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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.
This week we have a great case discussion from Dr Dave Stewart. An elderly male presented with a bleeding lesion, found to be a BCC. On full skin check, the following lesion was identified.
How would you evaluate this dermoscopic view? And, what would you do next? Continue reading “Case discussion: How would you treat this patient? [5 June]”
Because the incidence of cutaneous malignant melanoma (CMM) was reported to increase with increasing terrestrial UVR (290–400 nm) doses in the US back in 1975 and a recent publication showed no association exists with UVR exposure at all, we set out to fully elucidate the role of UVR in CMM. To achieve this goal, we analyzed the CMM incidences over latitude and estimated the average personal UVR dose in the US and numerous countries (> 50) on 5 continents around the world. Using data from the International Agency for Research on Cancer in 2005, we performed worldwide analysis of CMM over UVR dose by sex, age group (0–14, 15–29, 30–49, 50–69, 70–85+) and Fitzpatrick skin types I-VI. Surprisingly, increasing UVR doses, which represent erythemally-weighted doses comprised primarily of UVB (290–315 nm) radiation, did not significantly correlate with increasing CMM incidence for people with any skin type anywhere in the world. Paradoxically, we found significant correlations between increasing CMM and decreasing UVB dose in Europeans with skin types I-IV.
If you perform skin cancer surgery in your practice, please take 10 minutes to view the below video with experienced skin cancer doctor Colin Armstrong. Dr Armstrong demonstrates on real-life examples how to perform surgical undermining on the forehead, cheek, chin, back, zygoma, lateral thigh, leg and forearm to minimise the tension on the wound margins, facilitate closure and enhance the cosmetic outcome. Continue reading “Skin Cancer Therapeutics – Surgical Undermining”