skin cancer Flashcards

You may prefer our related Brainscape-certified flashcards:
1
Q

what do the skin cancer types arise from?

A

SCC - arise from keratinocytes in stratum corneum
BCC - arise from the stratum basale
melanoma - arise from melanocytes§

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2
Q

what is actinic keratosis?
pathogenesis?
which cancer can it lead to?

A
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3
Q

how do actinic keratosis present?
biopsy findings?

A
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4
Q

what is squamous cell carcinoma?

A

2nd most common skin cancer
arises from squamous cells/keratinocytes in epidermis
less than 5% metastasise to regional nodes, rarely metastasis beyond nodes

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5
Q

where does SSC occur?

A

sun-exposed areas
face, lip, ears, hands
DNA damage by UV light

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6
Q

who does SCC occur in?

A

older pts
rare in <45yo
common in >75yo

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7
Q

how does SCC present?

A
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8
Q

what is this?

A

SCC

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9
Q

what are risk factors for SCC?

A
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10
Q

what are the pathology findigns in SCC?

A
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11
Q

what is keratocanthoma?
presentation?
treatment?

A
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12
Q

what is bowen’s disease?

A
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13
Q

what is basal cell carincoma?

A

most common skin cancer
slow growing
rarely metastasise

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14
Q

where does BCC occur?

A

sun-exposed areas

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15
Q

how does BCC present?

A
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16
Q

what is this?

A

BCC

17
Q

what is biopsy findings in BCC?

A

nests of basaxoid dark cells in dermis
palisading nucleus - cells at peripheral of nests lined up in parallel

18
Q

what is superficial BCC?
presentation?

A
19
Q

how do you treat SCC and BCC?

A
20
Q

what is melanoma?
how do you assess it?

A
21
Q

what are the types of melanoma?

A

superficial spreading
nodular
lentigo maligna
acral lentiginous

22
Q

what is superficial spreading melanoma?

A

most common subtype
grows horizontally

23
Q

what is nodular melanoma?

A

aggressive subtype
grows vertically
50% melanoma deaths

24
Q

what is lentigo maligna?
presentation?

A
25
Q

what is acral lentiginous?

A

least common subtype of melanoma
affects palms, feet sole + under nails
most common in dark-skinned patients eg asians, African-americans

26
Q

what are risk factors for melanoma?

A
27
Q

how do you diagnose melanoma?
tumour marker?

A
28
Q

how do you treat melanoma?
how do you grade prognosis?

A

excision with wide margins
can metastasise via blood or lymph. most commonly to lungs, liver + brain

29
Q

what are the gene mutations assoc with melanoma?

A