skin cancers Flashcards
What is the ABCDE criteria?
A) Asymmetrical
B) Irregular borders
C) Color changes
D) Diameter > 6mm
E) Evolving
What is the most fatal form of skin cancer, is increasing faster than any other potentially preventable cancer in the United States?
Melanoma
Risk Factors Melanoma
1) 10 % of melanomas are _______.
2) ⁓10 to 20% arise in association with atypical nevi.
3) >5 clinically atypical nevi = higher risk
4) ____ or more nevi = high risk
5) _________ exposure
1) familial
4) >25
5) Sun or ultraviolet
What is the strongest association for Melanoma
intermittent exposure and sunburn that occurred in adolescence or childhood.
What Issue / Tx
Hx
intermittent exposure and sunburn that occurred in adolescence or childhood.
Presentation
Lesion will be the “Ugly Duckling”, and different than the other nevi.
-1) A) Asymmetrical
-2) B) Irregular borders
-3) C) Color changes
-4) D) Diameter > 6mm
-5) E) Evolving
(a) 30% develop within a pre-existing nevus; 70% develop de novo.
(b) Pigmented lesions may change slowly over months to years or abruptly change.
(c) Pruritus is common early, but most are asymptomatic.
(d) Later symptoms include tenderness, bleeding and ulceration.
Melanoma
Treatment
(a) No treatment in the scope of care for IDC’s!!!
(b) All suspect lesions should be referred to a Medical Officer and warrant biopsy.
(c) Palpate the regional lymph nodes and document findings.
Disposition Melanoma
a) Full Duty with immediate referral to Medical Officer and specialty care (Dermatologist).
(b) Limited duty based on severity and metastasis
Complications Melanoma
(a) Metastasis
(b) Death
Risk Factors Melanoma
1) 10 % of melanomas are _______.
2) ⁓10 to 20% arise in association with atypical nevi.
3) >5 clinically atypical nevi = higher risk
4) ____ or more nevi = high risk
5) _________ exposure
1) familial
4) >25
5) Sun or ultraviolet
