Podcast
Questions and Answers
What is a key characteristic of seborrheic keratosis?
What is a key characteristic of seborrheic keratosis?
- Rapidly changing size and color
- Keratinocytes with atypia and mitoses
- Asymmetric pigmented pattern
- Presence of prominent horn cysts (correct)
What best describes the surface appearance of a seborrheic keratosis?
What best describes the surface appearance of a seborrheic keratosis?
- Very red, raised and inflamed with scaly edges
- Flat-topped to exophytic, with a 'stuck-on' appearance (correct)
- Deeply nodular and sharply demarcated
- Smooth and flat with a uniform color
Which of the following is NOT a typical characteristic of a benign melanocytic lesion?
Which of the following is NOT a typical characteristic of a benign melanocytic lesion?
- Symmetric shape
- Homogenous color
- Distinct border
- Rapidly changing size (correct)
What is the origin of seborrheic keratosis?
What is the origin of seborrheic keratosis?
Which term best describes the appearance of a seborrheic keratosis when viewed from the side?
Which term best describes the appearance of a seborrheic keratosis when viewed from the side?
What is an alternative term for nevus?
What is an alternative term for nevus?
Regarding the keratinocytes of a seborrheic keratosis, which statement is true?
Regarding the keratinocytes of a seborrheic keratosis, which statement is true?
What is the significance of the 'string sign' in the context provided?
What is the significance of the 'string sign' in the context provided?
A melanocytic nevus that involves both the epidermis and dermis is classified as which of the following?
A melanocytic nevus that involves both the epidermis and dermis is classified as which of the following?
In a benign melanocytic nevus, how do the melanocytes typically change as they descend deeper within the skin?
In a benign melanocytic nevus, how do the melanocytes typically change as they descend deeper within the skin?
Which of the following is a typical characteristic of a benign melanocytic nevus?
Which of the following is a typical characteristic of a benign melanocytic nevus?
According to the text provided, what is the most common subtype of cutaneous melanoma?
According to the text provided, what is the most common subtype of cutaneous melanoma?
Where does superficial spreading melanoma have a predilection in females?
Where does superficial spreading melanoma have a predilection in females?
If a patient presents with multiple pigmented lesions, which characteristic of a lesion would be of most concern?
If a patient presents with multiple pigmented lesions, which characteristic of a lesion would be of most concern?
A melanocytic nevus that is confined only to the dermis is referred to as which type of nevus?
A melanocytic nevus that is confined only to the dermis is referred to as which type of nevus?
Which of the following statements accurately describes the characteristics of pyogenic granuloma?
Which of the following statements accurately describes the characteristics of pyogenic granuloma?
What is the primary defect associated with Xeroderma Pigmentosum?
What is the primary defect associated with Xeroderma Pigmentosum?
Which statement regarding infantile hemangiomas is INCORRECT?
Which statement regarding infantile hemangiomas is INCORRECT?
What is the most common location for cherry angiomas?
What is the most common location for cherry angiomas?
Which of the following is NOT a characteristic feature of Nevoid Basal Cell Carcinoma Syndrome (Gorlin syndrome)?
Which of the following is NOT a characteristic feature of Nevoid Basal Cell Carcinoma Syndrome (Gorlin syndrome)?
What is the key difference between superficial and deep infantile hemangiomas?
What is the key difference between superficial and deep infantile hemangiomas?
Which skin condition is linked to mutations in the CDKN2A genes?
Which skin condition is linked to mutations in the CDKN2A genes?
What is the typical clinical presentation of a seborrheic keratosis?
What is the typical clinical presentation of a seborrheic keratosis?
What is the most significant prognostic factor for melanoma?
What is the most significant prognostic factor for melanoma?
What is the underlying mechanism of Kaposi sarcoma?
What is the underlying mechanism of Kaposi sarcoma?
Which of the following statements correctly describes the typical characteristics of a nevus?
