Podcast
Questions and Answers
What is the most common subtype of BCC?
What is the most common subtype of BCC?
Which of the following is NOT a clinical subtype of BCC?
Which of the following is NOT a clinical subtype of BCC?
What is the primary cause of BCC?
What is the primary cause of BCC?
What is the most effective treatment for morpheaform BCC?
What is the most effective treatment for morpheaform BCC?
Signup and view all the answers
Which of the following is a risk factor for BCC?
Which of the following is a risk factor for BCC?
Signup and view all the answers
What is the most common site for BCC?
What is the most common site for BCC?
Signup and view all the answers
What is NOT a characteristic of nodular BCC?
What is NOT a characteristic of nodular BCC?
Signup and view all the answers
Which treatment option is best for superficial BCC lesions below the neck?
Which treatment option is best for superficial BCC lesions below the neck?
Signup and view all the answers
Which of the following is NOT a risk factor for squamous cell carcinoma (SCC)?
Which of the following is NOT a risk factor for squamous cell carcinoma (SCC)?
Signup and view all the answers
What is the most common site for superficial SCC?
What is the most common site for superficial SCC?
Signup and view all the answers
What is the single most important prognostic factor for melanoma?
What is the single most important prognostic factor for melanoma?
Signup and view all the answers
Which of the following is NOT a characteristic of a melanoma according to the "ABCDE" criteria?
Which of the following is NOT a characteristic of a melanoma according to the "ABCDE" criteria?
Signup and view all the answers
What is the typical treatment for Kaposi sarcoma?
What is the typical treatment for Kaposi sarcoma?
Signup and view all the answers
What is the primary benefit of Mohs micrographic surgery (MMS) compared to standard excision?
What is the primary benefit of Mohs micrographic surgery (MMS) compared to standard excision?
Signup and view all the answers
Which of the following is an indication for Mohs micrographic surgery?
Which of the following is an indication for Mohs micrographic surgery?
Signup and view all the answers
What is the main difference between a shave biopsy and an excisional biopsy?
What is the main difference between a shave biopsy and an excisional biopsy?
Signup and view all the answers
Which of the following is a type of skin cancer that can arise from actinic keratosis (AK)?
Which of the following is a type of skin cancer that can arise from actinic keratosis (AK)?
Signup and view all the answers
Which of the following types of skin cancer is the least common?
Which of the following types of skin cancer is the least common?
Signup and view all the answers
What is the most common cause of Impetigo?
What is the most common cause of Impetigo?
Signup and view all the answers
What is the classic presentation of "Anthony's Fire" rash?
What is the classic presentation of "Anthony's Fire" rash?
Signup and view all the answers
What is the most common treatment for a lipoma?
What is the most common treatment for a lipoma?
Signup and view all the answers
Which of the following is a common risk factor for pressure ulcers?
Which of the following is a common risk factor for pressure ulcers?
Signup and view all the answers
What is the most common treatment for stage I pressure ulcers?
What is the most common treatment for stage I pressure ulcers?
Signup and view all the answers
Which of the following is a characteristic of Vitiligo?
Which of the following is a characteristic of Vitiligo?
Signup and view all the answers
What is a common symptom of secondary syphilis?
What is a common symptom of secondary syphilis?
Signup and view all the answers
What is the most common type of photosensitivity reaction?
What is the most common type of photosensitivity reaction?
Signup and view all the answers
What is the most common treatment for syphilis?
What is the most common treatment for syphilis?
Signup and view all the answers
What is the risk of developing melanoma in individuals with large or giant congenital nevi greater than 20 cm?
What is the risk of developing melanoma in individuals with large or giant congenital nevi greater than 20 cm?
Signup and view all the answers
Which characteristic is NOT associated with atypical nevi?
Which characteristic is NOT associated with atypical nevi?
Signup and view all the answers
In individuals at increased risk for melanoma, how many standard nevi does a patient typically have to possess to warrant concern?
In individuals at increased risk for melanoma, how many standard nevi does a patient typically have to possess to warrant concern?
Signup and view all the answers
What is the most important determinant of survival in melanoma?
What is the most important determinant of survival in melanoma?
Signup and view all the answers
Where are atypical nevi most commonly located on the body?
Where are atypical nevi most commonly located on the body?
Signup and view all the answers
What is one reason for performing a biopsy before surgical removal of a lesion?
What is one reason for performing a biopsy before surgical removal of a lesion?
Signup and view all the answers
Which type of infection is characterized by a collection of pus in the dermis or subcutaneous space?
Which type of infection is characterized by a collection of pus in the dermis or subcutaneous space?
Signup and view all the answers
What is a potential risk factor for developing an abscess?
What is a potential risk factor for developing an abscess?
Signup and view all the answers
In which situation should a patient be cautious when undergoing a skin biopsy?
In which situation should a patient be cautious when undergoing a skin biopsy?
Signup and view all the answers
Which of the following is a common characteristic of cellulitis?
Which of the following is a common characteristic of cellulitis?
Signup and view all the answers
What should a patient do after an incision and drainage (I&D) procedure for an abscess?
What should a patient do after an incision and drainage (I&D) procedure for an abscess?
