melanoma

Question 1

Differential for a pigmented lesion on the hard patate?

Answer 1

Melonocytic nevus, melanotic macula, melanoma

Question 2

what is a melanotic macule?

Answer 2

Normal cells types with too much melanin, basically hyperpigmented.

Question 3

Melanocytic nevus?

Answer 3

nevus cells are present instead of melanocytes. Produce

Question 4

what is a melanoma?

Answer 4

Malignant Neoplasm of melanocytic origin?

Question 5

Types of melanoma

Answer 5

Superficial spreading
Nodular
lentigo maligna
acral lengtiginous melanoma

Question 6

What is the most common form of oral mucosa melanoma?

Answer 6

Acral lengtiginous melanoma

Question 7

classification system for melanoma depths

Answer 7

Breslow classification
Melanoma in situe 0.5
>1mm margin of resection 1cm
1-2 mm Margin of resection 1-2
>2mm Margin of resection 2cm

Question 8

Mucosal melanoma TNM classifications?

Answer 8

T3 or T4, No or N1 or M0 M1.
Mucosal melanoma are automatically stage 3.

Question 9

resection margin for mucosal melanoma

Answer 9

3cm. Usually want to do a sentinal node biopsy.

If you have any lymph nodes then neck dissection.

Question 10

what are the abcdes of melanoma

Answer 10

asymmetry
border irregularity
color variation
diameter >6mm
evolving lesions