Skin Cancer - H&N

Question 1

List the 4 layers of the epidermis:

Answer 1

1. Basal
2. Spinous
3. Granular
4. Cornified

Question 2

List the 4 cells types of the epidermis:

Answer 2

1. Keratinocytes (80%)
2. Melanocytes
3. Langerhans cells
4. Merkel cells

Question 3

What are the 3 main types of primary skin cancer?

Answer 3

1. Basal Cell Carcinoma (BCC)
2. Squamous Cell Carcinoma (SCC)
3. Melanoma

Question 4

List 4 risk factors of skin cancer:

Answer 4

1. UV radiation - sun exposure
2. Skin type
3. Age
4. Family history

Question 5

What is the most common type of skin cancer?

Answer 5

Basal Cell Carcinoma (>80%)

Question 6

Give 3 features which BCC present as:

Answer 6

Raised lesion with pearly nodule depression
Can ulcerate
Can bleed

Question 7

Give 3 presentation factors of SCC:

Answer 7

1. Indurated
2. Crusting
3. Ulcerative

Question 8

What does the ABCDE criteria for melanoma include?

Answer 8

A - Asymmetry - not symmetrical in shape
B - Border - irregular/uneven
C - Colour - brown, red, black
D - Diameter - >6mm
E - Evolving - new lesion/changing

Question 9

If a patient presents with 1 or more of the ABCDE criteria what is the protocol?

Answer 9

1 feature = raise alertness
2 features = urgent referral