Signup and view all the answers
Which of the following is a common treatment for cellulitis?
Which of the following is a common treatment for cellulitis?
Signup and view all the answers
What distinguishes erysipelas from cellulitis?
What distinguishes erysipelas from cellulitis?
Signup and view all the answers
Flashcards
Basal Cell Carcinoma (BCC)
Basal Cell Carcinoma (BCC)
Most common skin cancer, often caused by UV light, primarily in fair-skinned individuals over 40.
Risk Factors for BCC
Risk Factors for BCC
Includes fair skin, light-colored eyes, red hair, and prolonged sun exposure.
Clinical Subtypes of BCC
Clinical Subtypes of BCC
Includes superficial, nodular, pigmented, and morpheaform types.
Nodular BCC
Nodular BCC
Signup and view all the flashcards
Pigmented BCC
Pigmented BCC
Signup and view all the flashcards
Morpheaform BCC
Morpheaform BCC
Signup and view all the flashcards
Diagnosis of BCC
Diagnosis of BCC
Signup and view all the flashcards
Treatment Options for BCC
Treatment Options for BCC
Signup and view all the flashcards
Congenital Nevus
Congenital Nevus
Signup and view all the flashcards
Atypical Nevi
Atypical Nevi
Signup and view all the flashcards
Ugly Duckling Sign
Ugly Duckling Sign
Signup and view all the flashcards
Biopsy of Suspicious Lesions
Biopsy of Suspicious Lesions
Signup and view all the flashcards
Breslow Depth
Breslow Depth
Signup and view all the flashcards
Skin Biopsy
Skin Biopsy
Signup and view all the flashcards
Abscess
Abscess
Signup and view all the flashcards
Incision & Drainage (I&D)
Incision & Drainage (I&D)
Signup and view all the flashcards
Cellulitis
Cellulitis
Signup and view all the flashcards
Erysipelas
Erysipelas
Signup and view all the flashcards
Melanomas
Melanomas
Signup and view all the flashcards
Bacterial infections
Bacterial infections
Signup and view all the flashcards
Risks for Abscess
Risks for Abscess
Signup and view all the flashcards
Squamous Cell Carcinoma (SCC)
Squamous Cell Carcinoma (SCC)
Signup and view all the flashcards
Treatment for In Situ SCC
Treatment for In Situ SCC
Signup and view all the flashcards
Mohs Micrographic Surgery (MMS)
Mohs Micrographic Surgery (MMS)
Signup and view all the flashcards
ABCDE Criteria
ABCDE Criteria
Signup and view all the flashcards
Kaposi Sarcoma
Kaposi Sarcoma
Signup and view all the flashcards
Sentinel Lymph Node Biopsy
Sentinel Lymph Node Biopsy
Signup and view all the flashcards
Anthony’s Fire Rash
Anthony’s Fire Rash
Signup and view all the flashcards
Impetigo
Impetigo
Signup and view all the flashcards
Lipoma
Lipoma
Signup and view all the flashcards
Epidermal Inclusion Cyst (EIC)
Epidermal Inclusion Cyst (EIC)
Signup and view all the flashcards
Pressure Ulcer
Pressure Ulcer
Signup and view all the flashcards
Vitiligo
Vitiligo
Signup and view all the flashcards
Melasma
Melasma
Signup and view all the flashcards
Photosensitivity Reactions
Photosensitivity Reactions
Signup and view all the flashcards
Syphilis
Syphilis
Signup and view all the flashcards
Parkland Formula
Parkland Formula
Signup and view all the flashcards
Study Notes
Dermatology 3 - CAM I
- Course instructor: Professor Jacobus, MSBS, PA-C
- Course offered by: South College
- Course description: Dermatology focus including etiology, epidemiology, clinical features, differential diagnosis, and management of selected skin disorders.
Instructional Objectives
- Students will identify and describe the etiology, epidemiology, clinical features, differential diagnosis, and management of selected skin disorders.
