Pestana Skin Surgery

Question 1

Does basal cell carcinoma metz?

Answer 1

NO

Question 2

Where does basal cell carcinoma usually present?

Answer 2

upper part of face (anywhere above lips)

Question 3

Treatment of basal cell carcinoma?

Answer 3

local excision with negative margins (1mm is enough) - curative because it does NOT metz

Question 4

Does squamous cell carcinoma metz?

Answer 4

YES - to LN

Question 5

Where does squamous cell carcinoma usually present?

Answer 5

bottom part of face (anywhere below lips)

Question 6

Treatment of squamous cell carcinoma?

Answer 6

excision with wider margins (0.5 - 2cm) with LN dissection
-or-
radiation treatment

Question 7

Treatment of melanoma that is <1mm deep?

Answer 7

local excision

Question 8

Treatment of melanoma that is >1mm deep?

Answer 8

excision with wide margins (2-3cm)

Question 9

Treatment of melanoma that is 1-4mm?

Answer 9

aggressive therapy (excision with wide margins + LN dissection)

Question 10

Treatment of melanoma that is larger than 4mm?

Answer 10

none - terrible prognosis

Question 11

What is unique about metastatic malignant melanoma?

Answer 11

it can metz to unusual places (LV muscle, duodenal wall, etc) and it has no predictable tiemtable

Question 12

Treatment metastatic malignant melanoma?

Answer 12

IFN