Plastics pathology Flashcards
Erythema nodosum
Crohn’s disease
Pyoderma gangrenosum
Ulcerative colitis
Marjolin’s ulcer
Risk of malignant transformation to SCC
Pyogenic granulosa
Trauma
Painless
Malignancy associated with acanthuses nigricans
Gastric adenocarcinoma
Skin cancer most common on upper lip
BCC
Skin cancer most common on lower lip
SCC
Most common skin cancer
BCC
Most common skin cancer post-transplant
SCC
Keratocanthoma
Rapidly growing ulcerated nodule with keratin plus
Inheritance of malignant melanoma
Autosomal dominant
CDK4 and CDKN2A
Tumour marker for malignant melanoma
S100+ve
How can you increase negative margin rates for excision of skin cancer?
Frozen section
Moh’s microsurgery
Curling ulcer
Duodenal/gastric erosion due to:
Burns
Hypoalbuminaemia
Hypovolemia
When to use Parkland’s?
Adults - burns > 15%
Child - burns > 10%
Parklands for adults
2ml/kg/%TBSA
Parklands for paeds
3ml/kg/%TBSA
Parklands for electrical burns
4ml/kg/%TBSA