Lump 1

Name: Mark Jones

Age: 60 Years Old

Date of Birth: 5th May 1964

Location: GP Surgery

Occupation: Travel Agent

“I’ve had this lump on my back for the longest time I can remember, but it seems to be getting bigger!”

“A friend of mine told me to get it checked”.

• Site : Upper back

• Onset : Present for about 5 years, but getting worse in the recent 6 months

• Character : -

• Radiating :

• Associated symptoms :
  1/ Itchiness (Intermittent)
  2/ Bleeding (Upon itching)
  3/ Tingling and Numbness over the lesion (Intermittent) 

• Timing : Progressively getting worse

• Exacerbating : None 

• Alleviating factors : None 

• Severity: Nil

• NO constitutional symptoms such as Loss of Weight, Loss of Appetite, fatigue and tiredness

Site: Upper back

Size: Like a 50 cent coin, used to be a 20 cent coin 6 months ago

Shape: Irregular

Surface: Irregular and not smooth

Margins: No well-demarcated

Tenderness: None but itchy

Temperature: Normal

• Ideas: “I think I have skin cancer.."

• Expectations: “Can you tell me what do I have?”

• Concerns: “Am I going to die because of this skin cancer?”

• Otherwise, NO fever, recent infections

• NO headache, chest pain, palpitations, shortness of breath

• NO vomiting, diarrhea, abdominal pain.

• Normal urinary flow and bowel habits.

“I often sunbathe in Spain during the Summer. Almost everyday!”

“I don’t use any UV protective sun block”

Previous hospital admissions: None

Previous surgeries: None

Medical conditions: None

Medications:

• None.

Over the counters:

• None.

Allergies:

• None.

No history suggestive of skin cancer/ melanoma

• Smoking: Does not smoke

• Alcohol: Does not drink alcohol

• Recreational drugs: Never

• Diet: Eats a well balanced diet

• Exercise: Hardly

• Ill contacts: No one around me was recently ill

• Occupation: Travel agent