This patient has a few complaints of rough sites over his face and a bump on his scalp that will not resolve. He has a history of melanoma on his left upper back near the shoulder as well as has BCC and SCC. He last used 5-FU on his scalp several years ago and he did not repeat this after his last dermatology consult in 12/2015. He never got the product by history. There is no liquid nitrogen available today.
PHYSICAL EXAMINATION
A total body exam was performed. He has extensive tattooing over essentially all of his trunk and extremities. There is a rare seborrheic keratoses noted in scattered pink scaly macules including one up to about 2.5 cm on his face, specifically the large site is over his left mid anterior cheek, all consistent with actinic keratoses. There is a few actinic keratoses over his photo forearms. There is one 6 mm pink nonspecific papule over his posterior crown just left of the midline. There are no sites suspicious for new or recurrent melanoma noted today.
IMPRESSION
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Multiple actinic keratoses over his face. Advised using 5-fluorouracil 5% cream b.i.d. to his face, ears, and lateral neck for 2-3 weeks. I discussed the use of this with the patient and he is willing to use.
2. Question BCC versus SCC of his crown of the scalp. Please refer to the surgery clinic for excisional biopsy of the scalp lesion as soon as possible.
3. History of melanoma. There is no evidence of new or recurrent melanoma noted. Please return to the dermatology clinic in 3-4
Arch Dermatol. 2007;143(1):124–125. Puchenkova, S. G. (1996). "
Barone, Eugene J., Judson C. Jones, and Joann E. Schaefer. "Hidradenitis Suppurativa." Skin Disorders. Philadelphia: Lippincott Williams & Wilkins, 2000. 21-25. Print.
idea how to treat it . his skin is sallow and pale, his eyes have lost
Melanoma is an extremely important issue, as 75% of skin cancer deaths in Australia are attributed to melanoma, making it the most dangerous form of skin cancer in the country (AIHW 2010). The AIHW also states that Australia has the highest occurrence of melanoma in the world, with over 12,500 Australians being diagnosed annually, and having a recorded 1500 deaths each year. The Melanoma Institute of Australia states that melanoma is the “most common cancer in young Australians aged 15-39”, and that “rates have doubled in the 20 years from 1986-2006”. The incidence of melanoma is increasing more rapidly than any other major cancer. Owing to the high incidence and mortality rates of the disease in Australia, melanoma is the most life-threatening form of skin cancer in the country, making it a very serious non-communicable disease.
may last one to three weeks. In many cases new clusters of blisters appear as
In some cases, prescription or over the counter medications applied directly to the lesions may be helpful. Examples include:
A regular skin exam (every 6-8 weeks) will help in the melanoma dectection process. Look for irregular skin growths and have the growth examined by a health care provider if the growth promotes cause for alarm.
Polsky, David, MD, and Steven Q. Wang, MD. "Skin Cancer Facts." Skincancer.org. Skin Cancer Foundation, 9 Oct. 2013. Web. 23 Apr. 2014.
The first known use of dermatology was established in 1819 and only in the 1930’s did its practice become more widely accomplished, known and sought after. (“Dermatology” 2014) Since then it has extensively evolved and changed and been able to provide services for women and men around the world. Originally being a part of the medicine field can now be considered a division of the beauty industry due to availability of services and treatments for aesthetic, pampering purposes, rather than just originally founded for medical issues of resolving skin disorders and diseases. Dermatology being defined as ‘a branch of medicine dealing with the skin, its structure, functions and diseases’ (“Dermatology” 2014) now offers many professions one being a dermatologist, whic...
This treatment is considered to be effective for the removal of acne scars. This avoids the use of taking medicines and applying ointments. However, the treatment must be done by an experienced and specially traine...
Treatment can last from three months to sometimes longer than 4 years. Treatment types are exposure therapy, using me...
Skin cancer is a disease where cancer (malignant) cells are found on the outer layer of the skin (epidermis). The three types of cells found in the epidermis are squamous cells, basal cells, and melanocytes. These cells in time grow to be cancerous. Thus, the three types of skin cancers are squamous cell, basal cell, and melanoma. Melanoma is the most deadliest and destructive type of cancer. (“Skin Cancer” infotrac.com) The number of people with melanoma has risen in Scotland from 3.5 in 1979 to 10.6 per 100,000 in 1998 for men and 7.0 to 13.1 for women. (Miller 945) Squamous cell and Basal cell skin cancer can kill up to 2,200 people a year in the United States. (Sommerfield SIRS.com) Basal cell, being the most common type of skin cancer, is the cancer that about 75 percent of the people have. (“Skin Cancer “ infotrac.com) Melanoma is mostly seen in older men but ever since tanning came in during the 1970’s, it has increased in women 60 percent around the ages 15-29 over the past three decades.(Sommerfield SIRS.com) “And basal cell and squamous cell cancers are increasing at a rate of about 5 percent per year”(Sommerfield SIRS.com).
There are two common misconceptions about melanoma. The first is that melanomas develop only in sun-exposed areas of the body. In fact, melanomas can occur in areas not normally exposed to the sun, including the abdomen, genitals, and soles of the feet. The second misconception is that dark-skinned and Asian people are not at risk for the disease. In fact, one type of melanoma occurs most frequently in African American and Asian populations, developing on the palms, soles, and nail beds.
Schepis, Carmelo, Donatella Greco, and Corrado Romano. "Cardiofaciocutaneous (CFC) Syndrome." Australasian Journal of Dermatology 40.2 (1999): 111-13. Print.
The patient is a 43 year-old female insurance sale agent who came to the clinic for annual eye examination. She complained from symptoms of ocular irritation and burning when she wakes up in the morning. She felt ocular dryness in the afternoon and the eyes look red. She has also noted different height of her eyelids when putting make-up on. She denied significant problems with driving, TV watching, computer use or reading. She also denied flashes, floaters or diplopia. The patient was myopia with no prior eye surgeries, previous history of eye trauma, amblyopia or strabismus. She did not use any medication. The past ocular family history was negative. Social history was negative, too.