SKIN CANCER Flashcards
0
Q
Clinical presentation of melanoma? Mc site? Metastases? Late signs?
A
ABCDE: assymmetrical, irregular border, colour variation, diameter > 6mm, evolving
Site: MC back in males, calves in females
Late signs: bleeding, ulceration, pain
Metastases: BBLL
1
Q
What are the types of melanoma?
A
Superficial spreading
Nodular
Lentigno maligns
Acral lentiginous
2
Q
What Ix? How do you stage melanomas?
A
Excision all biopsy with 2mm margin.
Breslow thickness.
T1 - 4mm
3
Q
How do you treat melanomas?
A
I + II -> wide excision and sentinel node biopsy +/- complete lymphadenectomy
III -> wide excision, lymphadenectomy and adjuvant radiotherapy (radio to reduce recurrence)
IV -> surgical resection, chemotherapy or immunomodulators (IL-2)