Which of the following statements correctly describes the typical characteristics of a nevus?
What is a key microscopic feature of basal cell carcinoma on biopsy?
What is a key microscopic feature of basal cell carcinoma on biopsy?
What is the term for a common, benign vascular tumor that arises following minor trauma or foreign body insertion?
What is the term for a common, benign vascular tumor that arises following minor trauma or foreign body insertion?
Which of the following is NOT a risk factor for the development of infantile hemangiomas?
Which of the following is NOT a risk factor for the development of infantile hemangiomas?
Which of the following is a key characteristic associated with seborrheic keratosis?
Which of the following is a key characteristic associated with seborrheic keratosis?
Which subtype of melanoma is most prevalent in dark-skinned races?
Which subtype of melanoma is most prevalent in dark-skinned races?
What histopathologic feature distinguishes melanoma from a nevus?
What histopathologic feature distinguishes melanoma from a nevus?
Which feature is a characteristic of melanoma compared to a nevus?
Which feature is a characteristic of melanoma compared to a nevus?
Which histopathologic feature is considered most crucial for melanoma prognosis?
Which histopathologic feature is considered most crucial for melanoma prognosis?
BRAF V600E mutation is most commonly associated with which condition?
BRAF V600E mutation is most commonly associated with which condition?
Which type of treatment may be beneficial for patients with unresectable melanoma?
Which type of treatment may be beneficial for patients with unresectable melanoma?
What indicates pagetoid spread in melanoma?
What indicates pagetoid spread in melanoma?
Which type of skin cancer is most commonly diagnosed?
Which type of skin cancer is most commonly diagnosed?
What is actinic keratosis primarily related to?
What is actinic keratosis primarily related to?
What percentage of actinic keratosis lesions might progress to squamous cell carcinoma if left untreated?
What percentage of actinic keratosis lesions might progress to squamous cell carcinoma if left untreated?
Which of the following is a characteristic of squamous cell carcinoma in situ (SCCIS)?
Which of the following is a characteristic of squamous cell carcinoma in situ (SCCIS)?
What is the most common cause of squamous cell carcinoma?
What is the most common cause of squamous cell carcinoma?
In which condition is squamous cell carcinoma more likely to occur?
In which condition is squamous cell carcinoma more likely to occur?
Which type of UV radiation is primarily responsible for sunburn?
Which type of UV radiation is primarily responsible for sunburn?
Which of the following characteristics is typically associated with invasive squamous cell carcinoma?
Which of the following characteristics is typically associated with invasive squamous cell carcinoma?
What is a common feature of invasive squamous cell carcinoma compared to basal cell carcinoma?
What is a common feature of invasive squamous cell carcinoma compared to basal cell carcinoma?
What is a common characteristic feature of basal cell carcinoma?
What is a common characteristic feature of basal cell carcinoma?
Which statement accurately describes basal cell carcinoma?
Which statement accurately describes basal cell carcinoma?
Which of the following features is NOT associated with basal cell carcinoma?
Which of the following features is NOT associated with basal cell carcinoma?
What role does sun exposure play in basal cell carcinoma?
What role does sun exposure play in basal cell carcinoma?
Which of the following statements about actinic keratosis is true?
Which of the following statements about actinic keratosis is true?
What is a typical appearance of a pigmented basal cell carcinoma?
What is a typical appearance of a pigmented basal cell carcinoma?
What is a critical factor in the progression of actinic keratosis?
What is a critical factor in the progression of actinic keratosis?
Which feature indicates that basal cell carcinoma is locally aggressive?
Which feature indicates that basal cell carcinoma is locally aggressive?
Which of the following statements about seborrheic keratosis is correct?
Which of the following statements about seborrheic keratosis is correct?
What is a significant risk factor associated with the development of skin cancers?
What is a significant risk factor associated with the development of skin cancers?
Which of the following best describes actinic keratosis?
