Skin tumors are prevalent, visible, and potentially dangerous. The comprehensive family practice approach relates to them at several levels: prevention, diagnosis, and treatment. Effective prevention of skin tumors is focused on evaluation of familial, environmental, and occupational factors that may contribute to their development. Family physicians are in an ideal position to educate patients to prevent skin cancer through limitation of recreational and occupational sun exposure. Early diagnosis of skin tumors is essential to minimize the morbidity and mortality of these lesions. Effective surveillance and diagnosis requires that a careful history and physical examination be obtained. The temptation to minimize the history because the physical examination is so obvious must be avoided. Inquiry about personal and family history of skin disease and environmental exposures, as well as systematic skin inspection, is critical. The physician who maintains a high level of suspicion can establish diagnoses early in the course of disease and is able to offer early intervention.
KeywordsBasal Cell Carcinoma Actinic Keratosis Triamcinolone Acetonide Skin Tumor Superficial Spreading Melanoma
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- 3.Thomas JM. Premalignant and malignant epithelial tumors. In: Sams WM Jr, Lynch PJ, editors. Principles and practice of dermatology. New York: Churchill Livingstone, 1990:199–213.Google Scholar
- 6.Fitzpatrick TB, Johnson RA, Polano MK, Suurmond D, Wolff K. Color atlas and synopsis of clinical dermatology: common and serious diseases. New York: McGraw-Hill, 1992.Google Scholar
- 8.Amundson LH, Caplan RM. The skin and subcutaneous tissues. In: Taylor RB, editor. Family medicine: principles and practice. 3rd ed. New York: Springer-Verlag, 1988:367–94.Google Scholar
- 9.Callen J, Jorizzo J, Greer K, et al. Dermatological signs of internal disease. 2nd ed. Philadelphia: Saunders, 1995:160–1.Google Scholar
- 11.Arnold HL Jr, Odom RB, James WD. Andrews7 diseases of the skin. In: Clinical dermatology. 8th ed. Philadelphia: Saunders, 1990.Google Scholar
- 19.Death rates of malignant melanoma among white men— United States, 1973–1988. MMWR 1992;41:20–1, 27.Google Scholar
- 22.Callen J, Jorizzo J, Greer K, et al. Dermatological signs of internal disease. 2nd ed. Philadelphia: Saunders, 1995:160–1.Google Scholar
- 23.Carp GG. Sutureless surgical closure. J Abdom Surg 1965;2:7.Google Scholar