Term
| most common cutaneous malignancy: |
|
Definition
|
|
Term
| does BCC usually metastisize? |
|
Definition
|
|
Term
|
Definition
1. nodular
2. pigmented
3. superficial
4. micronodular
5. morpheaform |
|
|
Term
|
Definition
|
|
Term
| BCC: pearly pink, telangiectasia, frequently ulcerate, bleed & become crusted in the center |
|
Definition
|
|
Term
| BCC: may resemble a malignant melanoma |
|
Definition
|
|
Term
| BCC: least agressive, more common on trunk and extremities, flat lesion that spreads peripherally: |
|
Definition
|
|
Term
| BCC: recurs more frequently after tx due to extends beyond clinical borders |
|
Definition
|
|
Term
| which of the variants of BCC is hardest to tx: |
|
Definition
| morpheaform and sclerosing BCC |
|
|
Term
| BCC: most subtle & least common |
|
Definition
| morpheaform & sclerosing BCC |
|
|
Term
| morpheaform & sclerosing BCC resemble: |
|
Definition
|
|
Term
|
Definition
1. ED & C
2. excision (ck surgical margins)
3. Mohs micrographic surgery
4. Radiation |
|
|
Term
| ED & C is not good for which BCC? |
|
Definition
|
|
Term
| best tx option for recurrent BCC: |
|
Definition
| Mohs micrographic surgery |
|
|
Term
| tx of choice for morpheaform BCC: |
|
Definition
| Mohs micrographic surgery |
|
|
Term
| what is the cure rate for mohs surgery & primary tumors? recurrent tumors? |
|
Definition
primary tumors: 99%
recurrent tumors: 96% |
|
|
Term
| indications for radiation tx of BCC |
|
Definition
1. tumors difficult to tx surgically
2. pt unwilling/unable to undergo sgy
3. don't use in children due to exposure concerns |
|
|
Term
| most common on sun exposed areas, keratotic lesions with malignant porential: |
|
Definition
|
|
Term
| actinic keratosis can (and will in 10-20%) progress to: |
|
Definition
|
|
Term
| actinic keratosis lesion: |
|
Definition
| poorly defined area of redness with thin scale, over time scale thickens and becomes yellowish |
|
|
Term
| how is actinic keratosis from SCC? |
|
Definition
|
|
Term
|
Definition
1. Avoid sun
2. cryotherapy
3. topical 5-FU |
|
|
Term
| 2nd most common skin cancer: |
|
Definition
|
|
Term
|
Definition
| may have local or distant metastasis |
|
|
Term
|
Definition
|
|
Term
|
Definition
1. fait complexion
2. UV light exposure
3. radiation
4. chemicals
5. HPV
6. immunosupression |
|
|
Term
| red lesions with poorly defined base and yellow white scale: |
|
Definition
| SCC or AK, bx to determine |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| SCC in situ: metastisize? |
|
Definition
| nope, but may become invasive |
|
|
Term
|
Definition
1. wide local excision
2. Mohs
3. check assoc lymph nodes for mets |
|
|
Term
| rapidly growing crateriform nodule, considered low grade SCC: |
|
Definition
|
|
Term
| describe keratocanthoma lesion: |
|
Definition
| solitary volcano shaped, tender lesion with keratotic plug |
|
|
Term
| prognosis for keratocanthoma: |
|
Definition
| may resolve spontaneously or progress into invasive SCC |
|
|
Term
|
Definition
|
|
Term
| 5 risk factors for melanoma: |
|
Definition
1. fair skin/light colored hair/eyes
2. Hx of blistering sunburn
3. Hx of abn nevi
4. FHx or personal Hx of melanoma
5. congenital nevi (born w mole) |
|
|
Term
| most common early sx of melanoma: |
|
Definition
|
|
Term
| later sx of melanoma include: |
|
Definition
| tenderness, ulceration, bleeding |
|
|
Term
| where does melanoma come up? |
|
Definition
| can come up anywhere even areas protected from the sun |
|
|
Term
| which color is indicative of melanoma? |
|
Definition
| gray black blue pinkn red white are all possible indicators |
|
|
Term
|
Definition
A - asymmetry
B - borders (irregular)
C - color (variable not consistant)
D - Diameter (large)
E - Evolution (changes) |
|
|
Term
|
Definition
|
|
Term
| describe lentigo maligna: |
|
Definition
| slowly progressing melanoma, may start as age spot, flat irregular outline, variation in color density |
|
|
Term
|
Definition
1. check assoc lymphs for mets & bx if indicated
2. excise for bx & may b curative |
|
|
Term
| what is indicative of better prognosis of melanoma? |
|
Definition
|
|
Term
| malignancy of lymphatic endothelial cells, assoc w gamma herpes virus (HSV8) |
|
Definition
|
|
Term
| clasic kaposi's presentation: |
|
Definition
| purple patches on distal lower legs that progress proximally |
|
|
Term
|
Definition
1. single lesion - excision
2. multiple lesions - XRT |
|
|
Term
|
Definition
|
|
Term
| Nevi: flat or slightly raised, skin markings preserved on surface, common in children: |
|
Definition
|
|
Term
| common locations for junctional nevi: |
|
Definition
1. palms
2. soles
3. genitalia
4. mucosa |
|
|
Term
| Nevi: slightly or markedly raised, may have irregular borders but are symmetric, center usually moe pigmented than periphery, increase in thickness and pigmentation: |
|
Definition
|
|
Term
| Nevi: elevated, slightly or moderately pigmented, course dark terminal hairs may come from it: |
|
Definition
|
|
Term
| Nevi: sharply defined tan to brown patch containing several small monomorphic slightly raised dark brown nevi: |
|
Definition
|
|
Term
| nevi: solitary bluish macules usually on head & neck or buttock, present in early childhood or at birth |
|
Definition
|
|
Term
| nevi: reddish pink dome shaped smooth papule on face scalp or legs |
|
Definition
|
|
Term
|
Definition
|
|
Term
| preexisting nevus that develops a rim of hypopigmentation |
|
Definition
|
|
Term
| acquired brown hyperpigmentation of the face and neck durring 2nd or 3rd trimester of pregnancy and some women taking oral contraceptives: |
|
Definition
|
|
Term
|
Definition
1. avoid sun
2. bleach creams
3. peels |
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