Which of the following best describes actinic keratosis?
Which environmental factor is most significantly implicated in the development of skin cancers?
Which environmental factor is most significantly implicated in the development of skin cancers?
Which characteristic is typically associated with squamous cell carcinoma compared to basal cell carcinoma?
Which characteristic is typically associated with squamous cell carcinoma compared to basal cell carcinoma?
Which type of melanocytic nevus is confined to the dermis?
Which type of melanocytic nevus is confined to the dermis?
What is the most common subtype of cutaneous melanoma?
What is the most common subtype of cutaneous melanoma?
Which feature is indicative of a benign melanocytic nevus?
Which feature is indicative of a benign melanocytic nevus?
What type of characteristic do deeper melanocytes exhibit in a benign nevus?
What type of characteristic do deeper melanocytes exhibit in a benign nevus?
In which location is superficial spreading melanoma most commonly found in females?
In which location is superficial spreading melanoma most commonly found in females?
What histological feature of a benign melanocytic nevus indicates maturation of melanocytes?
What histological feature of a benign melanocytic nevus indicates maturation of melanocytes?
Which statement describes a characteristic that is NOT typical of an atypical nevus?
Which statement describes a characteristic that is NOT typical of an atypical nevus?
What histopathologic feature differentiates melanoma from a benign nevus regarding maturation?
What histopathologic feature differentiates melanoma from a benign nevus regarding maturation?
Which subtype of melanoma is most commonly found in individuals with darker skin tones?
Which subtype of melanoma is most commonly found in individuals with darker skin tones?
Which of the following features indicates the presence of pagetoid spread in melanoma?
Which of the following features indicates the presence of pagetoid spread in melanoma?
What is the most significant prognostic factor in melanoma among the given options?
What is the most significant prognostic factor in melanoma among the given options?
What cytological feature is typically absent in a benign nevus compared to melanoma?
What cytological feature is typically absent in a benign nevus compared to melanoma?
Which BRAF mutation is commonly associated with melanoma?
Which BRAF mutation is commonly associated with melanoma?
Which of the following treatments is most effective for patients with unresectable melanoma?
Which of the following treatments is most effective for patients with unresectable melanoma?
How do melanocytes appear in melanoma compared to a benign nevus?
How do melanocytes appear in melanoma compared to a benign nevus?
Which of the following characteristics is typical of basal cell carcinoma?
Which of the following characteristics is typical of basal cell carcinoma?
What histologic feature is characteristic of basal cell carcinoma?
What histologic feature is characteristic of basal cell carcinoma?
Which statement accurately reflects the prognosis of basal cell carcinoma?
Which statement accurately reflects the prognosis of basal cell carcinoma?
How does sun exposure contribute to the development of basal cell carcinoma?
How does sun exposure contribute to the development of basal cell carcinoma?
Which of the following options describes the appearance of 'pigmented' basal cell carcinoma?
Which of the following options describes the appearance of 'pigmented' basal cell carcinoma?
Which lesion is characterized by flat-topped to exophytic papules that are often described as 'warty'?
Which lesion is characterized by flat-topped to exophytic papules that are often described as 'warty'?
What is the risk of untreated actinic keratosis transforming into squamous cell carcinoma?
What is the risk of untreated actinic keratosis transforming into squamous cell carcinoma?
What is a key histological feature of seborrheic keratosis?
What is a key histological feature of seborrheic keratosis?
Which of the following is NOT a clinical feature of basal cell carcinoma?
Which of the following is NOT a clinical feature of basal cell carcinoma?
What role do genetic factors play in basal cell carcinoma?
What role do genetic factors play in basal cell carcinoma?
Which of the following describes the key differences in the behavior of keratinocytes in seborrheic keratosis compared to malignant lesions?
Which of the following describes the key differences in the behavior of keratinocytes in seborrheic keratosis compared to malignant lesions?
What color range do seborrheic keratoses typically exhibit?
