Integumentary: Skin Cancer

Question 1

Skin Cancer: Benign Tumors: Seborrheic Keratosis

Answer 1

• Proliferation of Basal cells leading to raised lesions

- Typically multiple lesions on trunk of older individuals

Question 2

Skin Cancer: Bengin Tumors: Acitinic Keratosis

Answer 2

• Flat, round or irregular lesions covered by dry scale on sun exposed skin
• Can cause squamous cell carcinoma

Question 3

Skin Cancer: Benign Tumors: Common Mole

Answer 3

• Proliferation of melanocytes

- Can cause melanoma

Question 4

Skin Cancer: Malignant Tumors: Basal Cell Carcinoma

Answer 4

• Slow growing
• Epithelial basal cell
• Raised patch
• Ivory or reddened area of eczema
• Rolled border
• Indented center
• Thickened area of skin
• Rarely metastasizes
• Common on face in fair skinned individuals
• Associated with prolonged sun exposure

Question 5

Skin Cancer: Malignant Tumors: Squamous Cell Carcinoma

Answer 5

• Margins that are not well defined
• Flat red area
• Ulcer or nodule
• Grows more quickly
• Common on sun exposed areas
• Can be confined or invasive
• Higher risk than basal cell carcinoma to metastasize
• Mucosal and lingual SCC often related to alcohol and tobacco use

Question 6

Skin Cancer: Malignant Tumors: Malignant Melanoma

Answer 6

• Melanocytes

- Superficial spreading melanoma most common type

Question 7

Skin Cancer: Malignant Tumors: Malignant Melanoma Risk Factors

Answer 7

• Family history
• Intense sun exposure
• Fair skin
• Nevi that are changing atypical especially if greater than 50 years of age.

Question 8

Skin Cancer: Malignant Tumors: Malignant Melanoma: Presentation

Answer 8

• May have redness beyond the border of the lesion
• Oozing
• Bleeding
• Itching, burning, or pain

Question 9

Skin Cancer: Malignant Tumors: Malignant Melanoma: Treatment

Answer 9

• Depends on stage

Question 10

Skin Cancer: Malignant Tumors: Malignant Melanoma: Red Flag

Answer 10

• May look identical to a harmless mole

- Refer suspicious lesions immediately to a dermatologist

Question 11

Skin Cancer: Malignant Tumors: Kaposi’s Sarcomma

Answer 11

• Lesions of vascular epithelial cell

Question 12

Skin Cancer: Malignant Tumors: Kaposi’s Sarcomma: Presentation

Answer 12

• Purple/blue or red macule that progress to nodules or ulcers.
• Associated with itching or pain
• Common on LE
• May damage internal structures producing lymphatic obstruction.

Question 13

Skin Cancer: Malignant Tumors: Kaposi’s Sarcomma: Physical Therapy

Answer 13

• Wound Care
• Pulsed lavage with suction
• Skin care
• Avoid interventions that cause edema, shearing or contractures