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33 Cards in this Set
- Front
- Back
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MC benign epithelial tumor
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Seborrheic keratosis
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What's the lesion?
Very common, bright red to violaceous domed papules Can thrombose and appear black |
Cherry Angioma
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What's the lesion?
Focal telangiectatic network of dilated capillaries radiating from a central arteriole Most common on face May be assoc with hyperestrogenic states, ie. Pregnancy, OC use Common in children |
Spider Angioma
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Halo Nevus
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Nevus surrounded by a halo of leukoderma or depigmentation
we think it works like vitiligo |
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What's the lesion?
Most common type of skin cancer Slow growing Locally invasive and destructive but not metastatic Usually in sun-exposed areas in fair-skinned people |
Basal Cell Carcinoma
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Describe the appearance of basal cell carcinoma
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Typically looks like a ‘pearly’ shiny papule with overlying telangiectasia and rolled borders
Center may be ulcerative Several variants: superficial, sclerosing, pigmented |
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Think superficial BCC when
You think you are looking at Eczema but it does not clear with ________. |
Think superficial BCC when
You think you are looking at Eczema but it does not clear with Steroids. |
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If something does not look or respond like you think it should, ie. “it looks like eczema but doesn’t respond to steroids”…you should always consider a _______ as your next move
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If something does not look or respond like you think it should, ie. “it looks like eczema but doesn’t respond to steroids”…you should always consider a biopsy as your next move
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Treatment of BCC
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Excision with curettage and electrodessication
Mohs’ micrographic surgery Radiation Topical imiquimod (Aldara), or 5-fluorouracil (Efudex) Cryosurgery |
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Squamous Cell Carcinoma in-situ AKA
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Actinic keratosis, solar keratosis
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Isn't Actinic keratosis pre-cancerous?
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1/1000 develop SCC
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Tx for actinic keratosis
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: cryo, 5-FU, Imiquimod
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2nd most common type of skin cancer
Can metastasize (3-4%) |
Squamous Cell Carcinoma
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Most common skin cancer in black patients *** (exam)
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Squamous Cell Carcinoma
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Squamous Cell Carcinoma:
Can occur in ____ scars-Marjolin’s ulcer- met rate is 20% |
Squamous Cell Carcinoma:
Can occur in burn scars-Marjolin’s ulcer- met rate is 20% |
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Tx of squamous cell carcinoma
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Excision
Curettage+ electrodessication Cryosurgery Mohs’ surgery Radiation Topical imiquimod/ 5-fu |
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SCC Secondary to HPV Infection
HIV+ History of condyloma |
Giant condyloma of Buschke and Lowenstein
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Most deadly form of skin cancer
2% of all cancer deaths are from this |
Malignant Melanoma
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melanoma in situ that consists of malignant cells but does not show invasive growth
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Lentigo maligna
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The most common occurring cancer death in women between 25 and 29
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Malignant Melanoma
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ABCDE of melanoma
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asymmetry
borders color diameter (>6mm) every type of change |
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If your patient tells you that a mole is changing and you cannot be 100% certain that it is benign, you need to do what?
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biopsy it or document that you have sent that patient somewhere to have it biopsied
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Even if a patient isn’t saying that a mole has changed but that it ‘WORRIES” them, you need to do what?
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biopsy it
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Mohs surgery is recommended for:
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cancers on the face
large cancers recurrent cancers, esp. of face |
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Tx of squamous cell carcinoma
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Excision
Curettage+ electrodessication Cryosurgery Mohs’ surgery Radiation Topical imiquimod/ 5-fu |
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SCC Secondary to HPV Infection
HIV+ History of condyloma |
Giant condyloma of Buschke and Lowenstein
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Most deadly form of skin cancer
2% of all cancer deaths are from this |
Malignant Melanoma
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melanoma in situ that consists of malignant cells but does not show invasive growth
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Lentigo maligna
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The most common occurring cancer death in women between 25 and 29
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Malignant Melanoma
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ABCDE of melanoma
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asymmetry
borders color diameter (>6mm) every type of change |
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If your patient tells you that a mole is changing and you cannot be 100% certain that it is benign, you need to do what?
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biopsy it or document that you have sent that patient somewhere to have it biopsied
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Even if a patient isn’t saying that a mole has changed but that it ‘WORRIES” them, you need to do what?
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biopsy it
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Mohs surgery is recommended for:
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cancers on the face
large cancers recurrent cancers, esp. of face |
