By Sajjad Rajpar, Jerry Marsden
The ABC of dermis melanoma is designed to spice up GP self belief within the prognosis and referral of pores and skin melanoma, targeting differential analysis and customary pitfalls. in accordance with the most recent great guidance within the united kingdom, this publication outlines most sensible perform administration in basic care, while additionally protecting the Australian standpoint in this melanoma. Chapters on non-surgical therapy and prevention also are incorporated.
This new hugely illustrated identify within the winning ABC sequence presents a concise, genuine and useful assessment of epidermis cancers and pre-cancerous lesions for common practitioners, junior medical professionals and clinical scholars.
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Extra resources for ABC of Skin Cancer
Br J Dermatol 2002; 147:41–47) Overall Body site Head and neck Subtype Nodular (n = 9633) Superficial (n = 1850) Morphoeic (n = 761) Overall 90 40 95 83 Trunk 6 46 3 12 Extremities 4 14 2 5 79 15 6 100 has fair skin and red or blond hair. Intermittent high-intensity UV exposure during the first two decades of life may be more important than cumulative lifetime exposure. Aetiology and risk factors are discussed further in Chapter 2. History BCCs typically start developing after the age of 60 years, although they are increasingly seen in younger adults.
2 Features suggestive of malignancy in an ulcer • • • • Fig. 3 Poorly differentiated squamous cell carcinoma. There is an eroded erythematous nodule with surrounding erythema that reflects induration and spread. Chronic duration (> 3 months) No apparent cause Everted, indurated or ill-defined edges Developed in a long-standing scar or area of chronic inflammation • Unresponsive to treatment • Increasing in size despite treatment • Repeated ulceration after apparent healing Squamous cell carcinoma Fig.
As growth is rapid and vertical from the outset, they are often thicker than SSM at diagnosis and consequently associated with a higher mortality. 2 Clinical subtypes of melanoma, relative frequency and typical age range at diagnosis Clinical subtype Relative frequency (%) Age range at diagnosis (years) Superficial spreading melanoma Nodular melanoma Lentigo maligna melanoma Acral melanoma 75 15 5–10 <5 30–60 40–80 > 60 – Head and neck 14% Trunk 38% Trunk 17% Arm 17% Arm 21% Leg 15% Leg 42% Not specified 8% Not specified 7% Fig.
ABC of Skin Cancer by Sajjad Rajpar, Jerry Marsden