Melanoma Flashcards

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1
Q

def

A

malignant tumour from melanocytes

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2
Q

epi

A

common
high sun exposure
young adults

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3
Q

where are melanomas commonly found

A

in sun-exposed areas in fair-skinned people

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4
Q

what does melanoma arise from

A

malignant tumour from melanocytes

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5
Q

what are melanocytes

A

pigment producing cells

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6
Q

where are melanocytes found

A

skin, eye, CNS

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7
Q

aetiology

A

genetic and environmental factors
1 genetic
-fair skin
-specific melanoma related genes such as CDKN2A
2 environment
-excessive exposure to sunlight and artifical UV (tanning beds)

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8
Q

what is the most common form of melanoma

A

superficial spreading melanoma

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9
Q

what are the three most common forms of melanoma

A

1 superficial spreading melanoma
2 nodular melanoma
3 lentigo maligna melanoma

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10
Q

who is superficial spreading melanoma usually seen in

A

middle age

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11
Q

who is nodular melanoma and lentigo maligna melanoma usually seen in

A

older people

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12
Q

what distinguishes nodular melanoma and lentigo maligna melanoma

A

nodular melanoma is nodular and rapid growth

lentigo maligna melanoma is slow growth

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13
Q

risk factor

A

PMH or FH of melanoma, skin cancer, or irregular naevi
fair skin
sun exposure and sun bed use

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14
Q

history

A
skin lesion with:
Asymmetry of lesion
Border irregularity
Colour variability
Diameter >6mm
Evolution

a pigmented lesion with asymmetric appearance, irregular borders

many moles which are >6mm in diameter, irregular pigmentation bordes

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15
Q

what is hutchinsons sign

A

darkened vertical bands in the nail bed

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16
Q

investigations

A

a clinical diagnosis is made however biospy is used to confirm this: abnormal melanocytic proliferation in the epidermis