Skin cancer

Question 1

Basal cell carcinoma is also known as…

Answer 1

Rodent ulcer

Question 2

Does BCC commonly metasatsise?

Answer 2

No (tends to be only locally invasive)

Question 3

Where on the body does a BCC typically occur?

Describe the typical appearance of a BCC (using the SCCAM model)

Answer 3

Head/neck

• Size: variable
• Configuration: single discrete lesion; regular round shape; well-demarcated border
• Colour: skin-coloured/pink, pearly
• Associated secondary features: telangiectasia; may ulcerate
• Morphology: nodule

Question 4

Describe the management of BCC

Answer 4

Surgical excision

Question 5

Which age group does BCC most commonly affect?

Answer 5

Older adults

Question 6

Is BCC typically slow or fast-growing?

Answer 6

Slow-growing

Question 7

Does squamous cell carcinoma commonly metastasise?

Answer 7

It has the potential to metastasise

Question 8

SCC tends to ulcerate… True or false

Answer 8

True

Question 9

Describe the management of SCC (which has not metastasised)

Answer 9

Surgical excision

Question 10

Describe the pathophysiology of malignant melanoma

Answer 10

Malignant tumour of the melanocytes

Question 11

Describe the typical appearance of a malignant melanoma (using the ABCDE model)

Which associated secondary features may be present on inspection?

Answer 11

A - Asymmetrical
B - irregular Border
C - more than 2 Colours present
D - Diameter more than 6mm
E - Elevation/Evolution

Associated secondary features: excoriation (itchy), crusting, bleeding

Question 12

Does malignant melanoma commonly metastasise?

Answer 12

Yes

Question 13

Describe the management of malignant melanoma (which has not metastasised)

Answer 13

Surgical excision