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Aims - PowerPoint PPT Presentation


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Skin Cancer. Diagnoses and Treatments. Aims. NICE/IOG Use of the dermatoscope Pre malignant lesions BCC SCC Melanoma ‘quiz’. Reasons for referral. Diagnoses. Biopsies 2008. NICE guidance. Issued Feb 2006 Low risk BCCs, AKs primary care

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Presentation Transcript
slide1

Skin Cancer

Diagnoses and Treatments

slide2
Aims
  • NICE/IOG
  • Use of the dermatoscope
  • Pre malignant lesions
  • BCC
  • SCC
  • Melanoma
  • ‘quiz’
nice guidance
NICE guidance
  • Issued Feb 2006
  • Low risk BCCs, AKs primary care
  • High risk BCCs, SCC, melanoma, ? diagnosis refer

BCCs should not be referred via 2 week wait

Guidelines are being revised.

GPSI with interest in skin cancer

NB accreditation

skin surgery
Skin surgery
  • Send all specimens for pathology
  • Accurate information on pathology form, eg site, clinical description
  • One specimen, one pot
slide13
Distinguish vascular lesions from pigmented ones
  • Distinguish melanocytic lesions from seb warts
  • Adjunct to diagnosis
  • If in doubt refer
management of pre malignant non pigmented lesions
Management of pre- malignant non pigmented lesions
  • Diagnostic biopsy
  • Curettage
  • Efudix
  • PDT
  • excision
slide17
~ 100 000 non melanoma skin cancers / year
  • 80% NMSC occur > 60 years of age
  • 95 % survival in NMSC overall
  • ~ 10 000 melanomas / year
  • Incidence doubling every 10 years
scc prognosis
SCC - prognosis
  • Lip
  • Ear
  • Immunocompromised pt
  • Higher recurrence rates
treatments for nmsc
Treatments for NMSC
  • Excision
  • Radiotherapy
  • Mohs surgery
mohs surgery
Mohs surgery
  • Microscpoically controlled
  • Margins examined
  • Precise removal of tumour
  • Used in cosmetically important areas
  • Tissue sparing
malignant melanoma
Malignant melanoma
  • Commonest cancer in 15 -34 age group
  • Commoner than cervical cancer in women
  • Average 20 years loss of life for each death
  • Positive correlation with affluence
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