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Skin Cancer in Primary Care

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Skin Cancer in Primary Care



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Skin Cancer in Primary Care by David Wilkinson
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This book is targeted at doctors working in the primary care setting. The market is initially Australia, but there should be a strong international market. In Australia, with its very high and rising prevalence of skin cancer (mainly basal cell cancer, squamous cell cancer and melanoma), almost all doctors working in primary care will be faced with the diagnosis and management of these problems. As well as diagnosis and management in mainstream (comprehensive) general practice, there is a large and increasing number of skin cancer-only clinics staffed by general practitioners and other non-specialist doctors. A Skin Cancer Society was formed in 2005 and there are now annual conferences run by this society; there is now also an Australasian College of Skin Cancer Medicine (2006) formed as a response to the high demand for formal qualification in this area. While there are many texts available that deal with aspects of diagnosis and management of skin cancer in the primary care setting (such as histopathology, dermoscopy, surgery), there is no single text available. As a result doctors doing this work are under-resourced. Many doctors need ready access to a handbook that provides them with the key information that they need, in a readily available format. The concept is that this book will be kept in the consulting room.

Table of Contents

Part 1: ORGANISATION Chapter 1: Practice set up Describes the options that exist for organising a comprehensive practice or a skin cancer only clinic. Includes administration and billing systems, instruments and sterilisation, patient appointments and recalls, and referrals, consultation room layout. Chapter 2: Pathology reports The aspects of skin anatomy, histology and pathology needed to interpret a pathology report. The components and meaning of a pathology report, and interpreting and responding to it. Chapter 3: Medico-legal matters Review of best practice recommendations for safe and effective patient care including practice organisation, consent forms, audit and review. Chapter 4: Safety, quality, and audit Basic principles of safety in primary care, quality of care principles and audit including benchmarking Part 2: DETECTION Chapter 5: The consultation How to do a systematic and comprehensive skin examination including documentation of findings Chapter 6: Diagnosis Use of dermoscope and other major imaging technologies appropriate to primary care. Diagnostic criteria of major skin cancers and major pitfalls. Chapter 7: Biopsy Instructions on how to perform skin biopsies safely and effectively. Part 3: TREATMENT Chapter 8: Treatment options Broad overview of skin cancer treatment options for each of the major groups of cancer, the evidence behind each and approaches to deciding which option to adopt. Chapter 9: Non-surgical treatment Overview of non-surgical treatments, pros and cons Chapter 10: Skin surgery and post-operative care Basic principles and practices for the most common forms of skin cancer surgery (simple excisions, curettage etc). Practical advice on post-operative care (dressings, immobility, suture removal). Chapter 11: Advanced surgery: an introduction to flaps and grafts An introduction to the use of a small number of simple flaps for the most common sites of skin cancer, and how to do a full thickness skin graft.
Release date NZ
December 13th, 2007
Country of Publication
United Kingdom
Churchill Livingstone
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