Cancer

Question 1

Describe BCC

Answer 1

Locally invasive malignant tumour of keratinocytes that rarely metastasis

Question 2

Common appearance of BCC

Answer 2

Nodule with surface telangiectasia and a pearly rolled edge

May have ulcerated or necrotic centre

Question 3

Management of BCC

Answer 3

Surgical excision
Radiotherapy if surgery not appropriate
If low risk - cryotherapy

Question 4

Describe a SCC

Answer 4

Locally invasive malignant tumour of the keratinocytes which can metastasise

Question 5

Appearance of SCC

Answer 5

Scaly, ill defined nodule which may be ulcerated

Question 6

Management of SCC

Answer 6

Surgical excision

Radiotherapy if large/not resectable

Question 7

Describe a malignant melanoma

Answer 7

Malignant tumour of melanocytes which can metastasise

Question 8

ABCDE symptoms for skin cancers

Answer 8

Asymmetry 
Border irregular
Colour irregular
Diameter >6mm
Evolution (rapid change in size or shape) 
Symptoms e.g bleeding, itching 

A,C,E = HIGHLY SUSPICIOUS

Question 9

Management of malignant melanoma

Answer 9

Surgical excision

Chemo for mets

Question 10

What determines likelihood of melanoma recurrence

Answer 10

Recurrence increases with increasing Breslow thickness