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Skin Cancer Conference 2007
Friday 23rd - Sunday 25th March 2007
This international three day conference will be held at the Sheraton Mirage Resort, Gold Coast, and will cover all the essentials of modern day skin cancer practice. The four internationally renowned keynote speakers, Prof. Wilhelm Stolz, (Germany), Prof. Harald Kittler, (Vienna), Dr. Ashfaq Marghoob, (New York), and A/Prof. Scott Menzies, (Sydney), will present a comprehensive update on dermoscopy, suitable for both novice and experienced skin cancer physicians. Other topics in the programme include modern melanoma management, clinical and dermoscopic photography, non-surgical treatments, basic skin cancer histopathology and wound repair techniques using pig trotters.

Morning and afternoon teas and lunches will be provided, including Sunday lunch. 30 Category 1 QA&CPD points, (Active Learning Module), are pending approval by the RACGP.

There is a substantial discount for SCSA Members available until 31.12.2006. Visit website for membership application: www.skincancersociety.com.au

A meeting of the Skin Cancer Society of Australia will be held on the Friday night of the conference, the 23rd March, at 6pm.

There will also be a sitting of the SCSA "Certificate of Skin Cancer Medicine" examination on the Sunday afternoon, 25th March, following the close of the conference.

This conference sold out in 2006 so early registration is strongly advised.

Friday 23rd March
0800 - 0845 Registration
0845 - 0900 Welcome address
Dr Richard Johns
0900 - 0915 Introduction - is dermoscopy over-rated?
A/Prof. Scott Menzies
0915 - 0950 Structures in dermoscopy: pitfalls and challenges
Dr. Ashfaq Marghoob
0950 - 1030 Differentiation between melanocytic or non-melanocytic lesions: the first step:
• Criteria for melanocytic lesions
• Criteria for non-melanocytic lesions
• Unusual and difficult presentations
Prof. Harald Kittler
1030 - 1115 Morning tea break
1115 - 1200 The ABC (D) of dermatoscopic diagnosis of melanoma:
• Which approach should skin cancer physicians be using in Australia?
• Using pattern analysis in the clinic – is it all that difficult?
• Pattern analysis vs. ABCD rule vs. 3-Point checklist – which is really quickest?
Prof. Wilhelm Stoltz
1200 - 1245 Other diagnostic algorithms: the Menzies scoring method and 7-point checklist – the advantages of using them in everyday practice
Which diagnostic approach is best for in situ and early melanoma?
Digital Monitoring:
• When should a lesion should be monitored or excised?
• Does lack of change over three months really exclude melanoma?
• Should unchanged monitored moles ever be reviewed again?
• What are the indications for long term monitoring?
• Does digital monitoring save lives?
A/Prof. Scott Menzies
1245 - 1400 Lunch break
1400 - 1445 A personal perspective on the use of diagnostic algorithms
The new CASH algorithm
Quiz – 30 cases demonstrating unusual or difficult issues in dermoscopic diagnosis
Audience holds up coloured sheets
1. Benign (Green)
2. Monitor (Yellow)
3. Biopsy/Excise (Red)
Answers and discussion
Dr. Ashfaq Marghoob
1445 - 1530 Demystifying site specific lesions: palms and soles, nails and mucous membranes
Digital Monitoring of suspicious naevi - an update
Prof. Harald Kittler
1530 - 1615 Afternoon tea break
1615 - 1645 Diagnosing facial lesions with confidence
Update on lentigo maligna: malignant potential, biopsy technique and excision margins
Prof. Wilhelm Stoltz
1645 - 1715 Making sense of vascular structures in dermoscopy
Nodular & amelanotic melanoma: tips on how not to miss them
A/Prof. Scott Menzies
1800 - 1830 SCSA Meeting

Saturday 24th March
0900 - 0945 Common clinical scenarios
• Paediatric and elderly patients
• Dark skinned patients
• Lesions in pregnancy
• Patients with multiple dysplastic naevi
False negatives in dermoscopy
Prof. Harald Kittler
0945 - 1030 Special lesions:
• Pink lesions
• Black lesions
• Blue lesions
• Regressed lesions
• Halo lesions
• Combined lesions
• Spitzoid lesions
Pitfalls in dermoscopy
Prof. Wilhelm Stoltz
1030 - 1115 Morning tea break
1115 - 1200 New concepts of the naevus life
Dysplastic naevus & melanoma in situ: two separate entities?
Do all in situ melanoma become invasive?
An update on congenital naevi
Quiz on difficult diagnoses of naevi & melanoma
Dr. Ashfaq Marghoob
1200 - 1245 Quiz on cases demonstrating more unusual or difficult issues in dermoscopic diagnosis
Audience holds up coloured sheets
Answers and discussion
A/Prof. Scott Menzies
1245 - 1400 Lunch break
1400 - 1445 Group A
Histopathology for dummies:
• normal skin
• how sections are cut in the lab
• histology of actinic keratosis, IEC/Bowens disease, SCC, keratoacanthoma
• basal cell carcinoma: multifocal, nodular, infiltrative, morphoeic
• junctional, compound and intradermal naevus
• dysplastic naevus, in situ and invasive melanoma
Dr Richard Williamson

