Cancerous Lesions, Dermoscopy, Chalazion, Paracentesis, Lateral Canthotomy (F) Flashcards
What is the most common eyelid malignancy?
basal cell carcinoma
What is the order of the most common locations of basal cell carcinoma?
lower lid, upper lid, medial canthus
What is the treatment for BCC?
- refer to dermatologist
- biopsy
- excision with or without chemo cream
What are the different types of SCC?
- nodular
- ulcerating
- cutaneous horn
What is the treatment for SCC?
- refer to dermatologist
- biopsy
- excision with or without chemo cream
Where on the eyelid is a sabaceous cell carcinoma typically found?
upper lid
What is the most important aspect of a melanoma?
tumor thickness
What are melanoma characteristics that can more easily be seen with dermoscopy?
- granularity
- angulated lines
- atypical aggregated dots
What do each of the following lesion colors represent: black? 1. light to dark brown? 2. Slate blue? 3. Steep blue 4. Red? 5. White? 6
- upper epidermis
- epi/dermal junction
- papillary
- reticular
- increased vascularization
- regression
What type of biopsy is done when it is suspected to be a benign lesion? 1. How is it done? 2
- excisional
2. remove entire lesion and send in
What type of biopsy is done when it is suspected to be a malignant lesion? 1. How is it done? 2
- incisional
2. take or shave an edge
What is the post op procedure for removal of a lesion?
- Ab ung BID for 1 wk
- avoid direct sunlight x3months
- use moisturizer with UV block for 3months
What is used for a intralesional steroid injection to treat a chalazion?
kenalog (10 to 20mg/mL triamcinolone) 0.2-0.4cc
When is incision and curettage indicated for a chalazion?
- greater than 6mm or over 8months
2. failed injection
What is the postop for chalazion incisional removal?
Ab ung QID x1wk