What color range do seborrheic keratoses typically exhibit?
Which clinical characteristic is associated with benign melanocytic lesions?
Which clinical characteristic is associated with benign melanocytic lesions?
Which of the following terms describes a common benign skin lesion derived from melanocytes?
Which of the following terms describes a common benign skin lesion derived from melanocytes?
What is a notable characteristic of keratinocytes within seborrheic keratosis?
What is a notable characteristic of keratinocytes within seborrheic keratosis?
Which benign skin lesion is described as potentially being pigmented and raised?
Which benign skin lesion is described as potentially being pigmented and raised?
What is a common clinical presentation of squamous cell carcinoma (SCC)?
What is a common clinical presentation of squamous cell carcinoma (SCC)?
What characteristic microscopically differentiates invasive squamous cell carcinoma from squamous cell carcinoma in situ?
What characteristic microscopically differentiates invasive squamous cell carcinoma from squamous cell carcinoma in situ?
What is the primary mechanism contributing to the development of squamous cell carcinoma?
What is the primary mechanism contributing to the development of squamous cell carcinoma?
In which patient population is the risk of developing squamous cell carcinoma heightened?
In which patient population is the risk of developing squamous cell carcinoma heightened?
Which feature is specifically associated with the appearance of squamous cell carcinoma in situ (SCCIS)?
Which feature is specifically associated with the appearance of squamous cell carcinoma in situ (SCCIS)?
What type of UV radiation is primarily responsible for tanning and photoaging of the skin?
What type of UV radiation is primarily responsible for tanning and photoaging of the skin?
What is a distinguishing histological feature of non-invasive squamous cell carcinoma (SCCIS)?
What is a distinguishing histological feature of non-invasive squamous cell carcinoma (SCCIS)?
Which characteristic is least likely to be observed in invasive squamous cell carcinoma (SCC)?
Which characteristic is least likely to be observed in invasive squamous cell carcinoma (SCC)?
Flashcards
Actinic Keratosis
Actinic Keratosis
A precancerous skin lesion, often linked to prolonged sun exposure. A small percentage may progress to squamous cell carcinoma if left untreated.
Squamous Cell Carcinoma (SCC)
Squamous Cell Carcinoma (SCC)
A type of skin cancer that originates in the squamous cells of the epidermis. It typically appears as a scaly, reddish plaque or nodule.
Squamous Cell Carcinoma in situ (SCCIS)
Squamous Cell Carcinoma in situ (SCCIS)
A type of skin cancer that originates in the squamous cells of the epidermis. It is characterized by abnormal keratinocytes, involving the full thickness of the epidermis, and mitosis throughout the epidermis.
Invasive Squamous Cell Carcinoma
Invasive Squamous Cell Carcinoma
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Compound Melanocytic Nevus
Compound Melanocytic Nevus
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Intradermal Melanocytic Nevus
Intradermal Melanocytic Nevus
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Benign Melanocytic Nevus
Benign Melanocytic Nevus
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Melanoma
Melanoma
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Superficial Spreading Melanoma
Superficial Spreading Melanoma
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Nodular Melanoma
Nodular Melanoma
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Lentigo Maligna Melanoma
Lentigo Maligna Melanoma
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Acral Lentiginous Melanoma
Acral Lentiginous Melanoma
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Seborrheic Keratosis
Seborrheic Keratosis
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String Sign
String Sign
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Seborrheic Keratosis
Seborrheic Keratosis
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Nevus
Nevus
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Seborrheic Keratosis: Atypical Features
Seborrheic Keratosis: Atypical Features
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Seborrheic Keratosis: String Sign
Seborrheic Keratosis: String Sign
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Benign Pigmented Lesions
Benign Pigmented Lesions
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Nevus
Nevus
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What is Acral Lentiginous Melanoma?
What is Acral Lentiginous Melanoma?
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What is Pagetoid Spread?
