the Netherlands. The presentation highlighted concerns that dermatologists and skin physicians and might perform unnecessary treatments on minor skin cancers such as basal cell carcinoma, or prescribe high-cost drugs offering no advantage over generic-brand counterparts, because these approaches financially benefit the physicians.
This week we have an interesting case from Dr Colin Armstrong. An elderly lady presented for a skin check and had a suspicious lesion on calf muscle as shown.
We have the clinical and dermoscopy picture below. What do you think about the lesion? What are the next steps you would take to treat this patient?
This month’s research article is a scholarly review from the British Journal of Dermatology. The topic of the article is actinic keratosis (AK), which is such a common condition – and $1 billion is spent in the US each year treating it. Continue reading “Treating Actinic Keratosis In Primary Care”
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”
This week we have a great case from Dr Umesh Sharma. A 52-year-old female presented for a first-time skin check after her husband was diagnosed with level 1 melanoma and a couple of BCCs recently. On examination, a lonely pigmented modular lesion was located hiding in the right lower lateral skin fold on the back. Continue reading “Case discussion: How would you treat this patient? [11 September]”
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”
Pivotal flaps can be a preferable excision method for lesions which can’t be excised using an ellipse. However this method requires a great degree of planning as considerable tension may be present and extensive undermining needed to close the excision without tension. In the short video below (Part I), surgical lecturer Tony Dicker demonstrates how to plan and perform a pivotal flap with optimal outcomes. This is a video sample from the Professional Certificate of Skin Cancer Surgery. Continue reading “A Quick Guide to Pivotal Flaps [Part 1]”
In the short video below, Professor Wilkinson speaks about the Skin Cancer Medicine course which has been purpose-built to help busy general practitioners acquire the fundamental skills they need to manage skin cancer with confidence and feel safe in their practice. Please take the opportunity to learn more about Australia’s leading professionally accredited skin cancer education program. Continue reading “Professional Certificate of Skin Cancer Medicine with Prof David Wilkinson”
A recent research article from Nosrati et al, reports on the outcomes of patients with melanoma in situ, treated by either wide local excision or Mohs micrographic surgery (MMS).
Now, most Australian doctors would not consider this surgery for melanoma in situ – we would follow our national guidelines and excise melanomas with 5mm clinical margins. Many GPs do exactly this – measure out 5mm margins and excise and close, usually with an elipse, or with a flap or graft if necessary.