Benign Neoplasms

Question 1

Epidermal cyst:

Answer 1

also called follicular or sebaceous cyst.
- dermal tumor containing sebum and keratin debris derived from the lining of the hair follicle.
-anywhere on skin
-foul odor
-tx: I &D, remove the PUNCTUM. or surgical excise.
These can grow back if punctum isn’t removed.

Question 2

Lipomas:

Answer 2

tumor composed of mature adipose cells. Can happen in a patient who gains or loses a lot of weight.
tx: excise.

MULTIPLE lipomas is associated with Gardner’s Syndrome (a type of lynch)

Question 3

Dermatofibroma:

Answer 3

usually on the leg, generally firm and <1cm. It is a scar reaction to trauma. Excise or biopsy.

Question 4

Pyogenic granuloma:

Answer 4

benign tumor.
composed of highly vascular granulation, and is red or purple in color.
Gets a collar scale, fast growing and bleeds very easily.
tx: shave excision and electrodessication

Question 5

Seborrheic Keratosis:

Answer 5

most common benign cutaneous lesion
inherited tied family tendency
rare before age 30 
surge during times or hormone change
looks "STUCK ON SKIN"
brownish waxy appearance
tx: cyrosurgery, curettage, biopsy

Question 6

SIGN OF LESER TRELAT:

Answer 6

1. ASSOCIATED WITH INTERNAL MALIGNANCY
2. mostly GI adenocarcinomas.
3. new onset, occur all over body.

Question 7

nevi (moles)

Answer 7

• usually done growing moles by age 35.
• dysplastic nevi is a family pattern
• reasons for removal may be irritation, inflammation, infection, or bleeding…or your ABCDEs!!

Question 8

Acrochordon (skin tags)

Answer 8

develop in middle to late adulthood. located on face, neck, intertriginous areas. Can become irritated. 1-2mm flesh colored pedunculated papule.

Question 9

Hemangioma:

Answer 9

benign proliferation of vessels, not need to remove. most are gone (90%) by age 9.