Malignant Skin Disoders

Question 1

What is actinic keratosis

Answer 1

Pre malignant. It is related to chronic sun exposure and photo damage
It may progress to squamous cell carcinoma

Question 2

What is the appearance of actinic keratosis

Answer 2

Reddened rough Macules that are shiny or scaly; skin bleeds underneath if scales are removed

Question 3

What is non melanoma skin cancer

Answer 3

Most common malignant malignant neoplasm in fair skin ppl
High cure rate of detected early
Increased incidence with age and males

Question 4

What is basal cell cancer

Answer 4

A type of non melanoma skin cancer
Most common, least aggressive
Tends to recur

Question 5

Does basal cell cancer metastasize

Answer 5

Rarely except keratotis found on outer ear

Question 6

What is the appearance of basal cell cancer

Answer 6

Starts as papules and develops into nodules

Question 7

What happens if basal cell cancer is left untreated

Answer 7

Nodules enlarge and may destroy body parts like eyelid or nose

Question 8

What is squamous cell cancer

Answer 8

Occurs in areas of skin exposed to ultraviolet rays and weather
Arises on skin that was burned or chronically inflamed

Question 9

Is squamous cell cancer aggressive

Answer 9

It is more aggressive and more apt to metastasize than basal

Question 10

What are characteristics of squamous cell cancer

Answer 10

Begins as small firm red nodule: crusted with keratin. May ulcerate, bleed and become painful

Question 11

What are risk factors for squamous cell carcinoma

Answer 11

Ultraviolet light, pollutants

Tx for psoriasis including UVA light, tar medications, radiation, tx for malignancies, skin that had been burned, HPV

Question 12

A person with light skin has low levels of what?

Answer 12

Melanin

Question 13

What is treatment for skin cancers

Answer 13

Surgical excision
Mohs micrographic surgery, current age and electrodessication
Radiation for inoperable cancers

Question 14

What is nursing care for skin cancer

Answer 14

Teach prevention and early detection
Minimize sun exposure from 10a-3p.
Us sunscreen, avoid tanning booths
Seek medical attention for skin lesions and changes in moles

Question 15

What is malignant melanoma

Answer 15

Serious skin cancer
Malignancies arise from melanocytes
It may arise in skin not exposed to sun

Question 16

Malignant melanoma is more common in who

Answer 16

Fair skin ppl

Those with hx of blistering sunburns as a child, those who tan

Question 17

Malignant melanoma has a pot prognosis if found where?

Answer 17

Lesions on hands, feet, scalp

Question 18

Where do most melanoma develop

Answer 18

Initially in epidermis over a long period of time,once it advances to the dermis it is prone to metastasis

Question 19

What is the manifestations of malignant melanoma

Answer 19

Precursor lesions congenital Nevi (moles) which appear during childhood

Question 20

What is the radical growth phase of malignant melanoma

Answer 20

Spreads horizontally and highly curable by surgical excision

Question 21

What is the vertical growth phase of malignant melanoma

Answer 21

Spreads down into dermis and subcutaneous tissue leading to metastasis and fatal outcome

Question 22

What are the most common sites of malignant melanoma for men

Answer 22

Trunk

Question 23

What is a common site of malignant melanoma for woman

Answer 23

Lower extremities

Question 24

What is the ABCD rule

Answer 24

A- asymmetrical
B- border irregularities
C- color variation or black color
D-diameter greater than 6mm (pencil eraser)

Question 25

What immunotherapies can help with malignant melanoma

Answer 25

Interferons
Interleukins
Monoclonal antibodies
BCG is still under investigation

Question 26

What is the background of malignant skin disorders

Answer 26

Most common of all cancers

Arises from epithelial cells