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  • 1. Diagnosing cancer in recurring  ulcers using Telemedicine Introduced by: Merete Hartun Jensen (DH,RN) Lisbeth Vorbeck (RN) Anne‐Mette Rølling (RN) Copenhagen Wound Healing Centre (CWHC) CWHC
  • 2. Telemedicine is mostly used over distance,  or when there is a lack of specialists emedicine at CWHC is used for communication between: The patient, nurses in primary sector, GP´s and wound 
  • 3. e  district nurses send data and pictures of their patients  chronic wounds
  • 4. Wound specialists at CWHC receive data This looks  suspicious! Do you agree?  ‐ I totally agree! ‐We must see this  patient soon and take a  biopsy.
  • 5. • Clinical investigation is made •A biopsy is taken • A new appointment is made  to discuss test results  At CWHC
  • 6. patients, referred by telemedicine, were called to  ther examination at CWHC outpatient clinic lcers was atypically looking and a biopsies were taken  4 of these cases basal‐cell carcinomer or planocelluar rcinoma was diagnosed 2012
  • 7. alignant skin changes are common in chronic ulcers1 rly diagnose is vital in management of carcinomas,  sociated with chronic non healing ulcers2 alignancy should be considered in ulcers that are  ypical, deteriorating or not responding to conventional  erapy after a few months3 eviews and studies show:
  • 8. tients are seen sooner then before by a specialist  cause of the fast referral procedure by telemedicine an ulcer looks atypical the patient is seen in the  tpatient clinic and a biopsy is taken lemedicine can help to diagnose chronic ulcers     ey Points
  • 9. e four patients with carcinoma had seemingly  ignificant recurrent ulcers  or to telemedicine these patients would not have been  erred to a wound specialist because of the wounds size  d history emedicine is valuable as a communication tool s new referral procedure using telemedicine makes it  onclusion:
  • 10. Copenhagen Wound Healing Centre Thank you for your attention Fell free to contact us if you have any questions Wounddk.Bispebjerg@RegionH.dk