Skin Cancer Flashcards
Basal Cell Carcinoma: (BCC)
What is it?
What are its risk factors?
How does it present?
How is it managed?
N.B. Most common type of skin cancer
➊ Locally invasive, slow-growing tumour of epidermal keratinocytes
➋ • Fair skin
• Hx of frequent/severe sun burns
• Outdoor occupation or hobbies
• Personal/family hx of skin cancer
• Increasing age
➌ • Small, shiny, skin-coloured nodule with a central depression
• Rolled edge
• Surface telangiectasia
• No pain or bleeding
• Typically on sun-exposed areas
➍ Surgical excision
Squamous Cell Carcinoma: (SCC)
What is it?
What are its risk factors?
How does it present?
How is it managed?
➊ Locally invasive malignant tumour of epidermal keratinocytes
➋ • Fair skin
• Hx of frequent/severe sun burns
• Outdoor occupation or hobbies
• Personal/family hx of skin cancer
• Increasing age
➌ • Irregular, ill-defined red nodule with scale and ulceration
• Can be painful or bleeding
• Typically on sun-exposed areas
➍ Surgical excision
Melanoma:
How does it present?
What should be done if suspected?
What’s its main prognostic tool?
How is it managed?
➊ ABCDE:
• Asymmetry
• Border irregularity
• Colour variation
• Diameter > 6mm
• Evolves over time
➋ 2 wk wait referral to dermatologist
➌ Breslow’s thickness
➍ Surgical excision
N.B. Most (70%) start off with superfical spreading before spreading vertically in the later stages.
