Pestana Skin Surgery

Question 1

What is the most common skin cancer?

Answer 1

Basal Cell Carcinoma?

Question 2

What is the diagnostic test for all skin cancers?

Answer 2

Punch biopsy (full thickness) at the edge of the lesion.

Question 3

A fair skinned white surfer presents with a raised waxy lesion on the upper half of the face? Alternative presentation? Malignant? Treatment?

Answer 3

Basal Cell Carcinoma. A non healing ulcer. Not malignant, but can kill by relentless local invasion? Local excision with 1mm negative margins.

Question 4

A fair skinned white surfer presents with a non healing ulcer on the lower lip. Malignant? Treatment?

Answer 4

Squamous Cell Carcinoma. Can metastaize to lymph nodes. Local excision with 0.5-2cm margins, nodal dissectionand radiation if necessary.

Question 5

ABCDE of Melanoma?

Answer 5

Asymmetric, (irregular) Border, (different) Colors, Diameter (greater than 0.5cm), Expanding.

Question 6

What must be determined by the biopsy report for melanoma? Differences in treatment?

Answer 6

Depth of invasion! 4cm = you’re probably doomed.

Question 7

Where does melanoma predictably metastasize? Adjuvant treatment?

Answer 7

ANYWHERE! Interferon.