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Skin Cancer Recognition

You'll be able to systematically evaluate a pigmented or non-pigmented lesion, apply clinical and dermoscopic criteria to distinguish melanoma, basal cell carcinoma, and squamous cell carcinoma from benign mimics, and decide when biopsy or referral is warranted.

What this track covers

This track covers the clinical presentation, risk factors, and dermoscopic features of melanoma, basal cell carcinoma, and squamous cell carcinoma. It emphasizes structured lesion assessment, pattern recognition across skin types, and the decision points that separate watchful waiting from biopsy or specialist referral.

What you will practice

  • Apply the ABCDE criteria and identify exceptions where they miss early melanoma
  • Differentiate nodular and superficial BCC patterns from benign lesions
  • Recognize actinic keratosis progression and early SCC features
  • Interpret basic dermoscopic structures: pigment network, blue-white veil, vascular patterns
  • Decide between reassurance, monitoring, biopsy, or dermatology referral

Simulator scenario

A patient presents with a changing pigmented lesion on the back noticed by a partner, and the clinician must take a focused history, describe dermoscopic findings, and decide on next steps.

Board question topics

  • ABCDE criteria and its limitations
  • Dermoscopic patterns of melanoma vs. benign nevi
  • Clinical subtypes of basal cell carcinoma
  • Risk stratification and referral thresholds for suspicious lesions

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