Topics
- Neoplasms
- Bacterial Infections
- Others
Malignant Neoplasms
- Basal Cell Carcinoma (BCC)
- Squamous Cell Carcinoma (SCC)
- Melanoma
- Kaposi Sarcoma
Basal Cell Carcinoma (BCC)
- Most common skin cancer
- Onset typically after age 40, more common in females
- Etiology: primarily caused by ultraviolet light (UVB)
- Occurs most frequently on fair-skinned individuals (types I-III)
- Risk factors include light-colored eyes, red hair, prolonged sun exposure, northern European ancestry, and heavy sun exposure in youth
- Clinical sub-types include superficial, nodular, pigmented, morpheaform
- Histologic sub-types include superficial, nodular, micronodular, infiltrative
- Slow-growing, often asymptomatic, may show bleeding/scab, sensitivity to nerve involvement
Basal Cell Carcinoma (BCC) - Diagnosis and Treatment
- Diagnosis is often clinical, confirmed by biopsy
- Treatment typically includes excision with primary closure, cryosurgery, electrosurgery, Mohs surgery, topical treatments such as 5-fluorouracil ointment and imiquimod (for superficial lesions below neck)
Nodular BCC
- Most frequent subtype (80%)
- Skin-colored, reddish, or translucent (pearly)
- Well-defined, firm, smooth papule or nodule with telangiectasias
- May show erosions, melanin stipples, or ulceration. Rolled border
- Examples provided in images
Pigmented BCC
- Brown, blue, or black
- Hard, firm
- Round or oval, possibly ulcerated
- Differential diagnosis from melanoma is vital
Morpheaform BCC
- 5-10% of total BCC cases
- Smooth, flesh-colored, or light erythematous papules or plaques
- Atrophic, ill-defined borders
- Scar-like appearance
Squamous Cell Carcinoma (SCC)
- More common in individuals over 55 and females
- Risk factors include sun exposure, light-colored skin, poor tanning, outdoor occupations, immunosuppression, chronic inflammation, industrial carcinogens
- Types include solitary or multiple macules, papules, plaques, ulcers; hyperkeratotic or scaling
- Can arise from actinic keratosis (AK)
- Rapid evolution can occur
Squamous Cell Carcinoma (SCC) - Treatment
- Treatment for in situ SCC includes imiquimod or 5-fluorouracil, curettage, and electrodessication
- Management for invasive SCC involves excision or Mohs surgery
Superficial SCC
- Most frequent site is the trunk
- Presentation includes slightly scaly macules, patches, or thin plaques, and light red to pink coloration.
- Telangectasias may be present
- Differential diagnosis may include actinic keratosis (AK)
Melanoma
- Most common malignant skin tumor
- Leading cause of death related to skin disease
- Relatively least common skin cancer
- Lifetime risk of 2% (Caucasians), 0.1-0.5% (non-Caucasians)
- Etiology and pathogenesis remain largely unknown, likely due to ultraviolet (UV) radiation exposure
- Various clinical presentations with considerable variability
Melanoma - Clinical & Histologic Types
- Superficial spreading (70%)
- Nodular (15%)
- Lentigo malignant (5%)
- Acral lentiginous (5-10%)
- Tumor thickness is a key prognostic factor, impacting 10-year survival rates
"ABCDE" Criteria
- Asymmetry
- Border irregularities
- Color variation
- Diameter > 6 mm
- Evolution
Kaposi Sarcoma
- Systemic endothelial cell tumor linked to HSV-8 infection
- Presents in clinical manifestations with purple, brown, or black patches, plaques, or nodules
- Primarily seen in populations with immunodeficiencies, such as HIV/AIDS
- Treatment often involves radiation, chemotherapy, or antivirals and generally responds to treatment
Congenital Nevus
- Nevus (single) or nevi (plural)
- Small congenital nevi can be dome-shaped, especially on the face
- May be mamillated or hypertrichotic
- Benign moles
- Distinction is necessary between benign moles and large or giant congenital nevi, where the risk of developing melanoma is 5-10%
- Yearly monitoring with photographs is advised for larger nevi
Atypical Nevi
- Aka dysplastic nevi
- Benign acquired melanocytic nevi share characteristics of melanoma, including asymmetry, irregular borders, color variegation, and a diameter greater than 5 mm.
- Increased risk of melanoma with 50 or more nevi
- 5% of Caucasian population, comparatively rare in Japanese people, common in familial cases of cutaneous melanoma
Biopsy of Suspicious Lesions
- Never perform superficial shave biopsy on pigmented lesions suspected of being melanoma
- Accurate determination of Breslow depth (tumor thickness) is essential for survival assessment
Biopsy vs. Excision
- Biopsy is initially performed for histologic confirmation before surgical removal
- Benign growth is identified, avoiding unnecessary excision
- Malignant tumor may require different management approach to suspected lesion
- Melanomas necessitate wide margins
Skin Biopsy - Indications and Contraindications
- Indications: rashes, blisters, drug reactions, skin abnormalities, suspected lesions.
- Contraindications: infection, patient on blood thinners
Bacterial Infections
- Abscess
- Folliculitis
- Furuncle/carbuncle
- Cellulitis
- Erysipelas
- Impetigo
Pressure Ulcers (aka Pressure Sores)
- Body weight over bony promontories can cause friction, increased pressure, and injuries.
- Elderly patients, bedridden patients, poor nursing care, lack of sensation, and hypotension are risk factors.
- Staging includes non-blanching erythema (Stage 1), epidermis/dermis loss (Stage II), full-thickness loss (Stage III), and full-thickness loss with exposed tissue/bone (Stage IV).
- Treatment involves repositioning, decreasing pressure, and antibiotics and/or surgery as needed.
Other Disorders
- Burns
- Lipomas
- Epidermal Inclusion Cysts
- Sebaceous Cysts
- Pressure Ulcers
- Vitiligo
- Melasma
- Photosensitivity Reactions
- Syphilis
Topical Treatments -Amount per Dosage
Dermatology Steroids
Steroid Side Effects
Examination Procedures
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Related Documents
Description
Test your knowledge on basal cell carcinoma (BCC), melanoma, and related skin cancers. This quiz covers subtypes, risk factors, treatment options, and important criteria for diagnosis. Perfect for students and professionals in the medical field.