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GPwER in dermatology Dr Anjali Pathak discusses four cases involving potentially malignant skin lesions and their appropriate management

Learning objectives

After completing this module, GPs will be able to:

  • Explain the malignant potential of actinic keratosis (AK) and Bowen’s disease and decide when treatment versus watchful waiting is appropriate.
  • Select and counsel on first‑line treatments for AK and Bowen’s disease in primary care.
  • Recognise red flag features of subungual melanoma and amelanotic melanoma and have an awareness of when to refer to dermatology urgently.
  • Balance conservative and interventional options for basal cell carcinoma (BCC) in a very frail patient and identify the features that warrant urgent assessment.
  • Describe how dermoscopy can be used in primary care, where it helps most, and how to access training and equipment.

Author: Dr Anjali Pathak is a GPwER in dermatology and visiting lecturer in clinical dermatology at the University of Hertfordshire

Date published: 17.10.25

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