DD Benign neoplasms of skin Flashcards

1
Q

Infantile Hemangioma

A

aka Capillary or Strawberry Hemangioma

○ Most common soft tissue tumor of infancy (10-12%); benign endothelial cell neoplasm
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2
Q

Systemic complications of infantile hemangioma

A

There are a lot, one of the bad ones:

Kasabach-Merritt syndrome (a consumptive thrombocytopenic coagulopathy) and

high output congestive heart failure.

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3
Q

Port Wine Stain typically follows what distribution?

A

trigeminal nerve

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4
Q

Skin tags

A

acrochordons

- 1/4 of adults have at least 1 - gross

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5
Q

Positive dimple “Fitzpatrick” sign

indicates what?

A

pinch lesion and should see slight downward movement of tumor

Dermatofibroma

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6
Q

Barnacles of Life

A

Seborrheic keratosis
Benign tumor of the hair follicle, distributed mainly in on the head, neck, trunk.

slightly raised, light brown to black papules or plaques.

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7
Q

melanocyte nests (nevus cells) exclusively within the ____________

A

dermis. (moles are intradermal)

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8
Q

Blue Nevus

how does it occur?

A

§ Dermal proliferation; produce lots of melanin

  • Due to Tyndall Effect, blue color is reflected back (shorter wavelengths)
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9
Q

Endothelial Cell benign skin growth

A

○ Cherry Angiomas
○ Infantile Hemangioma: embolized placental cells or angioblasts that differentiate toward placental type.
○ Port Wine Stain

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10
Q

The Sebaceous gland is the cell type of origin for which benign skin growths?

A

Sebaceous Hyperplasia and Nevus sebaceous

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11
Q

The Fibroblast is the cell type of origin for which benign skin growths?

A

Dermatofibroma

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12
Q

Keratinocytes are the cell type of origin for which benign skin growths?

A

Seborrheic keratosis

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13
Q

Melanocytes benign skin growth

A

nevi, melanoma,
ephelides (freckles),
lentigo (sunspots),
café au lait macule

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14
Q

Dermatofibroma malignant potential if:

A

if presented as large and enlarging lesion, aka dermatofibrosarcoma protuberans (DFSP)

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15
Q

Seborrheic keratoses malignant potential if:

A

aka Sign of Leser Trelat, which is associated with adenocarcinoma of the stomach in 60%.

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16
Q

Congenital Nevi malignant potential if:

A

if >10 cm; can occur in 1:20,000 newborns, or if >20cm in older patients, 1% will have risk of malignancy. If malignant, 50% appeared in first three years.

17
Q

Dysplastic Nevi malignant potential if:

A

Increased risk for development of melanoma if pt had family history of multiple dysplastic nevi melanoma

18
Q

Recognize the fact that port wine stains are congenital vascular malformations.

  • what is it?
  • how does it present?
  • complications?
A

• Vascular malformation that is presented at birth and persists into adulthood; typically due to somatic mutation in GNAQ.
○ Presented as an overgrowth of an extremity covered by a large port wine stain.
○Complications can include varicose veins, venous stasis, edema, and ulceration.