Management of Skin TUmours Flashcards
what do dermatofibromas look like and are they removed?
firm nodule
pigmented edge
not removed
what lesions are left alone?
dermatofibromas
basal cell papilloma
are bullous pemphigoid blisters biopsied?
yes
helpful to confirm diagnosis by showing fluid between layers
when is a rash biopsied?
to look for a diagnosis
however different things can look the same or the same thing can look different (i.e drug eruption can cause diff symptoms)
topical cancer treatment?
imiquimod cream (often only used if patient denies surgery)
precancer lesions treatments?
cryotherapy solaraze 5 FU PDT resurfacing imiquimod
what is done for melanoma?
excision biopsy
- KEY TERM
further surgery, radio/chemo therapy if needed (mets etc)
how can steroids affect surgery?
increased infection risk
poor wound healing
can affect diabetes
affect of aspirin in surgery?
bleeding risk
how does smoking affect surgery?
poor wound healing
3 bad areas for surgery (Tiger Areas)?
temple - superficial temple artery
front of ear - facial nerve
side of neck - nerve fibres can inhibit shoulder movement
injury to face causing patch of numbness in middle of cheek, what is damaged?
maxillary division of trigeminal nerve
sudden loss of movement of half of face, what is damaged?
facial nerve
types of local anaesthetic?
topical - good superficially but not great
subcutaneous injection (below dermis)
nerve block
field block
what is the most common anaesthetic?
lignocaine (amide)
used with adrenaline