What is Pagetoid Spread?
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How does a melanoma cell compare to a nevus cell in terms of maturation?
How does a melanoma cell compare to a nevus cell in terms of maturation?
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How do mitoses affect melanoma prognosis?
How do mitoses affect melanoma prognosis?
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Which histopathologic feature of melanoma is most crucial for prognosis?
Which histopathologic feature of melanoma is most crucial for prognosis?
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What is the significance of the BRAF V600E mutation in melanoma?
What is the significance of the BRAF V600E mutation in melanoma?
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How are BRAF inhibitors used in melanoma treatment?
How are BRAF inhibitors used in melanoma treatment?
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Which skin cancer is most commonly diagnosed via biopsy?
Which skin cancer is most commonly diagnosed via biopsy?
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What is Basal Cell Carcinoma?
What is Basal Cell Carcinoma?
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How do you recognize BCC under a microscope?
How do you recognize BCC under a microscope?
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What do you see in a BCC biopsy?
What do you see in a BCC biopsy?
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What is Actinic Keratosis (AK)?
What is Actinic Keratosis (AK)?
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How does Actinic Keratosis look under a microscope?
How does Actinic Keratosis look under a microscope?
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Does Actinic Keratosis always turn into cancer?
Does Actinic Keratosis always turn into cancer?
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Is Basal Cell Carcinoma life-threatening?
Is Basal Cell Carcinoma life-threatening?
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What causes Basal Cell Carcinoma?
What causes Basal Cell Carcinoma?
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Xeroderma Pigmentosum
Xeroderma Pigmentosum
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Nevoid Basal Cell Carcinoma Syndrome (Gorlin Syndrome)
Nevoid Basal Cell Carcinoma Syndrome (Gorlin Syndrome)
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Dysplastic Nevus Syndrome
Dysplastic Nevus Syndrome
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Pyogenic Granuloma
Pyogenic Granuloma
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Infantile Hemangioma
Infantile Hemangioma
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Superficial Infantile Hemangioma
Superficial Infantile Hemangioma
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Deep Infantile Hemangioma
Deep Infantile Hemangioma
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Mixed Infantile Hemangioma
Mixed Infantile Hemangioma
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Cherry Angioma
Cherry Angioma
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Kaposi's Sarcoma
Kaposi's Sarcoma
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Basal Cell Carcinoma
Basal Cell Carcinoma
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Why are Melanoma more worrisome than Nevi?
Why are Melanoma more worrisome than Nevi?
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How does a melanoma cell differ from a nevus cell in terms of maturation?
How does a melanoma cell differ from a nevus cell in terms of maturation?
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What is Basal Cell Carcinoma (BCC)?
What is Basal Cell Carcinoma (BCC)?
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What are the histological features of a Basal Cell Carcinoma biopsy?
What are the histological features of a Basal Cell Carcinoma biopsy?
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What are the histological features of an Actinic Keratosis biopsy?
What are the histological features of an Actinic Keratosis biopsy?
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Why is treating Actinic Keratosis important?
Why is treating Actinic Keratosis important?
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What is a Seborrheic Keratosis?
What is a Seborrheic Keratosis?
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What are the distinct histological features of a Seborrheic Keratosis?
What are the distinct histological features of a Seborrheic Keratosis?
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What are Nevi or Moles?
What are Nevi or Moles?
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What is Actinic Keratosis?
What is Actinic Keratosis?
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What is Squamous Cell Carcinoma (SCC)?
What is Squamous Cell Carcinoma (SCC)?
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What is Squamous Cell Carcinoma in situ (SCCIS)?
What is Squamous Cell Carcinoma in situ (SCCIS)?
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What is Invasive Squamous Cell Carcinoma?
What is Invasive Squamous Cell Carcinoma?
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What are the main differences between UVB and UVA radiation?
What are the main differences between UVB and UVA radiation?