Group B
Office treatment of skin tumours:
• Curettage +/- cautery – outdated technique or useful alternative?
• Cryotherapy for BCC: is it relevant?
• Shave excision technique and haemostasis options
• Topical 5’FU, imiquimod and PDT: the pros and cons
Quiz on less common and unusual presentations of skin lesions
Dr Ian McColl
1445 - 1530 Group A
Management of melanoma:
• biopsy techniques with larger lesions
• excision margins in restricted areas
• indications for sentinel node biopsy
• when to refer
• follow-up protocols
• update on treatment of advanced melanoma
A/Prof. Mark Smithers

Group B
What's new in skin cancer research?
• Update on melanoma research in Australia
• Familial melanoma
• Chemoprophylaxis of skin cancer
Dr Chris Schmidt, Dr David Whiteman
1530 - 1615 Afternoon tea
1615 - 1645 Group A
Update on cosmetic improvement of sun-damaged skin:
• Keratinolytics/chemical peels
• ALA-PDT
• IPL
• Lasers
• Microdermabrasion
• Radiosurgery
Dr Kylie Regli

Group B
Pathology insights
• Moles that matter
• Perineural infiltration: when is it significant?
Prof. David Weedon
1645 - 1715 Group A
Basic clinical and dermatoscopic photography:
• which gear to buy: review of different cameras and dermoscopy attachments
• polarised vs. non-polarised images
• taking perfect dermoscopy images
• saving, storing and basic editing
• importing into Medical Director
• emailing images
Dr Lester Cowell

Group B
Advanced clinical photography:
• macro techniques, flash options, depth-of-field issues
• total body photography: how to take professional pictures
• using Photoshop to improve image quality
Amanda Lee

Sunday 25th March
Wound repair Workshops
Specialist Surgeons will discuss the concepts of each procedure and then demonstrate them in a step-by-step fashion. Delegates will repeat each of these steps on their own pig trotter. A video camera will be directed onto the Specialist’s trotter and the procedure projected onto the overhead screen. Pig’s trotters, disposable scalpels and sutures will be provided for each participant. Delegates are encouraged to bring their own needle holder, forceps, skin hook, scissors and marker pen. Please note that surgical instruments are not allowed as hand luggage on airplanes. (Disposable suture kits will be available, but the quality of these kits is not ideal for fine suturing)
0900 - 0945 Basics of Dermatological Surgery
The ideal elliptical excision:
• local anaesthetic: when not to use adrenalin; use of buffering
• marking margins and excision outlines
• RSTL’s, ways of avoiding hypertrophic and keloid scars
• haemostasis, tying off bleeders, undermining edges
• techniques of everting edges
• buried sutures – the interrupted dermal suture
• surface sutures – interrupted, continuous, vertical and horizontal mattress sutures
Dr James Emmett
0945 - 1030 Basics of Dermatological Surgery (con't)
• the pulley stitch; tips on closing tight wounds
• repair of standing cones ("dog ears")
• the subcuticular suture in detail
• indications for topical and systemic antibiotics
• dressings and timing for suture removal
• tips for scar improvement
Dr James Emmett
1030 - 1115 Morning tea break
1115 - 1245 Wound Repair on the Head and Neck
• Danger areas of head and neck
• Planes of undermining on face and scalp
• Location specific options:
     - Nasal tip & ala nasa
     - Inner & outer canthus
     - Helical rim & earlobe
     - Upper & lower lip
     - Forehead & temple
• Demonstration and practice on pig trotters: full thickness graft, A-T advancement flap, island pedicle advancement flap
Dr Nic Crampton
1245 - 1400 Lunch break
  Close of conference
1400 - 1700 SCSA "Certificate of Skin Cancer Medicine" examination - NOT associated with this conference or conference QA&CPD points