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Derm Lesions - Coggle Diagram

- - - - MEn - back
      - Women - legs
    - - Darkly pigmented
        (rare subtype amelanotic which is erythematous
    - - Mole - normal to develop until 30s
      - Nodule
  - - - Melanocytes develop from asttrocytes??
  - - - Depth fo invasion
      - Mrore than 0.75mm offered sentinel LNB
  - - - Primary excision and lymph node clearance if requires
    - - Indx
        
        Stag III A and above
      - Ipilimumab
      - Checkpoint inhibitors - Nivolumab and Pembrolizumab
- - - - Sun exposed areas of facae and neck
    - - Erythematous
    - - Nodule
        Often keratotic (crusty)
  - - - Primary excision
    - - Cemiplimimab recently licensed for advanced SCC
- - - - SCC and BCC
    - - Melanoma
  - - - Palpable solid round lesions larger tha 1cm
- - - - Sun exposed ares of face and neck
    - - Erythematous
    - - Nodule + telangiectasia
  - - - Primary excision
      - Mohs surgery
        
        Special form of surgery for recurrent BCC or those close to eye
    - - Vismodegib for large BCC than cannot be surgically excised