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Skin Cancer

Tamar Skin clinic offers full body skin checks for assessment, diagnosis, and management of skin cancers. This requires a detailed examination of your moles with dermoscopy and biopsy where required to establish a diagnosis. We use the latest in skin photographic techniques for monitoring and ongoing surveillance of your moles for early detection of change. Management may be surgical or non-surgical, depending on what is most suitable for you and may depend on the type, the site, size, and depth of the skin cancer.

Who should have a skin check?

That’s easy, everyone should have a skin check. Skin cancers are very rare during childhood but are becoming more common in young adults and are now the most common cancer in the age group 15- 44yrs. At Tamar Skin Clinic more skin cancers are diagnosed and removed from individuals who did not realise that they had something wrong than those who were aware that they had a suspicious lesion. the only way those “unknowns” can be diagnosed and removed at an early, curable stage is through a regular skin check.

Skin Cancer Risk

  • Excessive sun exposure – particularly before the age of 16yrs but also ongoing exposure related to your occupation and intermittent sunburns through your life.
  • Fair Skin that burns easily
  • Red or blonde hair
  • Blue or green eyes
  • Weakened immune system – associated with organ transplant and various medical conditions
  • Various medications
  • Family history of melanoma
  • Indoor tanning with solariums
  • Exposure to radiation
  • Basal Cell Nevus syndrome
  • Certain types of moles

*NEW SERVICE* Surgitron Radiosurgery

At Tamar Skin Clinic, we use Surgitron Radiosurgery to effectively remove benign moles, skin tags and other benign lesions from the skin. This technique offers numerous advantages over conventional, scalpel-based surgery and allows us to offer you superior cosmetic results.

Protect yourself in five ways from skin cancer

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01. Slip

on sun protective clothing

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02. Slop

on SPF30 or higher sunscreen

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03. Slap

on a sun protective hat

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04. Seek

shade from the sun

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05. Slide

on UV protective sunglasses

This is the cornerstone of skin cancer diagnosis and includes a full history to establish your individual risk of skin cancer and a head to toe examination of your skin. This is best done without make-up, coloured nail polish or artificial tans. You will be required to remove your clothing down to your underwear - a gown is available if needed. Your doctor will then examine your skin generally and each mole individually using a dermatoscope.

This is a type of handheld skin microscope which shows what is beneath the skin and enables your doctor to pick up irregular patterns and help cancers to be diagnosed at an early stage. In keeping with current standards, the genital area and anus is not routinely examined however skin cancers can develop anywhere so please let your doctor know if there are any lesions in this area causing concern or if you would like this area to be examined.

We also do not routinely check the back of the eye. This is a site where melanoma can develop and a review with the optometrist is encouraged.

Dyplens - Smart Skin Imaging at Tamar Skin Clinic

 

You can now submit smartphone dermoscopy photographs of 'lesions of concern' for assessment and triage to know if an appointment is required or recommended. This is a great option for people who live or work in rural areas and find it difficult to make an appointment during our business hours.

You will need to purchase a Skin Scope and attach it to your phone. Information on how the scope works and to purchase one online visit FirstCheckMe. Scopes are also available for sale in our Clinic.

How does it work? Watch this video.

By clicking on this link you can create a user account with FirstCheck.me and upload your images and relevant clinical history.

There is a $40.00 fee for the virtual check assessment and triage through this platform. There is no Medicare rebate.

Dr. Basson will receive your images and will respond with a written report. A telehealth consultation may be suitable to discuss your case if needed, or we will make an appointment for you to come into our Clinic situated on Invermay Road. Our fee schedule applies to these consults and a Medicare rebate is available.

Why Mole Photography?

The most important clinical distinguishing feature between a melanoma and a normal mole is that a melanoma changes in appearance over time. Early detection of this change helps to diagnose a melanoma at an early, curable stage.

It can be difficult for patients and doctors to say with confidence whether change has occurred, and photography provides a baseline reference that can be used to detect early change (Hanraham, 1997). Melanoma Consensus Conferences have recommended the use of photography in melanoma surveillance for high-risk groups (1984). The current National Health & Medical Research Council (NHMRC) guidelines also recommend baseline body photography in high risk individuals.

Who Will Most Benefit?

Patients with:

  • More than 100 moles
  • 4 or more abnormal moles
  • A personal history of melanoma
  • A family history of melanoma

Also, patients with : 

A family history of melanoma

  • Red hair, blue eyes and skin that burns easily
  • A history of multiple severe sunburns in childhood
  • Frequent solarium use in the past 
  • Anxiety about their moles

How does it work?

Skin photography is a complete record of your skin and moles. We use a system call Dermengine which is the most advanced, web-based system for capturing, storing and analysing total body images.

