Pigmented Lesions Flashcards

1
Q

How late into age do normal moles usually develop and how big are they?

A

6 mos to late 30s

<6mm (pencil eraser)

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

How late into life do atypical moles usually develop and how big are they?

A

6 mos to 20s

> 6 mm but maybe smaller

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

When do melanomas usually develop in life?

A

adulthood but can occur in children

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

What is this lesion?

A

congenital melanocytic nevus (CMN)
- small, medium, large, giant
- increased risk for melanoma
- raised
- can darken over time
- hypertrichosis common
- surgical resection should be attempted before 6 mos

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

Hypertrichosis

A

excessive hair

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

What is this lesion?

A

Intradermal Nevus
- melanocytes in the dermis
- common in adults

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

What are these examples of

A

Common acquired nevi

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

Junctional Nevi
- melanocytes located at dermoepidermal junction
- start in childhood as freckle
- can become more raised and lose pigment throughout age

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

Compound nevi
- features of both junctional and intradermal nevi
- melanocytes in the dermoepidermal junction AND dermis
- raised, uniform, light brown

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

Nevus Spilus
- presents 1st year of life
- hairless, speckled
- vary in size
- transformation to melanoma is rare
- can biopsy areas that are suspicious

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

Becker’s Nevus
- common in males
- onset around puberty
- light brown, slightly elevated, verrucous
- hypertrichotic
- no reported malignancy

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

Halo Nevus
- white border
- children and adults
- located on back usually
- consider biopsy if irregular/suspicious

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

Spitz Nevus
- acquired, solitary, rapidly growing
- pink/red papulonodule
- difficult to distinguish from melanoma
- usually benign and can convolute, treatment controversial

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

Blue Nevus
- macule/papule
- usually <1cm
- dark blue, gray/black
- common on scalp and distal extensor extremities
- can resemble melanoma

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

Actinic Keratosis
- PRE-CANCEROUS
- pink/erythematous papules/thin plaques
- rough, gritty scale
- sun exposed areas, male, age, fair skin
- Tx: Cryo, or refer to derm for Efudex/Aldera, PDT, chemical peel

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

How many Fitzpatrick skin types are there?

A

6 (very fair, fair, medium, olive, brown, black)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

AK can turn into which cancer?

A

Squamous cell carcinoma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q
A

Squamous Cell Carcinoma In Situ (Bowen’s Disease)
- erythematous, hyperkeratotic
- well demarcated patch/plaque
- can resemble eczema/psoriasis
- Tx: ED & C, cryo, 5-FU/Imiquimod, PDT, surgical excision

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q
A

Invasive Squamous Cell Carcinoma
- erythematous, scaly papulonodule/plaque with adherent white scale, eroded
- sun explosed areas
- Tx: wide local excision, Moh’s, ED&C, radiation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q
A

Basal Cell Carcinoma
- most common skin cancer
- pink pearly papule with central depression, telangiectasias, rolled borders
- common on nose
- slow growing, rarely metastasize
- Tx: dependent on type/location, Moh’s, WLE, ED&C, radiation, 5-FU for superficial, Vismodegib for inoperable/metastasized

21
Q

Identify the lesion on the left vs on the right

A

Left: BCC
Right: SCC

22
Q

What are the ABCDEs

A

Asymmetry
Border
Color
Diameter
Evolving

23
Q

What are the subtypes of melanoma

A

Superficial spreading
Nodular
Lentigo Maligna
Acral lentiginous

24
Q
A

Subungual melanoma

25
Treatment of melanoma
Initial - WLE - sentinel lymph node biopsy Advanced - immunotherapy - inhibitors - radiation/chemotherapy
26
Melanoma
27
Kaposi Sarcoma - often affects those with immunodeficiencies (HIV/AIDS) - slow growing violaceous patches - Tx: depends on cause and localization/dissemination
28
What are the types of sunscreen
Physical (blocks/scatters UV and visible light) Chemical (absorbs light and re-emits energy as heat)
29
Superficial spreading melanoma - excisional biopsy
30
Nevus spilous - watch/reassure
31
Halo Nevus - watch/reassure (biopsy if concerning)
32
Becker's Nevus - reassurance/cosmetic follow up
33
Atypical nevus - punch biopsy
34
Spitz vs Basal CC - biopsy or refer to derm
35
Seborrheic keratosis
36
Intradermal nevus
37
Seborrheic keratosis
38
Nodular Melanoma - biopsy
39
Seborrheic keratosis
40
melanoma - biopsy
41
intradermal nevus
42
melanoma - biopsy
43
SCC - biopsy
44
SCC - biopsy
45
SCC - biopsy
46
BCC - refer to derm (location)
47
Melanoma - refer to derm
48
Blue nevus vs melanoma - biopsy or refer to derm