![]() ![]() ![]() As I’m currently beset by work and problems, both of which require my use of SMO, I’m therefore hesitant to install SMO 2021. ![]() SMO 2018, however, was not as flawless as I had come to expect. Up until 2018, my faith was proven correct: every version was better than the previous one, and no new version caused new problems. From 2002 forward, I always installed SMO so as to replace the per-existing version, such is my faith in Softmaker. It seemed reasonable to tack them onto this thread, but feel free to move them if you think it best.īackground: I have already purchased my upgrade to SMOP 2021, but I’ve been hesitant to install it. I have a few installation questions of my own. ![]()
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The majority of melanomas arise from pre-existing lesions, whereas some melanomas arise spontaneously patients and their GPs need to be able to distinguish these ‘normal’ changes from ‘abnormal’ changes that may indicate melanoma.ĭiagnostic aids are increasingly used in primary care for a variety of conditions. ![]() ![]() 4 A pigmented skin lesion is extremely common, with most people having between five and 20 which may vary in size, shape and colour, and an increase in number is associated with age, fair skin, and sunlight exposure. 3 Patients frequently present to their GPs with concerns about pigmented skin lesions (melanocytic naevus, ‘mole’) but few will be diagnosed as melanoma: even among higher risk groups such as males aged >60 years, less than 1 in 33 000 pigmented skin lesions are estimated to become malignant. 2 Distinguishing melanoma from other pigmented skin lesions in general practice can be challenging. 1 Melanoma is an important cause of mortality in the UK where there were 11 870 new cases and 2203 deaths in 2010. 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