Dr Moz, 113 Mountain View Road, Briar Hill (2026)

03/02/2026

I am so sorry to the longer term followers (thanks for paying attention to me blabbing for so long!) but there really are some classic patterns that I would love you to know.

Stand out mole?
Really different to everything else?
You’ve had a previous melanoma?

You should probably get that checked out.

They are really hard to pick sometimes. This patient was slightly disappointed it wasn’t picked up on a skin check elsewhere 12 months ago but the reality is they can be SLOOOOOWLY evolving and need you to have a high index of suspicion for badness.

Lentigo maligna is famous for slowly growing over months to YEARS (yes years) radially - which means outwards before at some point having a switch turned on and growing rapidly downwards to be invasive.

Despite being quite a large spot this thing is still IN SITU which means its contained to the top layer of skin and hopefully once removed will have next to no risk of distant spread.

Recorded with DL5 by Dermlite
In Australia I recommend Docstockmedical
Want to learn more dermosocpy? Healthcert (use code DRMOZ for 15% off any of their courses - I am extremely biased because I teach on their courses and think they are fantastic!)
Want to see me? Yarra Trail Medical or Bell Street Family Medical

01/02/2026

Sometimes the dermoscopy is just for curiosity. The story and clinical appearance seal this one fairly clearly.

Remember - rapidly growing spot?
Get on it quickly!

Small surgeries are better than big surgeries and sticking your head in the sand won’t help anyone!

Recorded with DL5 by Dermlite
In Australia I recommend Docstockmedical
Want to learn more dermosocpy? Healthcert (use code DRMOZ for 15% off any of their courses - I am extremely biased because I teach on their courses and think they are fantastic!)
Want to see me? Yarra Trail Medical or Bell Street Family Medical

30/01/2026

Collision lesions are when two spots basically smash into each other

They can make for some interesting dermoscopy

This spot is a cherry angioma colliding with a seborrhoeic keratosis.

Super cool and totally harmless

Bonus points if you remember what the name of the sign is that gives the seb k that orange hue in the nooks and crannies

Recorded with DL4 by Dermlite
In Australia I recommend Docstockmedical
Want to learn more dermosocpy? Healthcert (use code DRMOZ for 15% off any of their courses - I am extremely biased because I teach on their courses and think they are fantastic!)
Want to see me? Yarra Trail Medical or Bell Street Family Medical

30/01/2026

Once you’ve had one melanoma, does that mean your risk is increased?

Unfortunately, the answer is yes your risk of a subsequent invasive spot rises by about 4 fold and your risk of a subsequent insitu melanoma rises by somewhere between 8 to 10 fold

This is why after any melanoma diagnosis it’s really important to firstly make sure that the melanoma is well managed

But secondly, to make sure that the follow-up is carefully planned to ensure that no new melanoma that are evolving are missed

In Australia I recommend Docstockmedical
Want to learn more dermosocpy? Healthcert (use code DRMOZ for 15% off any of their courses - I am extremely biased because I teach on their courses and think they are fantastic!)
Want to see me? Yarra Trail Medical or Bell Street Family Medical

28/01/2026

Seborrhoeic keratosis

Talked many times about them before

Harmless
Annoying

Occasionally collide with squamous cell cancers so if they change/irritate get em checked out

I find these verrucous ones fascinating to observe.

Recorded with DL5 by Dermlite
In Australia I recommend Docstockmedical
Want to learn more dermosocpy? Healthcert (use code DRMOZ for 15% off any of their courses - I am extremely biased because I teach on their courses and think they are fantastic!)
Want to see me? Yarra Trail Medical or Bell Street Family Medical

27/01/2026

I actually legit love my job

This is such a cool diagnosis made possible only by a dermatoscope that has capacity to use blue light - here I’m using the DL5 (got mine from )

Without UV it just looks like a vague bit of dermatitis with some keratin flaking

With the UV light you can clearly see the scabies mite as well as the trail it’s left behind as it has burrowed under the skin!

Bit of treatment on the way

Weeks of unnecessary topical steroid and maybe even a biopsy avoided with the power of UV dermoscopy!

Recorded with DL5 by Dermlite
In Australia I recommend Docstockmedical
Want to learn more dermosocpy? Healthcert (use code DRMOZ for 15% off any of their courses - I am extremely biased because I teach on their courses and think they are fantastic!)
Want to see me? Yarra Trail Medical or Bell Street Family Medical

25/01/2026

Please don’t freeze things unless you’re sure of the diagnosis

This thing had been frozen by her usual doctor and continued to grow

Now to be fair I don’t know what it looked like when it was being frozen but I would certainly hope that by the time it had grown that ulcer you would just go ahead and do a biopsy!

