Skin Malignancy Flashcards
What are the general risk factors for skin malignancy?
hx of sunburns/heavy sun exposure
blue/green eyes
light hair
fair
equatorial living
sub-equatorial living
How do you describe BCC?
Pearly or translucent quality of the lesions
BCC in a person of color looks like…
pigmented papule/nodule
rolled border, telangiectasia, erosions
found: head, neck, groin, scrotum, perianal region, feet
How do we treat BCC?
surgical excision
electrodesiccation and curettage
Mohs micrographic surgery
topical agents
Nonhealing ulcer or warty nodule describes…
SCC
SCC is often found in what patients?
prolonged sunc exposure
fair skinned
organ transplant recipients
IC pts
What is a classic appearance of SCC?
keritanized lesion
more often to be on back of hand then BCC
What is unique about SCC in persons of color?
often found in areas not exposed to sun
How we do treat SCC?
surgical excision
Mohs surgery
topical therapy
What is more likely to spread systemically: BCC or SCC?
SCC
What are the risk factors of Melanoma?
p16 mutation
>100 typical nevi or any atypical nevi
family hx
light skin
sun exposure
What are the most common locations of melanoma in caucasians?
back for men
LE and trunk for women
but can occur anywhere
There is a __ relationship between incidence of melanoma and skin color.
inverse
highest amonst caucasians
if melanoma in persons of color: palms, soles, nail beds
What is the ABCDE screening tool?
Asymm
Border
Color (most important)
Diameter
Evolution
How do we treat melanoma?
local excision
surgical intervention
adjuvant tx (interferon alpha, intralesional IL-2)
What conditions can cause clubbing?
internal malignancy
cyanotic heart disease
IBD
Lung Disease
What is Erythroplasia of Queryat?
precrancerous lesion of the penis
predisposition to SCC
