Malignant Tumors

Question 1

Describe Basal Cell Carcinoma

Answer 1

• most common malginant tumor
• lower lid and slow growing
• pearly borders with central ulceration
  Tx: excision and biopsy, followed by radiation

Question 2

Describe Squamous Cell Carcinoma

Answer 2

• more aggressive, greater potential for metastasis
• no central ulcer
• higher preference for lower lid, typically arises from preexisting AK and h/o sun exposure
• Benign appearance - scaly plaque, nodular and ulcerative

Question 3

Describe Sebaceous gland carcinoma

Answer 3

• usually meibomian gland
• presents as recurring chalazion
• Tx: biopsy of excised chalazia

Question 4

Describe Kaposi’s Sarcoma

Answer 4

• vascular tumor associated with AIDS
• pink to brown, rapid growing
• tends to bleed
  Tx: radiation

Question 5

You have an patient that presents with a malignant tumor on the lower lid. A SLE reveals pearly borders and central ulceration. You do a 1 month follow up and see that the tumor size is unchanged. What is the diagnosis?

A. Basal Cell Carcinoma
B. Squamous Cell Carcinoma
C. Sebaceous Gland Carcinoma
D. Melanoma
E. Kaposi's Sarcoma

Answer 5

A. Basal Cell Carcinoma

Question 6

What is the treatment for Basal Cell Carcinoma?

A. Excision with biopsy followed by radiation
B. Biopsy
C. Radiation

Answer 6

A. Excision with biopsy followed by radiation

Question 7

You have an patient that presents with a malignant tumor on the lower lid. A SLE reveals the tumor to be nodular, scaly-plaque like and ulcerative. You do a 1 month follow up and see that the tumor size has increased noticably. The patient notes that they are out in the sun a lot. What is the diagnosis?

A. Basal Cell Carcinoma
B. Squamous Cell Carcinoma
C. Sebaceous Gland Carcinoma
D. Melanoma
E. Kaposi's Sarcoma

Answer 7

B. Squamous Cell Carcinoma

Question 8

You have an patient that presents with a malignant tumor on the meibomian gland. A SLE reveals the tumor to be a chalazion but reoccurs. What is the diagnosis?

A. Basal Cell Carcinoma
B. Squamous Cell Carcinoma
C. Sebaceous Gland Carcinoma
D. Melanoma
E. Kaposi's Sarcoma

Answer 8

C. Sebaceous Gland Carcinoma

Question 9

You have an patient that presents with a vascular tumor that is pinkish-brown and tends to bleed. The patient comments that tumor has rapidly grown from a week ago. What is the diagnosis?

A. Basal Cell Carcinoma
B. Squamous Cell Carcinoma
C. Sebaceous Gland Carcinoma
D. Melanoma
E. Kaposi's Sarcoma

Answer 9

E. Kaposi’s Sarcoma

Question 10

What is the treatment for Kaposi’s Sarcoma?

A. Excision with biopsy followed by radiation
B. Biopsy
C. Radiation

Answer 10

C. Radiation