Benign Skin Lesions

Question 1

What is the appearance of seborrhoeic keratoses?

Answer 1

Warty Growths
“Stuck on appearance
Multiple growths
Possible addition of cherry angiomas

Question 2

What is the treatment for seborrhoeic keratoses?

Answer 2

Generally untreated
Cryotherapy
Curettage

Question 3

What are the pros of cryotherapy?

Answer 3

Cheap

Easy to perform “on the day”

Question 4

What are the cons of cryotherapy?

Answer 4

Can scar

Failure/recurrence

Question 5

What is Sign of Leser- Trelat?

Answer 5

Paraneoplastic phenomenon

Question 6

What does sign of leser-trelat?

Answer 6

Abrupt onset of widespread senorrhoeic keratosis

Question 7

What can seborrhoeic keratoses indicate?

Answer 7

Underlying solid organ malignancy (GI adenocarcinoma)

Question 8

What type of virus causes viral warts?

Answer 8

Human papilloma virus

Question 9

What is the treatment for viral warts?

Answer 9

Cryotherapy
Wart Paints
Curette if severe

Question 10

What is a cyst?

Answer 10

Encapsulated lesion containing fluid or semi-fluid material

Question 11

What are the different types of cysts?

Answer 11

Epidermoid 
Pilar 
Steatocystoma 
Dermoid 
Hidrocystoma 
Ganglion

Question 12

What is the treatment for cysts?

Answer 12

Excision

Question 13

What treatment is given for a cyst if it is infected/inflammed?

Answer 13

Antibiotics
Intralesional steroid
Incision and drainage

Question 14

What is the appearance of a dermatofibroma?

Answer 14

Fibrous nodule
Firm
Tethered to skin but mobile over fat
Pale pink/brown, paler in centre

Question 15

What is the treatment for dermatofibroma?

Answer 15

Excision if concern

Symptomatic

Question 16

What is the appearance of lipoma?

Answer 16

Smooth and rubbery subcutaneous mass

Question 17

What is an angioma?

Answer 17

Overgrowth of blood vessels in the skin due to proliferating endothelial cells

Question 18

What conditions are angiomas associated with?

Answer 18

Pregnancy

Liver disease

Question 19

What is the treatment for angiomas?

Answer 19

Excision

Laser

Question 20

What is a pyrogenic granuloma?

Answer 20

Rapidly enlarging red/raw growth, often at site of trauma

Question 21

What is the treatment for pyrogenic granuloma?

Answer 21

Curettage and cautery

Question 22

What are the risk factors for pre-malignant lesions?

Answer 22

UV radiation

Question 23

What is Bowen’s disease also known as?

Answer 23

Intraepidermal squamous cell carcinoma

Question 24

What is the appearance of Bowen’s disease?

Answer 24

Irregular
Scaly
Erythematous
Plaque

Question 25

What is the treatment for Bowen’s disease?

Answer 25

Cryotherapy
Curettage
Photodynamic therapy
Imiquimod

Question 26

What is the main role of imiquimod?

Answer 26

Stimulates cytokine release

Question 27

What are the pros of imiquimod?

Answer 27

Useful where surgery is undesirable

Usually good cosmetic result

Question 28

What are the cons of imiquimod?

Answer 28

Treatment time is 6 weeks
Significant inflammation
Failure/ recurrence

Question 29

What is the appearance of actinic keratoses?

Answer 29

Rough scaly patches on sun damaged skin

Question 30

What is the treatment for actinic keratoses?

Answer 30

Cryotherapy
Curettage
Diclofenac gel
Imiquimod

Question 31

What is a melanoma in situ?

Answer 31

Melanoma cells entirely confined to epidermis with no metastatic potential

Question 32

What is the treatment for melanoma in situ?

Answer 32

Excision

Question 33

What advice should be given for sun protection?

Answer 33

Cover up 
Avoid sun at peak hours (10am-4pm) 
Avoid sun beds 
Sunscreen 
Don't burn and try not to tan