Cut. malignanacies Flashcards
AK or Intraepithitheliel keritinocyte neoplasia
found on sun exposed sikin – precurser to SCCA,
thin pink or red papules with scale
prognisis of AK– and tx
1% oer lesion per year to convert to SCCA- some heal with using sun protection
TX– Liquid Nitrogen
topical therepaires – Aldara
phot dynamic therapy
SCC in Situ tx vs SCC
same as basal cell
in situ –LN , Aldaram Electro dessication,
SCC– LN, surgery, radiation
Basal CC
most common skin cancer and most common malignancy in humans
Mohs Micrographic surgery
tissues sparing surgeury which provides histological examination of 100 % of borders—
ABCDE– melanoma
assymmetry, bordersm color, diamter, evolution
most common type of melanoma
superficial spreading melanoma– men tunk– women legs
Nodular melanoma
2nd most common – older people, poor outcome
Lentigo Maligna Melanoma
ussually older , slow growing macule patch
Acral Lentiginous melanoma
occurs on palms and soles– fast progression
Setinal Lymph Node Biopsy
used for tumors thickness > 1 MM– injection of radioactive isotope which travels to nearest lymph and is testede there for melanaoma
Melanoma tx
excision, interferon alpha, vaccine , palliative surgery, chemo