Photographs are designed to help self-monitoring and also to help your doctor track any changes over time.   

Full skin examination by the doctor remains essential.

The Process

  • You will be required to remove your outer clothing but usually underwear is kept on. The consultation room is private and room temperature is monitored for your comfort.
  • A registered nurse trained in the technique takes the photos
  • The photographic session takes around 30 to 40 minutes
  • If you are willing to provide your email address, you will be given an access code to view your file. You will need to download a free app to make this possible.

30 Standard Views

A standard set includes 30 views to provide full cover of the body.

A basic set of 10 may be all that is needed depending on a doctor's recommendation.

Additional views may also be included.

References

Hanrahan, P 1997, Early Detection of Melanoma in Older People, PhD Thesis, University of New South Wales.

Kelly, J, Yeatman, J, Regalia, C, Mason, g & Henham, A 1997, 'A high incidence of melanoma found in patients with multiple dysplastic naevi', Medical Journal of Australia, vol. 167, pp. 191 – 194.

Malignant Melanoma – Consensus Conference 1984, JAMA, April 13, Vol. 251, no. 1, pp. 1864 – 1866.

National Health and Medical Research Council (NHMRC) Guidelines.

Sometimes your doctor will need to take a specimen for close examination in the laboratory to aide diagnosis of suspicious lesions. This may be a small core sample of the lesion or it may involve removal of the entire lesion through a shave biopsy or surgical removal. This can usually be done on the same day as your examination but may require a separate appointment depending on room availability. A small amount of local anaesthetic is injected into the skin below the lesion. Once the sample is taken. a dressing will be applied. If the lesion was removed in its entirety surgically, a few stitches may be needed to speed healing. These will need to be removed approximately 10-days later.

All biopsy results are reviewed by your doctor and you will be notified of abnormal results and a plan made for treatment and follow up.

  • Cryotherapy - commonly used for pre-cancerous lesions and some superficial skin cancers. This involves freezing the lesion and a margin of surrounding skin. Swelling and blistering is common but will heal spontaneously over about 14 days with no special attention. Treated skin cancers may take longer to heal - anything from 2-4 weeks.
  • Photodynamic Therapy (PDT) - Photodynamic Therapy is a non-surgical procedure involving the application of a product called 5-Aminolevulinic Acid (5-ALA) to the skin. Skin Cells which have been damaged by the sun undergo a reaction when the ALA is applied, causing them to become sensitive to a particular wavelength of light. When the area is exposed to this light the damaged cells begin to die, allowing healthy, new skin to form.
  • Topical treatments: there are a range of creams and gels available on prescription that can help with:
    • Solar keratoses, also kno wn as actinic keratoses or sunspots
    • Bowen's disease (type of superficial skin cancer)
    • Superficial basal cell carcinoma
    • Genital/perianal warts
  • Complete removal of the skin cancer with an appropriate margin of normal skin.
  • Simple ellipses through to the more complex (graft, flaps) as is needed to repair the skin after your skin cancer has been removed.
  • The removal of more annoying lesions including skin tags, senile warts, viral warts, and benign moles.
  • Use of Radiofrequency surgery – Surgitron – is an option to minimise scarring.

Tamar Skin Clinic provides skin cancer checks for workers either in the workplace or at our Clinic on Invermay Road.
Please contact the Practice Manager to discuss this service for your staff.

Appointments

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There are three types of appointments available, so please let reception staff know when making your appointment so we can allocate the correct amount of time for you. Spot Check: you may be concerned about one spot and would like this looked at by a Doctor. This is a standard consultation. Full skin Check: this a long consultation and a complete body check with a Doctor. This usually takes around 20min Full Skin Check with skin photography and mole mapping: this is a longer appointment (approx. 60 mins) and involves you seeing one of the nurses for full body photography followed by a full skin check with the Doctor, review of photographs and mapping of moles. This approach is most advisable if you have many moles or if you have had a previous melanoma.

Skin Cancer Fees

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Consultation

Pensioner FeeHealth Care Card FeePrivate FeeMedicare Rebate

Standard

$84.10$89.10$119.10$39.10

Long

$120.75$130.75$155.75$75.75

Full Skin Check with skin photography and mole mapping

$140.75$150.75$175.75$75.75

Common Procedures

Biopsy requiring suture

$96.20$101.20$46.20$46.20

Biopsy with no suture

$61.20$66.20$71.20$46.20

Cryotherapy

$65.00$70.00$75.00$35.00

*PLEASE NOTE: Out of pocket costs (GAP) for surgical procedures range from $160 to $305 depending on complexity and number of procedures done