Malignant Tumors of the Skin Flashcards

1
Q

The majority of BCCs are due to _______.

A

loss of function of PTCH1, which normally blocks a transmembrane protein called smoothened

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2
Q

An inhibitor of SMO was recently approved, called _______, to treat BCC.

A

vismodegib

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3
Q

_________ is a precancerous lesion.

A

Actinic keratosis (treated with liquid N2)

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4
Q

The second-most common skin cancer is ______.

A

squamous cell carcinoma, second to BCC

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5
Q

What are the three subtypes of SCC?

A

Invasive, keratoacanthoma, and SCC in situ (Bowen’s disease)

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6
Q

Skin cancer is much more common in ______ patients.

A

transplant patients or those who are otherwise immunosuppressed

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7
Q

The most important prognostic indicator of melanoma is ________.

A

the Breslow depth, measured from the surface of the skin to the maximum depth of the tumor

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8
Q

Most moles have a ______ mutation.

A

BRAF

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9
Q

Kaposi’s sarcoma is actually a cancer of the _______.

A

endothelial cells

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10
Q

Most BCCs arise from mutations in the _______ pathway.

A

Hedgehog (resulting in overexpression of Smoothened)

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11
Q

Roughly 20% of actinic keratoses transform to ________.

A

squamous cell carcinoma

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12
Q

SCCs happen more commonly in ________ patients.

A

immunosuppressed

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13
Q

SCC risk usually correlates to _______, while BCC risk usually correlates to ______.

A

total lifetime UV exposure; intermittent sunburn frequency

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14
Q

Men are at an ________ risk for both subtypes of NMSC.

A

increased

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15
Q

Smoking increases your risk of ______, but not ______.

A

SCC; BCC

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16
Q

Many tumor cells express _______, a target of immune therapy.

A

PD-L1

17
Q

The most common type of melanoma is ________.

A

superficial spreading

18
Q

__________ is used to treat melanoma with BRAF mutations.

A

Vemurafenib