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42 Cards in this Set

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cysts
-where do they form on the body?
externally as well as internally anywhere in the body
most common cyst is the epidermal inclusion cyst

-it is very similar to cysts except they have
a depth to them and usually contain thick whtie cheesy substances
configuration of lesions

ringlike with raised borders around flat, clear, centers of normal skin
annular
configuration of lesions

circular
circinate
configuration of lesions

well-defined with sharp borders
circumscribed
configuration of lesions

several lesions grouped together
clustered
configuration of lesions

lesions that merge with one another and appear confluent
coalesced
configuration of lesions

widespread, involving most of the body with intervening areas of normal skin, generalized
diffuse
configuration of lesions

occuring in a straight line
linear
configuration of lesions

with wavy borders, resembling a snake
serpiginous
configuration of lesions

all areas of the body involved, with no areas of normal appearing skin
universal
ABCDs of skin leasion assessment

what do they stand for
A- asymmetric (one half unlike the other half)

B- border irregular (scalloped or poorly circumscribed border

C- color varied- from one area to another, shades of brown, black, red, white

D-diameter larger than 6mm as a rule (diameter of a pencil eraser)
Nevi/Mole

-what is the difference
nevi is flat, under the skin

mole is raised and superficial
Nevi/Moles

-it is a growth of what
pigment forming cells
Nevi/Moles

are classified as benign

true or false
true
Nevi/Moles

what is the link to malignant melanoma
50% of malignant melanoma arise from moles and nevi that undergo cellular changes
Nevi or mole

regular, well defined borders and are uniform in color ranging from light colors to dark brown
nevi
Actinic Keratosis

are they cancerous?
no, they are pre-malignant and may develop into squamous cell carcinoma
Actinic Keratosis

what population is this seen in
people with chronic sun damaged skin
Actinic Keratosis

what are the clinical manifesations
small 1-10mm macule or papule with dry, rough, adherent, yellow or brown scale
Malignant Melanoma

prigmented cancers that arise from?
the melanin-producing cells
Malignant Melanoma

do they metastisize?
yes, highly
Malignant Melanoma

what are the 2 inherited traits
light skinned and less pigmentation
Malignant Melanoma

people who do what 2 things have a higher rate to develop cancer
live at high altitudes, work out doors
Malignant Melanoma

if one developes malignant melanoma, what is their prognosis and survival baed on?
early recognitiion and treatment/diagnosis
Malignant Melanoma

what treatment works for this?
chemotherapy, it is resistant to radiation
Malignant Melanoma

what population is this commin in?
light skin, not typically in hispanic and african americans
Malignant Melanoma

what are some risk factors (3)
genetic predisposition

exposure to UV light

presence of 1 or more precursor lesions that resemble unsual moles
Malignant Melanoma

what are the signs and symptoms
irregulary shaped, pigmented papule or plaque

variegated colors with red, white, and blue tones
Treatment of skin cancer

what is used to treat actinic keratosis?
topical: 5FU (topical chemotherapy with 5-fluorouracil cream)

treated areas become tender and inflammed as lesions crust ooze and erode
Treatment of skin cancer

what is used to treat superficial basal cell?
topical: 5FU

topical chermotherapy with 5-fluroracilc ream..

treated areas become tender and inflammed as lesions crust ooze and erode
Treatment of skin cancer

what is used to treat invasive basal cell
radiation

-it is limied to older patients with large, deep, invasive basal cell tumors and to those who have poor risks for surgery
Treatment of skin cancer

what is the most common means of managing any type of skin cancer
surgical
Treatment of skin cancer

what does Cryosurgery involve?
local application of liquid nitrogen to isolated lesions, causing cell death and tissue destruction (tissue freezing)
Patient education

-indivudal education is based upon type of skin cancer

-all educationing is based on what
the extent of metastasis
Skin cancer

How is this assessed?

Prevention of?
ABCD


avoiding or reducing exposure to sunlight. using sunscreen adn wearing protective clothing whenever in the sun, avoiding tanning beds
Skin cancer

Malignant melanoma: how is it detected?
ABCD method and then a skin biopsy
Pre-cancerous types of skin leasions: keratotic, seborreaic

which one is premalignant from chronic sun damage?
keratotic
Pre-cancerous types of skin leasions: keratotic, seborreaic

which one is common in old people
keratotic
Pre-cancerous types of skin leasions: keratotic, seborreaic

which one appears as multiple pasted on papules or plaques ranging in color from flesh tones to brown or black
seborreaic
Pre-cancerous types of skin leasions: keratotic, seborreaic


which one has a surface of the lesion that has a rough greasy and wartlike texture
seborreaic
benign epidermal neoplasms often mistaken for what
actinic keratoses