Lumps and bumps and what to do

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Lumps and bumps and what to do

• Dr James Milne

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Skin lesions most commonly removed in General
Practice

• Melanocytic naevi -- 29
• Seborrheic warts -- 24
• Epidermoid cyst -- 16
• Skin tags -- 12
• Dermatofibromas -- 5
• Malignant lesions -- 2
• Other ( eg pyogenic granuloma) -- 12

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Reasons for removing skin lesions

• Cosmetic
• Mechanical/functional
• Pain/itch
• malignancy

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What procedures can you undertake?

• Cryotherapy
• Cautery
• Punch biopsy
• Shave and cautery
• Curettage and cautery
• excision

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• You need to decide whether the lesion is benign
  or malignant.
• You need to understand where the lesion sits in
  the skin before making a decision on how to get
  rid of it.
• You need to choose the method of removal that
  will leave the best cosmetic result.

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• You need to decide whether the lesion is benign
  or malignant.
• You need to understand where the lesion sits in
  the skin before making a decision on how to get
  rid of it.
• You need to choose the method of removal that
  will leave the best cosmetic result.

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• QUIZTIME

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DEFINITELY MALIGNANT!!!