Plastic Surgery Flashcards
risk factors for malignant melanoma
- pale skin, freckles, fair hair
- multiple benign neavi
- atypical neavi
- UV exposure, sunburns
- family history of malignant melanoma
- immunosuppression
what is the glasgow scoring system for skin lesion referral?
Needs 3 or more to be referred to specialist:
MAJOR (2 points)
- changing in size
- irregular pigment
- irregular border
MINOR (1 point)
- Diameter > 7
- Inflammation
- Itching/altered sensation
- Oozing/bleeding/crusting
what is the most common type of melanoma?
-superficial spreading melanoma
where are the most common sites for a superficial spread melanoma?
FEMALE -legs
MALE - back
how does nodular melanoma present?
Black/brown nodule with associated areas of ulceration/bleeding
Lentigo maligna melanoma AKA
hutchingsons freckle
who/where is lentigo maligna melanoma present?
eldery people - face
in which population is acral lentiginous melanoma most common?
Dark-skinned people
where does acral lentiginous melanoma tend to occur?
- palms/soles
- nails
Managment of melanoma
- wide local excision of 1- 2 cm
- sentinal lymph node biopsy
- Adjuctive immunotherapy / radiotherapy
- For recurrence: isolated limb perfusion chemotherapy
Ix for melanoma
- excisional biopsy with 2 mm margin
- staging CT for all melanomas > 1mm
- baseline bloods
which locations of SCC tend to spread earlier?
-lip, ear, perineum
how does SCC spread?
lymphatics
appearance of an epidermal burn?
- erythematous, bright/shiny
- brisk cap refill
appearance of a partial thickness burn?
- dark red, blotchy, blisters
- slow cap refill
