MSRA: SqCC + BCC

Question 1

What are the clinical features of SCC?

Answer 1

Rapidly growing, over weeks to months
Often painful
Keratotic - crusty and scaly
55% on the head and neck
Ulcerative, bleeding nodule

Question 2

What are the characteristics of high risk SCC?

Answer 2

Diameter equal to or greater than 2cm
Location on the ear, lip, central face, hands, feet, genitalia
Elderly or immunosuppressed

Question 3

What are the features of a basal cell carcinoma?

Answer 3

Pink flesh-coloured papule or nodule with surface telangiectasia
Pearly rolled edge
The lesion may have a necrotic or ulcerated centre

Question 4

What are the referral criteria for basal cell carcinoma?

Answer 4

Urgent referral if high risk area e.g. eyelids,nose)
Routine referral if non-high risk location

Question 5

What are the key features of actinic keratoses?

Answer 5

Initially appear as tiny red spots, which later form adherent, crusty, hyperkeratotic scale, skin-coloured/yellow

Question 6

What is the first line management of actinic keratoses?

Answer 6

Fluorouracil cream

Question 7

What is the management of keratocanthoma?

Answer 7

Urgent referral to Derm/urgent surgical excision as difficult to distinguish from SCC clinically