SKIN / SOFT TISSUE

Question 1

Tumor markers for melanoma

Answer 1

LDH is the only lab of marker

These are pathology markers:

s 100
Melan A
MIT F

Question 2

What is the anatomic issue identified at the level of cloque snowed

Answer 2

Cribriform fascia

Ilioinguinal ligament junction and cribriform fashion

Question 3

What stage is a positive node and melanoma

Answer 3

Just like colon cancer

Stage III

Question 4

dermatofibrosarcom protubrans

Answer 4

Most common abdominal Sarcoma?

Either CT scan or MRI

Does not need extensive work in less high-grade

Locally aggressive unlikely to metastasize

5 cm margins! Unless in atomic constraints(e.g. anus)

XRT for close margin

tend to recure

Question 5

Submucosal lesion in the stomach is usually what

Answer 5

GIST

Question 6

What medication might a patient need with carcinoid syndrome

Answer 6

Octreotide

seratonin syndrome

Question 7

Define satellite lesion melanoma

What is treatment

Answer 7

Satellite orbit around the lesion local

re-stage!

Re-excise

Question 8

Pathology markers for melanoma

Answer 8

b-raf

veg-f - wild type

s100
(not s125 which is ovary)

Question 9

Chemotherapy possibilities for melanoma when is a given

Answer 9

Any stage III
(like Colin cancer, node positive)

High-dose interferon

(other chemo: cisplatin, carbez)

Yurvoy

Dabrafenib
“just a dab of b-raf enib”

Question 10

Treatment of melanoma with bilateral pulmonary metastases

Answer 10

Confirm his biopsy

Downstage of chemo