DERM - Benign skin tumors Flashcards

1
Q

what is leser trelat sign? what does it mean?

A
  • sudden onset of numerous SKs

- may indicate an underlying visceral malignancy

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2
Q

what is the morphology of an acrochordon (skin tag)?

A

fibrovascular core covered by benign squamous epithelium

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3
Q

cyst with a punctum?

A

epidermoid cyst

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4
Q

presentation: single subcutaneous nodule at birth on lateral aspect of upper eyelid

A

dermoid cyst

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5
Q

what is the cause of cowdens disease?

A

AD mutation of PTEN

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6
Q

what is the presentation for cowdens disease?

A
  • oral lesions
  • acral keratoses
  • macrocephaly
  • trichilemmoma** (diagnostic)
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7
Q

cowdens disease carries a risk of cancer in what organs?

A
  • breast

- thyroid

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8
Q

ghost cells are characteristic of _____________–

A

pilomatrixoma

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9
Q

fibrofolliculomas, trichodiscomas, acrochordons - diagnosis?

A

birt-hogg-dube syndrome

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10
Q

what is important to know about nevus sebaceous?

A

they are benign, but secondary tumors can arise within

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11
Q

yellowish dome shaped papules with central punctum?

A

sebaceous hyperplasia

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12
Q

what skin condition is seen in muir-torre syndrome?

A

sebaceous adenoma

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13
Q

muir torre syndrome is related to what cancer syndrome?

A

HNPCC

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14
Q

what is the inherited defect in muir torre syndrome? what is the inheritance?

A
  • defect in DNA mismatch repair gene

- AD

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15
Q

what are the cutaneous findings in muir torre? visceral?

A
  • cutaneous: sebaceous tumors (adenomas, sebaceoma, carcinoma, keratoacanthoma)
  • visceral: GI, bladder, endometrium, breast
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16
Q

what is a cylindroma?

A
  • pink red nodule on head and neck
  • F:M 9:1

bubble gum bubble appearance

17
Q

jigsaw puzzle histology?

A

cylindroma

18
Q
  • yellow / brown / orange papule or nodule
  • solitary lesion on head / neck
  • associated rarely with CML
A

xanthogranuloma (juvenile xanthogranuloma)

19
Q

what is the significance of langerhans cell histiocytosis?

A

can involve internal organs

20
Q

what is the IF for LCH?

A

CD1a

21
Q

what is the EM finding on LCH?

A

birbeck granules

22
Q

what is mortons neuroma?

A

non-palpable lesion that causes severe pain in sole of foot

23
Q

mucosal neuromas stain positive for ______

A

S-100

24
Q

what is pathognomonic for NF1?

A

plexiform neurofibroma