Skin

Question 1

CI to Curettage

Answer 1

Aggressive: Sclerosing, etc/ Invasive
Rich in piloseb units/ Soft texture

Question 2

Indications for MOHS

Answer 2

Recurrence
>2cm
High risk locations: H zone, hands feet
Agressive
Indistinct

Question 3

SCC Risk factors

Answer 3

UV

Med Hx: Prior, Immunos, HPV
Chronic scar
Exposures: Rads, Arsenic, HC

Question 4

Scc Met rist

Answer 4

5%
<2cm 10%
>2cm/ recurrent 30%

Locations: Regional LN, Liver, Lung
Lips ears 10-20%

Question 5

ABCD

Answer 5

Asym, border irregularity, and color variation, diameter >6. and evolution.

Question 6

Melanoma Risk Factors

Answer 6

Env:

UV, Hx of Sunburn

Personal:

Female/

Skin/ Hair/ Moles

Previous or Family hx, Dysplastic, Genetic

IC

Question 7

Types

Answer 7

Superficial Spreading 60%

Nodular 30%

Lentigo malgnia

Nevoid/spitzoid

Question 8

Recommended Sx margins

Recurrance rate?

Margins for recurrange

Answer 8

5%

True scar- inadequate initial excision - reexcision based on depth of bx.

Local reduccance within 2cm or >2cm from lesion distal to LM - lympathetic dx similar prog to recional nodal disease.

tx: complete sx excision to clear margins if possible.

Question 9

Ind for SLNBx

Sx mgmt of Positive SLN/ Clinical

Answer 9

>0.8

Complete lymph node dissection