Pathology - Disorders of Pigmentation and Melanocytes Flashcards

1
Q

Def: small tan/brown macules d/t increased numbers of melanosomes that darken w/ sunlight exposure

A

Ephelis (Freckle)

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2
Q

What is Dysplastic Nevus Syndrome

A

AD disorder w/ formation of dysplastic Nevi that may progress to Melanoma *> 5mm, in non-sun exposed areas

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3
Q

What are the 4 variants of Melanoma

A

Superficial spreading - MC, radial growth Lentigo Malinga Melanoma - radial growth Nodular - early vertical growth Acral Lentiginous - on palms/soles of dark-skinned persons

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4
Q

Def: mask-like hyperpigmentation of the cheeks

A

Melasma

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5
Q

What are the Sx’s of Melanoma

A

A - asymmetry B - borders irregular C - color not uniform D - diameter > 6mm E - evolving

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6
Q

Which variant of Melanoma is not assc w/ UV light exposure

A

Acral Lentiginous

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7
Q

Melanoma is the MC…

A

Cause of death d/t skin cancer

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8
Q

What is Breslow thickness

A

Depth of extension of Melanoma into the dermis *Most important prognostic factor

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9
Q

Melasma is assc w/…

A

Pregnancy OCPs

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10
Q

What are melanocytes derived from

A

Neural crest cells

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11
Q

Hist: atypical melanocytes in nests and single cell arrays at the DE

A

Melanoma

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12
Q

Congenital Nevi are assc w/…

A

Hair

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13
Q

Def: Congenital lack of pigmentation d/t defective tyrosinase function

A

Albinism

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14
Q

Def: autoimmune destruction of melanocytes causing localized loss of skin pigmentation

A

Vitiligo

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15
Q

Def: benign neoplasm of melanocytes w/ a symmetric papule w/ sharp borders and evenly distributed color and < 6mm

A

Nevus (mole)

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16
Q

How is skin pigmentation created

A

Melanocytes synthesize melanin (using tyrosine) in melanosomes then pass the melanosomes to keratinocytes

17
Q

What are the 2 stages of growth in Melanoma

A

Radial - along DE Vertical - into dermis

18
Q

What is a dysplastic Nevus

A

Precursor to Melanoma

19
Q

What are the 3 types of acquired Nevi

A

Junctional - DE junction (MC in kids) Compound - DE and dermis Intradermal - DE part is lost (MC in adults)

20
Q

Def: malignant neoplasm of melanocytes

A

Melanoma

21
Q

Albinism is assc w/ an increased risk of…

A

SCC BCC Melanoma