Harmless Lumps & Bumps Flashcards
What is this and what is the treatment?
Plane Warts
Treat with Topical retinoids, cryotherapy or imiquimod.
Cryotherapy can cause Koebnerisation.
What is this?
What is the treatment
Molloscum Contagiosum
Treat with Molludab, topical imiquimod.
If a giant molloscum or many molloscums appear in an adult, what should you suspect?
Immunocompromise. (HIV etc)
What is this?
How is it treated?
Sebaceous Hyperplasia
- Removal with curretage, cauteryor excision
- Deep Peels with TCA also help.
How do you remove milia?
A green needle (to extrude the calcified contents)
What is this?
How is it treated?
Syringoma (Benign tumours of sweat glands)
Occur under the eyes
Often run in families
Best left alone
What is this?
How is it treated?
Pyogenic Granuloma
- Curettage and cautery BUT always send for histology.
Why must you always send pyogenic granulomas for histology?
Differential diagnosis of amelanotic melanoma
Where do pyogenic granulomas usually occur?
- Head
- Neck
- Upper trunks
- Hands
- Feet
What is the cause of pyogenic granulomas?
- Infection (usually Staph)
- Hormonal influences - pregnancy, COCP
- Drug induced (retinoids & Protease Inhibitors)
How are skin tags removed?
Snip Excision or Ablation
What is this?
Dermatosis Papulosa Nigra
(Think Morgan Freeman)
How are Dermatosis Papulosa Nigra treated?
Usually left alone.
If removed, consider low pwer hyfrecation after a test area.
What are these?
How are they treated?
Cherry Angiomas
(Campbell De Morgan Spots)
Harmless - best leftalone.
Where and at what age do Cherry Angiomas appear?
- 30 years old
- Tunk and proximal limbs
What is this?
Stucco Keratosis
A variant of a seborrheic keratosis that is exclusively onthe acral locations as smallscaly papules.
What is this called and what should you consider if you see this?
Lesar-Trelat sign
Eruptive onset of many seborrhoeic keratoses inconjunction with anunderlying malignancy.
How do you treat xanthelasma?
Using TCA
What is this?
Naevus sebaceous
It appears in childhood on the scap or face.
How do you treat Naevus sebaceous
Why should they be monitored?
Excision not needed.
Monitor 25% will develop a malignant tumour.
What is this?
Granuloma Annulare
Red papules that appear over the distal extremeties
What 2 conditions is grannuloma annulare associated with?
Diabetes
Thyroid disease
How is grannuloma annulare treated?
50% resolve spontaneously within 2 years
Potent corticosteroids or intralesional steroids can help.
What is this?
Dermatofibroma
(Dimple sign upon squeezing)
What is this?
Pilomatricoma
- (A beign tumour of a hair follicle)
- It occurs in children on the face or arms.
- Removed with simple excision
What is this?
Leiomyoma
A benign smooth muscle tumour of the erector pili muscle
What is HLRCC?
Hereditary Leiomyomatosis and Renal Cell Cancer Syndrome
What are themanifestations of this syndrome?
- Cutaneous leiomyomas
- Uterine leiomas (Fibroids)
- Uterine Leiomyosarcomas
- Renal Cell Cancers
What else are Leiomyomas associated with?
- Gardner Syndrome
- HIV
- CLL
- Polycythaemia
What is this?
An infundibular (epidermoid) cyst
What is this?
A Tricilemmal (Pilar) Cyst.
Arises froma hair root sheath.
What is this?
A Myxoid pseudocyst
What is this?
Dermoid cyst
- Most occur on the head and neck, either in the mid-line or at the lateral edge of the eyebrow.
What is this?
An eccrine poroma
- Painful paulo-nodular lesion on the soles of the feet, palms or scalp.
- Middle ages adults
What are these?
Apocrine hidrocystomas
Glassy appearance with a blueish tint.
