Lesion Photos Exam 2 Flashcards
Squamous cell carcinoma
Scaling to ulcer
Elevated nodule to tumor
Indurated, eroded nodule that ulcerates and bleed easily
Squamous Cell Carcinoma
Squamous Cell Carcinoma
Basal cell carcinoma
Pearly or translucent papule or nodule
Telangiectasia - haphazard
Pigmented/sclerotic
Translucent when stretched
Basal cell carcinoma (nodular)
Basal cell carcinoma
Basal cell carcinoma
Basal cell carcinoma
Basal cell carcinoma
Basal cell carcinoma
Basal cell carcinoma
Basal cell carcinoma (nodular)
Basal cell carcinoma (nodular)
BCC (pigmented)
BCC (pigmented)
BCC (pigmented)
BCC (micronodular)
BCC (micronodular)
BCC (micronodular)
BCC (superficial)
BCC (superficial)
BCC (superficial)
BCC (superficial)
BCC (superficial)
SCC
SCC
SCC
SCC
SCC
SCC
SCC
SCC
SCC
SCC
SCC (chronic ulcers)
SCC
SCC
SCC
SCC
SCC
SCC in situ (Bowen’s Disease)
Invasive SCC
Invasive SCC
Well-differentiated SCC
Well-differentiated SCC
Poorly differentiated SCC
Poorly differentiated SCC
Poorly differentiated SCC
Poorly differentiated SCC
Oral SCC
Oral SCC
Verrucous carcinoma (subtype of SCC)
SCC
SCC
Keratoacanthoma (well differentiated SCC)
Keratoacanthoma (well differentiated SCC)
Melanoma
Melanoma
Melanoma
Melanoma - superficial spreading with no vertical growth phase, only radial growth
Nodular melanoma
Superficial spreading melanoma
Nodular melanoma
Lentigo maligna melanoma
Acral lentiginous melanoma
Nodular melanoma
Nodular melanoma
Nodular melanoma
Nodular melanoma
Nodular melanoma
Lentigo maligna melanoma (early stage)
Lentigo maligna melanoma (later stage)
Lentigo maligna melanoma
Lentigo maligna melanoma
Acral lentiginous melanoma
Acral lentiginous melanoma
Acral lentiginous melanoma
Acral lentiginous melanoma
Acral lentiginous melanoma
Acral lentiginous melanoma
Acral lentiginous melanoma
Present in 5-20% of white population
Atypical nevi
Dimple sign with lateral compression
Button like dermal nodule
Leg, arm, trunk
Dermatofibroma
Chronic, unchanging macular lesions. Benign on biopsy
Junctional melanocytic nevi
> 50, Males
Viral etiology
Rapid growth, can solve resolve (bad scar)
Single lesion - cheeks, nose, ears, post hands
Keratoacanthoma
10-30 years
White macules, sharply marginated
Face and extremities
Acquired loss of pigmentation
Vitiligo
Sun exposed areas
Males
Pre-malignant > SCC
Actinic keratosis
Acquired light or dark brown hyperpigmentation
Young adults, females
Brown/black skin type
Hyperinsulinemia, pregnancy, hormonal
Melasma
Nodular mass of dilated vessels
Resolves spontaneously 5-8 years
Hemangioma
Single or scattered discrete lesions
Adherent hyperkeratotic scales, rough
Sore that doesn’t heal
Pre-malignant
Actinic keratosis
Single or scattered discrete lesions
Adherent hyperkeratotic scales, rough
Sore that doesn’t heal
Pre-malignant
Actinic keratosis
Punch biopsy was malignant, 20 yr hx
Acral Lentigo melanoma
Hutchinsons sign
Periungual spread from nail
SCC
Sebhorrheic keratosis
Pre malignant > SCC
Actinic keratosis
Management:
GF diet
Dansone, sulfapyridine
Dermatitis herpetiformis
5-fluorouracil 2-4 weeks
Actinic keratosis
Management:
GF diet
Dansone, sulfapyridine
Dermatitis herpetiformis
Stork bite lesion
Locally invasive, aggressive, destructive
May spontaneously disappear after delivery/stopping hormones
Difficult to treat, reduce UV exposure, hypopigmenting agents, Treinoin, laser, cryo, dermabrasion
Melasma
May spontaneously disappear after delivery/stopping hormones
Difficult to treat, reduce UV exposure, hypopigmenting agents, Treinoin, laser, cryo, dermabrasion
Melasma
Most common in 6th decade of life
No radial growth, early Mets
nodular melanoma
Photodynamic therapy
Actinic keratosis
No cause, genetic
20-40 yo
Solitary lesions: infrequent, inconsequential, spontanous mutations
Invaginate on compression
Neurofibroma
Multiple benign lesions
Seborrheic keratosis
Treated 5 FU or curaderm
Superficial BCC
Benign
Intradermal nevi
Dllated vessels deep in dermis and subcutaneous tissue
Spontaneous resolution, surgery, interferon, propranolol, topical steroids
Hemangiomas
Painful lesions
Early
Central crust
Apex
Long standing
Dense rolled edge
Chondrodermatitis nodularis helicus
Prominent, macular hemangioma
Port wine stain
Filled with clear gelatinous viscous fluid
Mucoid cyst
Asx soft benign papule from dilated venule
Venous lake
Develops after minor trauma
Bleeds easy
>30
pyogenic granuloma
Spider Angioma
25% remit with dec sun exposure
5FU
Black salve
Vit A
Cryo
Sunscreen
Antioxidants
Actinic keratosis
25% remit with dec sun exposure
5FU
Black salve
Vit A
Cryo
Sunscreen
Antioxidants
Actinic keratosis
Seborrheic keratosis
Reactive hypermelanosis of skin after cutaneous inflammation
Hyperpigmentation syndrome
Meibomian cyst
Most common tumor of intraepidermal eccrine sweat glands
Women
AD
Symmetrical
Syringioma
Filled with clear gelatinous mucin
Ganglion cyst
Lipoma
Small tumors of enlarged sebaceous glands
1-3mm
Telangiectasia
Central umbilication
Soft
>30
Sebaceous hyperplasia
Deeper than epidermal inclusion cyst
Rubbery, not malleable
If lesion feels firm, r/o malignancy
Lipoma
Chronic, recurrent, intensely pruritic vesicles, papules, and plaques in groups
Can resemble herpes
Assoc w celiac
20-60
Caucasians, men
Dermatitis herpetiformis
Localized proliferation of melanocytes due to chronic sun exposure
1-3 cm maules
> 40
Solar lintigo
