{"id":2464,"date":"2019-11-25T07:13:07","date_gmt":"2019-11-25T07:13:07","guid":{"rendered":"http:\/\/papergp.com\/index.php\/dermatology\/skin-cancers\/"},"modified":"2023-01-24T11:25:26","modified_gmt":"2023-01-24T11:25:26","slug":"skin-cancers","status":"publish","type":"page","link":"https:\/\/papergp.com\/index.php\/dermatology\/skin-cancers\/","title":{"rendered":"Skin cancers"},"content":{"rendered":"\n<h4 class=\"wp-block-heading\">Melanoma<\/h4>\n\n\n\n<ul class=\"wp-block-list\"><li><a href=\"http:\/\/www.pcds.org.uk\/p\/self-examination-of-moles\">ABCDE rule<\/a><\/li><li>Types<ul><li>Superficial spreading melanoma<\/li><li>Acral-lentiginous melanoma &#8211; on the soles, palms, under nails (subungal)<\/li><li>Amelanotic &#8211; growing more rapidly than a BCC<\/li><li>Nodular melanoma &#8211; a red-brown nodule<\/li><\/ul><\/li><\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">SCC<\/h4>\n\n\n\n<ul class=\"wp-block-list\"><li>Risk factors: elderly, immunosuppressed, AK, chronic ulcers<\/li><li>Sun exposed sites (arms, face, lower lip, pinna)<\/li><li>Firm to palpate (induration) <\/li><li>Nodular, plaque-like, ulcerated<\/li><li>Surrounding tissue may be inflamed<\/li><li>Pain, bleeding, sensory changes<\/li><\/ul>\n\n\n\n<p><\/p>\n\n\n\n<h4 class=\"wp-block-heading\">BCC<\/h4>\n\n\n\n<ul class=\"wp-block-list\"><li>Shiny, nodule, surface telangiectasia<\/li><li>May contain pigment<\/li><li>Slow growing<\/li><li>May bleed or produce a scab<\/li><\/ul>\n\n\n\n<p><\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Others<\/h4>\n\n\n\n<ul class=\"wp-block-list\"><li>Pyogenic granulomas<ul><li>May mimic melanoma &#8211; all bleeding nodules need 2ww referral<\/li><\/ul><\/li><li>Multiple naevi <ul><li>>50 typical appearance or >5 atypical but none suspicious of melanoma- routine referral for monitoring<\/li><\/ul><\/li><li>Spitz naevi<ul><li>consider 2ww referral (regardless of how young child is)<\/li><\/ul><\/li><li>Keratocanthoma<ul><li>assume these are SCC until biopsied &#8211; 2ww<\/li><\/ul><\/li><li>Leukoplakia on lip<ul><li>high risk for SCC &#8211; 2ww<\/li><\/ul><\/li><li>Bowens disease (pink scaly lesion)<ul><li>routine referral to dermatology<\/li><\/ul><\/li><\/ul>\n\n\n\n<p><\/p>\n\n\n\n<pre class=\"wp-block-preformatted\"><a href=\"http:\/\/www.pcds.org.uk\/clinical-guidance\/squamous-cell-carcinoma\">http:\/\/www.pcds.org.uk\/clinical-guidance\/squamous-cell-carcinoma<\/a><\/pre>\n\n\n\n<pre class=\"wp-block-preformatted\"><a href=\"http:\/\/www.cityandhackneyccg.nhs.uk\/Downloads\/gp\/Education%20and%20events\/Education%20Presentations\/SKIN%20CANCER%20REFERRAL%20PATHWAY%20word.pdf\">http:\/\/www.cityandhackneyccg.nhs.uk\/Downloads\/gp\/Education%20and%20events\/Education%20Presentations\/SKIN%20CANCER%20REFERRAL%20PATHWAY%20word.pdf<\/a><\/pre>\n","protected":false},"excerpt":{"rendered":"<p>Melanoma ABCDE rule Types Superficial spreading melanoma Acral-lentiginous melanoma &#8211; on the soles, palms, under nails (subungal) Amelanotic &#8211; growing more rapidly than a BCC Nodular melanoma &#8211; a red-brown nodule SCC Risk factors: elderly, immunosuppressed, AK, chronic ulcers Sun exposed sites (arms, face, lower lip, pinna) Firm to palpate (induration) Nodular, plaque-like, ulcerated Surrounding &hellip; <a href=\"https:\/\/papergp.com\/index.php\/dermatology\/skin-cancers\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">Skin cancers<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":442,"menu_order":176,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-2464","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/2464","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/comments?post=2464"}],"version-history":[{"count":2,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/2464\/revisions"}],"predecessor-version":[{"id":2483,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/2464\/revisions\/2483"}],"up":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/442"}],"wp:attachment":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/media?parent=2464"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}