reply to classmate’s post, at least 125 words each and at least 1 scholarly refe

reply to classmate’s post, at least 125 words each and at least 1 scholarly reference within last 5 years for each
Post 1
Tara Rees
1 posts
Rees, T. 643E Topic 5 DQ1
When evaluating a patient for a skin lesion concern, it is important to note their skin tone, exposure to UV light via sunlight or tanning beds, and family history (2021). All skin tones are susceptible to cancer lesions however fair skin patients are at an advantage due to early detection of developing forms of skin cancer. Other skin lesion diagnosis such as eczema or psoriasis can be related to family history (Holland, 2021). Important questions to ask a patient is how long the lesion has been present, has it changed in color or shape, does it itch, or does is have any drainage? Cancer can take on a variety of characteristics. Looking at a lesion one would note the lesions symmetry, borders, color, diameter, and evolution (2021). Benign lesions will have symmetry where asymmetry is concern for possible cancer. Borders are smooth and even for noncancerous lesions however uneven, scalloped, or notched for cancer. Single shades of brown are of no concern however a variety of color would be cause for concern. Lesions with a small diameter (smaller than a pencil eraser) are less concerning for cancer. When a skin lesion changes over a period of time or new lesions appear and grow in a short period of time then cancer is often evaluated.
In order to make a confirmed diagnosis of a form of skin cancer, a biopsy of the lesion is indicated (Holland, 2021). The tissue collected in a biopsy will provide confirmation of type of skin cancer such as Basal cell, squamous cell, or melanoma (2021). If a biopsy confirms cancerous tissue, then the next step for a patient is an excision of the cancerous tissue while ensuring that clear margins are obtained. In some cases (mainly with Melanoma) radiation and chemotherapy are also included as part of a treatment plan (2021).
POST 2
Human skin is an organ that doctors can use in the diagnosis of various diseases and conditions. After an infection, the skin may develop lesions, which are often areas with different colors or textures from the overall skin. Skin cancer is evident on the skin surface because it results in skin lesions; therefore, a doctor determines whether an individual has cancer through the lesions. A patient’s history and examination of the skin lesions provide a perfect step for referral and management of the skin conditions. Moreover, a doctor may ask a patient about medical history or family history of skin cancer.
Benign or noncancerous and cancerous skin lesions are different in appearance; therefore, a doctor can utilize this information during a physical examination to make informed decisions. The benign lesions have different appearances depending on the type. For instance, dermatofibroma is firm, pink or brown, dimple to palpation, and often arises at the site of minor injury (Goldstein & Goldstein, 2017). The intraepidermal nevus is dome-shaped nevi on the face and often common among patients. In addition, sebaceous hyperplasia is a form of noncancerous lesions that occurs after the enlargement of the sebaceous lobule around a follicular opening. The lesion often presents itself as one or multiple yellowish to skin-colored papules.
Cancerous or melanoma lesions are different from benign lesions. For instance, the ABCDE, that is, asymmetry, borders, color, diameter, and evolution, are the diagnosis characteristics (Li & Shen, 2018). Melanoma may appear within an existing pigmented lesion and is common in legs for women and back for men. The different types of skin cancers include superficial spreading melanoma, nodular melanoma, lentigo malignant melanoma, and acral lentiginous melanoma.

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