path intro to skin Flashcards

Be familiar with the clinical and histologic terms used to describe skin lesions Know the embryologic and morphologic characteristics of melanocytes Know the clinical and histologic presentation of nevocellular nevi and melanoma Know that other pigmented lesions and variants of melanocytic nevi exist Know the epidemiology of melanoma For melanoma, be familiar with the features that carry prognostic significance

1
Q

flat, circumscribed lesion < 0.5 cm

A

macule

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

flat, circumscribed lesion > 0.5 cm

A

patch

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

elevated dome-shaped or flat topped lesion < 0.5 cm

A

papule

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

elevated solid area > 0.5 cm

A

nodule

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

elevated flat-topped area usually > 0.5 cm

A

plaque

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

fluid filled raised area < 0.5 cm

A

vesicle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

fluid filled raised area > .5 cm

A

bullae

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

discrete, pus filled area

A

pustule

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

transient, pritic, erythematosus lesion often pink with whitish center

A

wheal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

cause of wheals

A

edema

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

dry, flaky area on skin

A

scale

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

thickened and rough skin with proninent skin markings

A

lichenifcation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

traumatic lesion with epidermal disruption

A

excoriation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

hyperplasia of stratum corneum

A

hyperkeratosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

kertinization pattern with retentio of nuclei in stratum corneum

A

parakeratosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

epidermal hyperplasia

A

acanthosis

17
Q

abnormal keratinaztion

A

dyskeratosis

18
Q

loss of intercellular connections in epidermis

A

acantholysis

19
Q

increased intercellularedema in epidermis

A

spongiosos

20
Q

incomplete loss of epidermis

21
Q

complete loss of epidermis

A

ulceration

22
Q

origin of melanocytes

A

neural crest

23
Q

patchy loss of melanocytes due to antibodies to them

24
Q

defect in melanin synthesis

25
small tan-red or lih brown macle
ephelis (freckle)
26
local slight hyperplasia of melanocytes
lentigo
27
"mole" term
nevocellular nevus
28
composed of melocytes that have lost dendritic processes
nevocellularnevus
29
nevus with increased risk of melaoma transformation
giant congenital nevus
30
sites of melanoma
skin, oral mucose, anogenital mucosa, esophagus, meinges, eye
31
major risk factors for melanoma
past hx of melanoma brief, intermittent, intesne UV exposure between 10-24 years of age xeroderma pigmentosa
32
familial melanoma gene
CDKN2A on 9p21
33
sporadic melanoma gene
BRAF, PTEN, p16
34
when to suspect a mole maybe a melanoma
``` asymmatry border irregularity multicolored diameter > 6 mm any change ```
35
metastatic potential of melanoma related to...
depth of the tumor
36
most important prognistic indicator of melanoma
sentiniel lymph node