4 - Derm - Non-melanoma skin cancers + Benign skin tumours - BCC mgmt

Question 1

4 main mgmt options

Answer 1

excision
radiotherapy
cryo, curettage
5 - FU/imiquimod

Question 2

Which is best when?
excision
radio
cryo/curettage
5-FU/imiquimod

Answer 2

e - larger lesions
r - unsuitable for surgery, disfiguring
c - smallw ell defined non critical site
5/i - superficial

Question 3

Curettage and cautery - when used? not for?

Answer 3

small welldefined BCC

not for recurrent BCC

Question 4

Curettage and cautery - 5y cure rate? no what?

Answer 4

no histological confirmation of removal

92-7%

Question 5

cryo - no what? why good?

Answer 5

quick easy cheap

no hist confirmation of removal

Question 6

surgical - two types

Answer 6

simple excision

moh’s micrographic surgery

Question 7

simple excision - dimeter dependent?

Answer 7

BCC <2cm d requires 5mm margins - larger = wider

Question 8

moh’s micrographic surgery - for what tumours? what is done?

Answer 8

for recurrent or high risk tumours

horizontal sections removed and hist examined

Question 9

radio - risk of? con?

Answer 9

radionecrosis and future CC

no hist confirmation

Question 10

imiquimod cream ???

Answer 10

imm resp modifier, causes inflammatory response

Question 11

5-fluorouracil cream -???

Answer 11

inflammatory response, may be painful