This thing was a squamous cell cancer but because it was “poorly differentiated” - which means the cancer cells had transformed to look really different from the origin cell - this really could have been a number of nasty cancer types.

Your take home as the patient?
Growing lumps that bleed should probably earn a biopsy

Your take home as a doctor that isn’t super comfortable with skin is don’t be shy to biopsy things that are odd or send it to someone you think will do a good job

Recorded with DL5 by Dermlite
In Australia I recommend Docstockmedical
Want to learn more dermosocpy? Healthcert (use code DRMOZ for 15% off any of their courses - I am extremely biased because I teach on their courses and think they are fantastic!)
Want to see me? Yarra Trail Medical or Bell Street Family Medical

23/01/2026

Is it a sea urchin needle or a cancer?

This gent swore black and blue it was a lump from a sea urchin and I want to say I was clever enough to say with 100% certainty he was wrong

Truth is

if it looks like a duck 🦆
Flies like a duck 🦆
Quacks like duck 🦆

Then it’s probably not a giraffe 🦒

This don’t look anything like the classic black dots we see with urchin needles
Wasn’t near a cluster of other needle related injures

And the kicker? Started a MONTH after the sea urchin needles got his heel!!

Gotta be thinking of the if you want to diagnose them!

Recorded with DL5 by Dermlite
In Australia I recommend Docstockmedical
Want to learn more dermosocpy? Healthcert (use code DRMOZ for 15% off any of their courses - I am extremely biased because I teach on their courses and think they are fantastic!)
Want to see me? Yarra Trail Medical or Bell Street Family Medical

23/01/2026

Skin cancers come in all sorts of colours!

Everyone has seen the Google images of the big ugly black melanoma but did you know skin cancers could manifest with:

Pink
Red
Blue
White
Skin tone/clear
Black

They can come in a bunch of different colours!!

If you’ve got something new and especially if it doesn’t match the rest of your skin then get it checked out!

Recorded with DL5 by Dermlite
In Australia I recommend Docstockmedical
Want to learn more dermosocpy? Healthcert (use code DRMOZ for 15% off any of their courses - I am extremely biased because I teach on their courses and think they are fantastic!)
Want to see me? Yarra Trail Medical or Bell Street Family Medical

21/01/2026

Squamous cell cancers grow FAST sometimes!

I took a shave biopsy and when I saw the patient a week later it was almost invisible! I could barely tell where it was!

But with the Xmas break the patient had some commitments and we couldn’t manage to find a quick time so he popped back in about 6 weeks after the diagnosis and THIS is what I was greeted with.

Even without dermoscopy that story is pretty suspicious.

Quick to grow
Bleeds
Bit of keratin

You’ve gotta be thinking Squamous Cell Cancer

Recorded with DL5 by Dermlite
In Australia I recommend Docstockmedical
Want to learn more dermosocpy? Healthcert (use code DRMOZ for 15% off any of their courses - I am extremely biased because I teach on their courses and think they are fantastic!)
Want to see me? Yarra Trail Medical or Bell Street Family Medical

16/01/2026

why B3? Because it might help reduce skin cancers. Only two studies though so we really do have to wait for larger studies to confirm the effect!

15/01/2026

I swear sometimes I feel like a broken record on social media.

pattern breakers
moles that look nothing like their buddies
things that are changing

they aren’t all going to be a skin cancer of some description but they are absolutely worth getting checked out

This one was a melanoma in situ

picked up early we have great outcomes
picked up late - we are at the mercy of the spot to decide our life expectancy

I’d prefer to see a thousand sun spots and find no cancer any day of the week and absolutely hate the idea of waiting till its obviously a cancer before seeking your doctors opinion

Recorded with DL5 by Dermlite
In Australia I recommend Docstockmedical
Want to learn more dermosocpy? Healthcert (use code DRMOZ for 15% off any of their courses - I am extremely biased because I teach on their courses and think they are fantastic!)
Want to see me? Yarra Trail Medical or Bell Street Family Medical

Dr Moz

03/02/2026

01/02/2026

30/01/2026

30/01/2026

28/01/2026

27/01/2026

25/01/2026

23/01/2026

23/01/2026

21/01/2026

16/01/2026

15/01/2026

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