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How does UVB radiation damage skin cells?
How does UVB radiation damage skin cells?
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What is the main cause of SCC?
What is the main cause of SCC?
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Who is at higher risk for developing SCC?
Who is at higher risk for developing SCC?
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Study Notes
Neoplasms of the Skin
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Benign skin growths have varying cellular origins, including keratinocytes, melanocytes, and blood vessels. Examples of these include nevi, seborrheic keratosis, and pyogenic granulomas. Students should be able to describe the clinical presentation and histopathologic findings of these growths.
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Skin cancers, such as basal cell carcinoma, squamous cell carcinoma, and melanoma, have distinct presentations. Understanding precursor lesions (like actinic keratosis), risks factors, and hereditary syndromes is crucial.
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Ultraviolet light and other environmental factors play a role in the development of skin cancers. Exposure to UV light can cause thymine dimers in skin cells. If these dimers are not excised or corrected, resulting DNA damage can lead to cancer.
Seborrheic Keratosis
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Seborrheic keratosis is a common benign skin neoplasm, found more frequently in older adults.
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Clinical descriptions include flat-topped to exophytic papules, a "warty" appearance, and a "stuck-on" texture. Variations in pigmentation (light tan/pink to dark brown/gray), but usually no true pigment pattern, occur.
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Key characteristics include the finding of a benign proliferation of keratinocytes. They often present with horn cysts and string signs.
Nevi
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Nevi, also known as moles, are various congenital or acquired skin lesions. They are typically pigmented and raised and can involve different skin tissue types.
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Histological descriptions vary based on the sections affected. The epidermis, both the epidermis and dermis, or only the dermis can be involved in the lesion's placement. Junctional nevi involve only the epidermis, compound nevi involve both epidermis and dermis, and intradermal melanocytic nevi involve only the dermis.
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Nevi are characterized by melanocytes that mature as they descend through skin layers. They demonstrate symmetric growth, mature melanocytes, and lack of atypia. Mitosis is rare.
Melanoma
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Melanoma is a type of skin cancer with several subtypes. Its prognosis is heavily influenced by the depth of invasion. This is a significant indicator that is frequently used for prediction of 10yr survival rates.
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Characteristics of benign pigmented lesions include symmetry, evenly colored borders, a uniform color, and a diameter smaller than a pencil eraser. Lesions that change in size, shape, or color, or begin to bleed or scab are indicators for concern, often signifying an early stage of melanoma. Note the presence of ABCDE's of melanoma.
Basal Cell Carcinoma
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Basal cell carcinoma (BCC) is the most common skin cancer.
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Common presentations include "pearly" or shiny papules and nodules on sun-exposed skin, with possible telangiectasias and ulceration. These lesions may bleed easily.
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A significant histologic feature of BCC is nests of basaloid cells with stromal clefting. It rarely metastasizes.
Actinic Keratosis
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Actinic keratosis (AK) is a premalignant skin lesion. Increased risk arises from chronic sun exposure.
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Features of this lesion include solar elastosis, parakeratosis, and atypia of basal keratinocytes. Approximately 10% may progress to squamous cell carcinoma if left untreated.
Pyogenic Granuloma
- Pyogenic granuloma (PG) is a common, benign vascular tumor.
- Locations frequently include the face, and extremities, resulting in the development of bright red, soft nodules that are pedunculated.
- Treatment often involves excision or electrodessication.
Infantile Hemangiomas
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Infantile hemangiomas are the most common vascular tumor in infants.
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The lesion's course often involves growth to a peak, followed by growth cessation, and eventual involution. These lesions may have a superficial or deep origin. Common sites include the head and neck.
Kaposi Sarcoma
- Kaposi sarcoma is characterized by bluish discolorations of the skin, which commonly affects the trunk and upper arms. It's associated with HHV-8.
Angiosarcoma
- Angiosarcoma is another vascular tumor presenting as a nodular lesion.
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