Case scenario

Lily, 29, is in the pharmacy to purchase paracetamol for a tension-type headache. She mentions that she has recently noticed a new mole on her leg which appears to be growing. She explains that she spends a lot of time training in outdoor swimming pools as she is a competitive swimmer. Despite trying to be sun-safe, she has been sunburnt a number of times over the years. You note she has a fair complexion. You examine the mole and also notice it is not a consistent colour and the edges are uneven. You think this mole is suspicious for cutaneous melanoma and refer Lily to her GP for further investigation.

Learning objectives

After successful completion of this CPD activity, pharmacists should be able to:

  • Describe the pathophysiology of cutaneous melanoma
  • Discuss recommendations for the use of oral targeted therapies in cutaneous melanoma 
  • Explain the pharmacist’s role in supporting a patient with cutaneous melanoma.

Competency standards (2016) addressed: 1.1, 1.4, 1.5, 2.2, 3.1, 3.2, 3.5

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Introduction

Melanoma is a type of malignant tumour resulting from the uncontrolled proliferation of pigment-producing cells, known as melanocytes. Melanoma can arise in the skin (known as cutaneous melanoma), mucosal surfaces, leptomeninges and the uveal tract.1–4

Depending on the stage and location of the melanoma, the symptoms and individual patient factors, one or more treatments may be recommended. These treatments include s

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