Family Medicine pp 1041-1049 | Cite as

Skin Tumors

  • Eugene Felmar
  • Michael Herbst
  • William Larsen
  • Denise Sur
  • Mark Wallace


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.


Basal Cell Carcinoma Actinic Keratosis Triamcinolone Acetonide Skin Tumor Superficial Spreading Melanoma 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. 1.
    Griffith BH. A follow-up study on the treatment of keloids with triamcinolone acetonide. Plast Reconstr Surg 1970;46: 145.PubMedCrossRefGoogle Scholar
  2. 2.
    Beacham BE. Solar-induced epidermal tumors in the elderly. Am Fam Physician 1990;42:153–60.PubMedGoogle Scholar
  3. 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
  4. 4.
    Dodson JM, DeSpain J, Hewett JE, Clark DP. Malignant potential of actinic keratoses and the controversy over treatment: a patient-oriented perspective. Arch Dermatol 1991; 127:1029–31.PubMedCrossRefGoogle Scholar
  5. 5.
    Marks R. The role of treatment of actinic keratoses in the prevention of morbidity and mortality due to squamous cell carcinoma. Arch Dermatol 1991;127:1031–3.PubMedCrossRefGoogle Scholar
  6. 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
  7. 7.
    Yeatts D, Burns JC. Common oral mucosal lesions in adults. Am Fam Physician 1991;44:2043–50.PubMedGoogle Scholar
  8. 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. 9.
    Callen J, Jorizzo J, Greer K, et al. Dermatological signs of internal disease. 2nd ed. Philadelphia: Saunders, 1995:160–1.Google Scholar
  10. 10.
    Lee M, Wick MM. Bowen’s disease. CA Cancer J Clin 1990; 40:237–42.PubMedCrossRefGoogle Scholar
  11. 11.
    Arnold HL Jr, Odom RB, James WD. Andrews7 diseases of the skin. In: Clinical dermatology. 8th ed. Philadelphia: Saunders, 1990.Google Scholar
  12. 12.
    Reymann F, Ravnborg L, Schou G, Engholm G, Osterland A, Thestrup-Pedersen K. Bowen’s disease and internal malignant diseases: a study of 581 patients. Arch Dermatol 1988; 124:677–9.PubMedCrossRefGoogle Scholar
  13. 13.
    Callen JP, Headington J. Bowen’s and non-Bowen’s squamous intraepidermal neoplasia of the skin: relationship to internal malignancy. Arch Dermatol 1980;116:422–6.PubMedCrossRefGoogle Scholar
  14. 14.
    Proper SA, Rose PT, Fenske NA. Non-melanomatous skin cancer in the elderly: diagnosis and management. Geriatrics 1990;45:57–62, 65.PubMedGoogle Scholar
  15. 15.
    Mora R. Non-melanoma skin cancer. Prim Care 1989;16:665–84.PubMedGoogle Scholar
  16. 16.
    Brozena SJ, Waterman G, Fenske NA. Malignant melanoma: management guidelines. Geriatrics 1990;45:55–62.PubMedGoogle Scholar
  17. 17.
    Friedman RJ, Rigel DS, Silverman MK, Kopf AW, Vossaert KA. Malignant melanoma in the 1990’s: the continued importance of early detection and the role of physician examination and self-examination of the skin. CA Cancer J Clin 1991;41:201–26.PubMedCrossRefGoogle Scholar
  18. 18.
    Koh H, Rogers G. Malignant melanoma: early detection and treatment. Prim Care 1989;16:685–94.PubMedGoogle Scholar
  19. 19.
    Death rates of malignant melanoma among white men— United States, 1973–1988. MMWR 1992;41:20–1, 27.Google Scholar
  20. 20.
    Roth ME, Grant-Kels JM. Important melanocytic lesions in childhood and adolescence. Pediatr Clin North Am 1991; 38:791–809.PubMedGoogle Scholar
  21. 21.
    Safai B, Diaz B, Schwartz J. Malignant neoplasms associated with the human immunodeficiency virus infection. CA Cancer J Clin 1992;42:74–95.PubMedCrossRefGoogle Scholar
  22. 22.
    Callen J, Jorizzo J, Greer K, et al. Dermatological signs of internal disease. 2nd ed. Philadelphia: Saunders, 1995:160–1.Google Scholar
  23. 23.
    Carp GG. Sutureless surgical closure. J Abdom Surg 1965;2:7.Google Scholar

Suggested Reading

  1. Guercio-Hauer C, McFarlane DF, DeLeo VA. Photodamage, photoaging and photoprotection of the skin. Am Fam Physician 1994;50:327–34.PubMedGoogle Scholar
  2. Hocutt JE Jr. Skin cryosurgery for the family physician. Am Fam Physician 1993;48:445–56.PubMedGoogle Scholar
  3. Zuber TJ, Dewitt DE. Earlobe keloids. Am Fam Physician 1994; 49:1835–41.PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1998

Authors and Affiliations

  • Eugene Felmar
  • Michael Herbst
  • William Larsen
  • Denise Sur
  • Mark Wallace

There are no affiliations available

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