Benign and Verrucous lesions Flashcards
verruca vulgaris presentation
common warts, common on hands and feet, caused by HPV
verruca vulgaris treatment
treat due to pain/cosmetic with cryotherapy, chemotherapy, salicylic acid, immunosuppresion, scraping, burning etc.
condyloma: diagnosis, treatment
benign anogenital warts form HPV types 6/11, clinical diagnosis, assess for other STDs, biopsy if uncertain. Treat with cryotherapy every 2-3 weeks and/or imiquimod.
lipoma: presentation, diagnosis, treatment
tumor composed of mature adipose cells enclosed by thing fibrous capsules, clinical diagnosis, remove if firm, for cosmetic reasons , sudden enlargement, pain, movement restriction
epidermal inclusion cysts: presentation, diagnosis, treatment
dermal tumor with sebum and keratin debris, usually on scalp, face and trunk. Clinical diagnosis. Can be left untreated and if removal is necessary then only can do when not inflamed and need to removed entire sac
dermatofibroma: presentation, diagnosis, and treatment
benign dermal proliferation of fibroblasts, location usually on leg of women, can be pruritic, usually firm and pink/red/purple in color, dimple sign, diagnosis is clinical and treatment is excision or biopsy if painful/cosmetic or question if malignant
vitiligo: presentation/diagnosis
1% of population, melanocytes are destroyed, white macules on skin; may coalesce, usually on face, genitals and hands, diagnose clinically but check thyroid function
vilitigo treatment
if less than 10% TBSA: topical corticosteroids (2-3 months then one month off). If between 10-20%: topical tacrolimus twice daily. If 20-25%: UVB treatment or oral PUVA, psychosocial treatment
actinic keratosis presentation, diagnosis and treatment
occurs on sun exposed areas and is proliferation of atypical epidermal keratinocytes, erythematous, scaly macules or papules. Diagnosis clinically and treat with liquid nitrogen for single lesions and flurouracil, imiquimod for multiple lesions.
Seborrheic keratosis: presentation, diagnosis, and treatment
most common benign neoplasm, familial, usually located onscalp, face, trunk, arms and back. round or oval lesions. usually asymptomatic unless causing friction. No treatment required, but can be removed. may mimic malignant melanoma, biopsy if unsure.
pyogenic granuloma: presentation, treatment, and diagnosis
benign vascular tumor of skin or mucous membranes, usually in oral mucosa, trunk, or extremities. Red or purple in color, grow rapidly, bleed badly, can be treated with excision and electrodessication to base
hemangioma presentation, , diagnosis and treatment
mature capillary proliferations; older patients, occurs anywhere but usually trunk, cause is unknown, soft red, dome shaped, blanchable, usually no treatment
venous lake: presentation, diagnosis and treatment
lesions of dilated venous capillaries; located on face, lips, ears; usually in elderly, lesion appears blue, disappears with pressure, biopsy if unsure
acrochordon: presentation, dg, Tx
skin tag, outgrowth of normal skin usually found at sites of friction, clinical diagnosis, remove for cosmetic reasons with forceps and scissors or crytherapy
