Benign Skin Lesions Flashcards

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1
Q

What would you describe a skin lesion by?

A
Site
Size
Shape
Colour
Palpate: mobility, surface changes, temperature, consistency
Lymphadenoapthy: infection, malignancy
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2
Q

What lesions are commonly associated with seborrhoeic keratosis?

A

Patients often have mulitple cherry angiomas

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3
Q

What is the tretament for seborrheic keratoses?

A

Generally left untreated but if troublesome can be treated with;
Cryothertapy or curettage

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4
Q

What are seborrheic keratoses?

A

Benign, warty growths
Commonly appear on the face in the older population
Can have many appearances

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5
Q

What is leser trelat?

A

Sudden onset of widespread seborrhoea keratoses
Particularly in a young individual
It is a paraneoplastic phenomen commonly associated with cancers such as GI adenocarcinomas

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6
Q

What organism is responsible for viral warts?

A

Human papiloma virus

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7
Q

What can treat warts?

A

Cryotherapy

Wart pains

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8
Q

What is a pilar cyst?

A

Fluid filled cyst with hair follicles lining the cyst

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9
Q

What is the treatment of cysts?

A

Excision

If infection then antibiotcis, intralesional steroid

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10
Q

What is a dermatofibroma and what does it look like?

A

Benign fibrous nodule caused by proliferation of fibroblasts
Firm nodule tethered to the skin but mobile over fat
Dimple sign positive
Can be pale pink / brown
Can be itchy or tender

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11
Q

What sign is positive of a dermatofibroma?

A

Dimple sign positive

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12
Q

What is a worrying sign of a lipoma?

A

If it tender then this could indicate angiolipoma or liposarcoma

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13
Q

What is a lipoma?

A

Smooth rubbery subcutaneous mass

Benign tumour consiting of fat cells

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14
Q

What are the 3 types of angiomas?

A

Cherry angiomas
Spider naevi
Venous lakes

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15
Q

What is the presentation of a pyogenic granuloma?

A
Strawberry red/raw lesion 
Rapidly growing 
Often at site of trauma
Bleeds easily 
Common on head & heands
Common in pregnancy women
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16
Q

What is the treatment of a pyogenic granuloma?

A

Curettage and cautery

17
Q

What are examples of pre malignant lesions?

A

Actinic keratoses
Bowmans syndrome
Melanoma in situ

18
Q

What is the presentation of actinic keratoses?

A

Crusty lesions that reappear

Rough scaly patches on sun damaged skin

19
Q

If actinic keratoses developed into a malignancy, what type of cancer would it be?

A

Squamous cell carcinoma

20
Q

What is the treatment for actinic keratoses?

A

Cryotherapy
Curettage
Diclofenac gel
Imiquimod

21
Q

What is bowen’s disease?

A

Squamous cell carcinoma in situ

Full thickness dysplasia but entirely contained within thr dermis

22
Q

What is the presentation of bowen’s disease?

A

Irregular, scaly erythematous plaque

Plaque looks similar to psoriasis but wont move or change

23
Q

What is the treatment for bowen’s disease?

A

Cryotherapy
Curettage
Photodynamic therapy
Imiquimod

24
Q

What is melanoma in situ?

A

Melanoma cells entirely confined to epidermis

No metastatic potential

25
Q

what benign lesion is described as a strawberry red lesion that bleeds easily?

A

pyogenic granuloma