Keywords: Cutaneous T-cell lymphoma, Skin malignancies screening, Healthcare staff education, Resources optimisation

Background:

Certain skin conditions, such as cutaneous T-cell lymphoma, are not only rare but also exhibit diverse clinical presentations. Research indicates that the diagnostic process can take anywhere from 3 to 4 years, and in some cases, even up to four decades. Understanding the basic principles for monitoring skin lesions, summarised by the acronym “EFG” — elevated, firm, and growing — can help healthcare professionals identify potentially malignant lesions more effectively. This case illustrates that educating a broad range of healthcare professionals on skin lesion recognition can improve patient management and enhance clinicians' self-awareness, ultimately leading to earlier diagnoses.

Aim of the case report:

This case report aims to emphasise the importance of clinical training in recognising skin lesions among diverse healthcare staff. It demonstrates that applying simple principles can enhance early identification and facilitate timely referrals within medical practices. This approach benefits both patients and healthcare providers individually.

Case report:

After receiving specialised education on managing skin lesions, a clinician recognised potentially malignant characteristics in a patient's lesion. This prompted a referral request through the skin cancer pathway. As a result, the lesion was removed and diagnosed as a rare type of cutaneous T-cell lymphoma within four months of the initial referral. Thanks to early detection, the patient's ongoing management involves check-ups with specialists every six months, with no further active treatment required.

Conclusions:

Raising awareness of the characteristics of malignant skin lesions among a diverse range of primary healthcare providers can promote greater vigilance and enhance skin lesion screening within their practice. The identification of these lesions could be integrated into various patient interactions, including wound dressing appointments, phlebotomy clinics, and non-skin-related consultations.