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5 Cards in this Set

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Description for shorts

Appears vascular (red-brown)


Raised & everted edge


Erosion of facial architecture(advanced cases)


Central ulceration

Differentials

Keratoacanthoma


Infected seborrhoeic wart


Solar keratosis


Pyogenic granuloma


BCC


Melanoma

Treatment options

Primary lesion:


- complete excision with 5mm margin


- if >2cm, then 10mm margin.


- unfit : radiotherapy



Nodal spread:


- radiotherapy


- surgical block dissection

High risk disease

>2cm diameter


>4mm thick


Poorly differentiated


Recurrent

Pathology (DermNet)

Arise from epidermis & extend into dermis.


Often large cells with abundant eosinophilic cytoplasm & large vesicular nucleus.


Variable keratinisation(keratin pearls) present.