Participant | Number of concerns | Significant event or GP/Secondary Care Clinic Referral | Clinical abstract | Definitive outcome if available |
---|---|---|---|---|
1 | NA | Significant event | Randomized but metastases diagnosed subsequently. Underwent training but subsequently deceased. | Metastatic melanoma – deceased |
2 | 3 | Referred to GP | Submitted images of three naevi with benign appearance. Advised to see GP for further follow-up. No GP referrals made | |
3 | 2 | Clinic | Submitted images of two lesions on back. Underwent excision of these. | Not available |
4 | NA | Significant event | Diagnosed with dysplastic naevi between randomization and training. Underwent training on, used app during trial | New dysplastic naevus |
5 | 1 | Clinic | Submitted images of pigmented lesion near primary scar on right foot on. Subsequently underwent punch biopsy at Dermatology OPD on and attended for dressings. Benign compound naevus diagnosed | Benign naevus |
6 | 1 | Clinic | Sent images of itchy and raised areas on primary scar on right foot. Was seen by Consultant and DNP at clinic with no abnormality detected. | Not available |
7 | 2 | Clinic | Submitted images of two lesion on vertex of scalp. Had punch biopsies performed at plastic surgery. | Not available |
8 | 1 | Clinic | Submitted images of a pink lump around initial primary scar site. Was seen at clinic by Consultant and DNP including dermoscopy with no further concerns indicated. | Benign skin change |
9 | 1 | Clinic | Submitted image of lesion on right thigh. Seen at Plastic Surgery OPD for punch biopsy. Pathology reported benign dermatofibroma | Benign dermatofibroma |
10 | 1 | Clinic | Submitted images of new growth on primary scar on left thigh. Was seen at Dermatology OPD and found to have stitch within scar. | Foreign body in primary scar |
11 | 2 | Clinic | Submitted images of two lesion on back. Seen in Plastic Surgery OPD for excision biopsy of both. | Not available |
12 | 2 | Referred to GP | Submitted images on lesion of left arm on and discoloration under nail of left index finger. From initial and further images and history impression was of trauma to finger and benign papilloma. Referred to GP for further assessment if changing. | Benign papilloma and subungual haematoma |
13 | NA | Significant event | At time of randomization had pathology outstanding which proved to be a second primary. The participant was trained and continued in the trial. | Second primary melanoma diagnosed between recruitment and training. Participant continued to engage with trial. |
14 | 1 | Clinic | Submitted image of lesion on right eyebrow. Seen by DNP at Dermatology OPD diagnosed with seborrheic keratosis | Seborrheic keratosis |
15 | NA | Significant event | Randomized and trained – primary site on torso. Skin biopsy before randomization proved to be a metastatic deposit on left shin. Participant continued in the trial. Submitted images of new skin rash and seen in Dermatology OPD. Diagnosis was drug induced rash secondary to Pembrolizumub. | Metastatic melanoma |
16 | 1 | Clinic | Submitted image of possible changes in existing mole on right leg. Seen at Dermatology clinic (date not available) diagnosis was benign, no procedure recorded. | Not available |
17 | 1 | Referred to GP | Submitted image of new naevus on right lower abdomen. Had been seen by earlier by Plastic Surgeon not concerned. DNP made benign assessment based on images asking patient to consult with GP if further changes. | Not available |
18 | 1 | Clinic | Submitted image of warty lesion on left ankle. Was seen in Plastics OPD and excision biopsy on. Subsequent pathology revealed a seborrheic wart. | Seborrheic wart |
19 | 1 | Clinic | Submitted image of lesion on left cheek/pre-auricular area. Was seen in Dermatology clinic by DNP. Lesion subsequently excised by Plastic Surgeon with subsequently pathology reporting a basal cell carcinoma | Basal cell carcinoma |
20 | 1 | Referred to GP | Submitted images of “erythematous papule with some telangectasia” on left upper back. Asked to consult GP for further assessment. GP referred patient to Dermatology and was seen first and then again for punch biopsy. Pathology reported a ruptured hair follicle. | Ruptured hair follicle |
21 | 3 | Referred to GP | Participant submitted blurred images of three potentially new lesions. DNP called and elicited no worrying features in history. Invited new images or suggested GP review as easier for older rural patient. Patient saw GP, no worrying features and no further referral deemed necessary. | Not available |
22 | 2 | Referred to GP | Participant submitted images of two warty lesion on left forearm. Further images requested by DNP revealing no worrying features in history or appearance. Participant asked to consult GP if changes with no subsequent GP referral. | Not available |
23 | 1 | Clinic | Submitted image of lesion on mid-back. Referred to Dermatology clinic and seen. Subsequent pathology reported as “Dysplastic naevus.” | Dysplastic naevus |
24 | 1 | Clinic | Submitted image of lesion on right upper abdomen “existing mole become scaly.” Referred to Dermatology clinic and seen. Details of outcome not available. | |
25 | 1 | Referred to GP | Submitted images of lump in lower mid-lumbar area. Contacted by DNP and advised to see GP for assessment. DNP contacted in one week GP had diagnosed “lipoma” and referred to Dermatology outpatient clinic. See there with subsequent diagnosis of “spindle cell lipoma.” Not clear if biopsy was performed. | Spindle cell lipoma |
26 | 1 | Clinic | Patient submitted image of new red area around scar site feeling slight raised and blanching with pressure. Was referred to Dermatology clinic and had appointment within two weeks. No further details of outcome available. | Not available |
27 | 1 | Referred to GP | Submitted images of new lesion on anterior right thigh. Following further images and phone call with DNP decided lesion was benign. But participant advised to monitor and report changes to GP. No subsequent GP referrals noted. | Not available |
28 | 1 | Clinic | Submitted image of discolouration in nailbed of right thumb under nail. Referred to Dermatology clinic and seen by consultant. Given reassurance and no further action required. | Not available |