BCC Flashcards

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1
Q

def

A

common skin neoplasm

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2
Q

what is BCC related to

A

sunlight

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3
Q

was is BCC also known as

A

basal cell epithelioma as it rarely metastasises

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4
Q

epi

A

very common

increases with age

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5
Q

why is BCC more common in australia than the UK

A

associated with increased exposure to sunlight

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6
Q

aetiology

A

repetitive and frequent sun exposure

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7
Q

how does sunlight cause BCC

A

UV radiation induces DNA damage in keratinocytes

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8
Q

what is the most damaging form of UV light

A

290-320nm wavelength

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9
Q

what gene mutations are associated with BCC

A

p53

sonic hedgehog signalling cascade

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10
Q

what are risk factors for BCC

A

sun exposure

UV radiation +XRs

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11
Q

what do sunbeds increase the risk of

A

SCC and MM

but not BCC

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12
Q

what is basal cell naevus syndrome

A

AKA gorlin-goltz syndrome
autosomal dominant
broad face, rib deformities

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13
Q

history

A

a small firm raised swelling on the skin with visible blood vessels and rolled smooth edges
there may be a non-healing wound or scab on the swelling

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14
Q

how common is metastasis with BCC

A

uncommon

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15
Q

investigations

A

biopsy for dermatohistopathology

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16
Q

how is basal cell carcinoma diagnosed

A

histology

17
Q

what would be seen on histology with BCC

A

basophilic (blue) hyperchromatic cells with high nuclear-cytoplasmic ratio
hypercellular stroma

18
Q

what sorts of biopsy is there

A

punch biopsy

shave biospy

19
Q

when should a punch biopsy be used

A

cosmetically non-challenging areas

diagnosis and treatment

20
Q

when should a shave biopsy be used

A

cosmetically challenging areas (face)