Skin Check

Indoor F2F consult

Patient consents to use of note taking software

Skin check

History

Past History Of Skin Cancer:

Nil Skin Ca

Family History Of Skin Cancer:

• Maternal grandfather: melanoma
• Father: multiple BCCs

Drug Allergies (Including Medical Substances or Wound Dressings): Elastoplast (contact dermatitis)

Youth Sun Exposure:

Medium

Blistering Sunburn Before 10 Years Old:

Yes

Solarium Use:

No

Last Full Skin Check:

14/03/2023, Dr Sarah Jenkins, benign congenital naevi noted

Immunocompromised Status:

Nil immunosuppressants or immune-modulating medications

Fitzpatrick Skin Phototype:

Type 2

Lesions Of Concern:

• R scapular region: present 6 months, recently darkened, asymptomatic
• L anterior thigh: new pigmented macule noticed 2 months ago, nil bleeding or pruritus

Chaperone Offered:

Accepted (mother present throughout consult)

Usual GP(s):

Dr Sarah Jenkins, Norwood Family Practice

Examination

Detailed scalp to toes examination

Pt undressed to underwear with consent

Naevi Count:

<100 banal naevi

Lesion Findings:

Lesion 1: R scapular region: 5 x 4 mm asymmetrical pigmented macule with central hypopigmentation, ?halo naevus ?atypical naevus Lesion 2: L anterior thigh: 3 x 3 mm uniform light brown macule with regular reticular network on dermoscopy, ?benign junctional naevus

Plan

• Next full skin check in: 12 months (serial digital dermoscopy of Lesion 1 in 3 months)
• Return earlier if any concerns
• Monthly self-skin checks suggested; to return if any SCAN (sore, changing, abnormal looking/behaving, new) lesions are detected
• Photographs of early-stage skin cancers reviewed to help the patient understand the SCAN method of early detection
• Advised to use sunscreen and long-sleeved clothing regularly
• Able to have 10–30 mins of daily sun exposure for Vit D, preferably in the morning and late afternoon when the UV rating is <3