Presentations
- Erythronychia
- Malignancies:
- Mass:
- Melanonychia
- Mucous membrane red / white patch
- Nodule:
- multiple
- subcutaneous
- ulcerating
- Papule, solitary
- Patches, multiple
- Plaque:
- Yellow spots
Conditions
-
Cutaneous:
- lymphomas
- manifestation of internal malignancies, such as:
- bowel cancer
- leukaemia cutis
- metastatic breast
-
Skin tumours:
- benign:
- adipose tissue
- adnexal
- bone
- cysts
- ductal
- epithelial
- fibrohistiocytic
- fibrous
- follicular
- melanocytic
- neural
- sebaceous
- nail
- malignant:
-
adipose tissue:
- adnexal
- ductal
-
epithelial:
- basal cell carcinoma
- squamous cell carcinoma
- fibrous and fibrohistiocytic melanocytic:
- Merkel cell carcinoma
- nail
- Paget disease, including mammary and extramammary
basal cell carcinoma
PCH
- Cutaneous and vascular tumours in childhood
- Cutaneous presentation of haematological malignancies in children
- Presentation of cancer predisposition syndromes in childhood
For each presentation and condition, Advanced Trainees will know how to:
Synthesise
- recognise the clinical presentation
- identify relevant epidemiology, pathophysiology, and clinical science
- take a comprehensive clinical history
- conduct an appropriate examination
- establish a differential diagnosis
- plan and arrange appropriate investigation
- consider the impact of illness and disease on patients and families, and their quality of life
Manage
- provide evidence-based management
- prescribe therapies tailored to patients’ needs and conditions
- recognise potential complications of disease and its management, and initiate preventative strategies
- involve multidisciplinary teams
Consider other factors
- identify individual and social factors and the impact of these on diagnosis and management
Presentations
-
Nodules:
-
multiple:
- cutaneous
- mucosal
- subcutaneous
-
solitary:
- cutaneous
- mucosal
- subcutaneous
-
Papules:
Conditions
-
Follicular tumours and associated conditions, such as:
- Bazex syndrome
- Birt–Hogg–Dubē syndrome
- Brooke–Spiegler syndrome
- Cowden syndrome
-
Genital premalignant and malignant conditions
-
Kaposi sarcoma
-
Muir–Torre syndrome
-
Oral mucosal premalignant and malignant conditions
Synthesise
- recognise the clinical presentation
- identify relevant epidemiology, pathophysiology, and clinical science
- take a comprehensive clinical history
- conduct an appropriate examination
- establish a differential diagnosis
- plan and arrange appropriate investigation
- consider the impact of illness and disease on patients and families, and their quality of life
Manage
- provide evidence-based management
- prescribe therapies tailored to patients’ needs and conditions
- recognise potential complications of disease and its management, and initiate preventative strategies
- involve multidisciplinary teams
Consider other factors
- identify individual and social factors and the impact of these on diagnosis and management
- Genetics of cutaneous tumours:
Clinical assessment tools
- Identify psychological or developmental factors before undertaking painful procedures, and modify approach
Investigations
- Histology reports
- Radiographic imaging
- Staging
Procedures
-
Biopsy:
-
Dermoscopy
-
Removal of skin tumours using methods such as:
- cautery
- curettage
- excision
- saucerisation
- Indications for Mohs micrographic surgery
- Margins of excision in different skin tumours, working knowledge of surgical instrumentation and nomenclature, and suture materials and needles
- Utilisation of different biopsy modalities for different types of lesions
Management (including, but not limited to)
- Cryotherapy
- Curettage:
- Electrosurgery
- Excisions
- Intralesional injections, such as cytotoxic drugs
- Laser
- Mohs micrographic surgery
- Photodynamic therapy for solar keratoses and superficial basal cell carcinoma
- Saucerisation
- Topical immunotherapy / chemotherapy
