Cancer

Question 1

How would you examine lump?

Answer 1

1. General inspection - site and no. of lesions
2. Describe SCAM - size, colour, associated secondary changes, morphology
3. Pigement - ABCD - asymmetry, borders, colour, diameter >6mm
4. Palpate: surface, consistency, mobility, tenderness, temp
5. Systemic check

Question 2

Basal cell carcinoma - who and where does if effect and R.F?

Answer 2

Usually elderly - face and head

R.F: sun exposure, genetic predisposition

Question 3

How would you expect BCC to look?

Answer 3

Be slow growing, well defined, doesn’t metastasis

Superficial, pearly, raised rolled edges

Question 4

Define basal cell carcinoma

Answer 4

Slow growing, locally invasive tumour of epidermal keratinocytes

Question 5

Tx BCC?

Answer 5

Surgical resection - 4mm margin
MOHS micrographic surgery
Imiquimod

Question 6

Squamous cell carcinoma - who and where does if effect and RF?

Answer 6

Usually elderly - head, face and arms

R.F sun exposure and pre-malignant conditions

Question 7

What expect SCC to look like?

Answer 7

Variable growth, may metastasise

Kerotic - scaly/ crusty

Question 8

Define SCC?

Answer 8

Locally invasive tumour epidermal keratinocytes and/or appendages with potential to metastases

Question 9

Tx SCC?

Answer 9

Surgical excision - 1cm margin
MOHS micrographic surgery
Radiotherapy

Question 10

Malignant melanoma - who and where does it effect and RF?

Answer 10

Younger pt - trunks/ limbs

R.F sun exposure, hx multiple moles, family hx, type I skin

Question 11

How would malignant melanoma present?

Answer 11

Often metastasise and present ABDCE

e - evolution of lesion

Question 12

Define malignant melanoma

Answer 12

Invasive malignant tumour of epidermal melanocytes - potential to metastases

Question 13

Tx malignant melanoma?

Answer 13

Surgical excision - 1-3cm margin
Radiotherapy
Chemotherapy esp if metastasise