Benign & Malignant Neoplasms Flashcards by Kayla Lowery

What is juvenile xanthogranuloma?

single spot, growing in kids, present at birth, asymptomatic, pink undertonem

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How do you treat juvenile xanthogranuloma?

resolve by 5-6 yrs

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What is a spitz nevus?

melanocytic nevus, beefy red color, kids

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What is the treatment for spitz nevus?

if anything atypical - completely remove it

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What is halo nevus?

normal, look at mole inside, if weird take if off, some of these moles go away

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How do you treat halo nevus?

monitor - common in kids

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What is nevus spilus?

present at birth

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What is the treatment for nevus spilus?

monitor and biopsy anything weird = nodule or papules = bunch biopsy

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What is becker’s melanosis?

teenage boy with light tan patch on chest and back, hairy, unilateral, shows up when hormones start

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What is the treatment for becker’s melanosis?

nothing, cosmetics (laser hair removal?)

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What is ILVEN?

benign, present on birth on extremity, ITCHHHYYY, resistent to tx, papules –> straight line

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What is the treatment of ILVEN?

NONE, relieve itch, surgical excision

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What is nevus sebaceous?

scalp, present at birth, greasy at puberty, has BCC within

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What is the treatment for nevus sebaceous?

complete excision

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What is neurofibroma?

benign tumors, look for cafe au lait, buttonhole sign, squeeshy

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What is neurofibroma tx?

nothing

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What is molluscum contagiosum?

contagious, shiny tiny umbilicated papule, viron in middle, croups, from fomites, itchy

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How do you treat molluscum contagiosum?

Canthacur, veregen ointment In2

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Can parents get molluscum contagiosum from kids?

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What is mastocytoma?

single lesion, orange skin like spot, flat, when gets overhead then gets raised, then goes away –> mast cells in skin, run thumb over lesion in office and it will raise up
benign

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What is the treatment for mastocytoma?

resolve in childhood
nonsedating H1 blockers/H2 blockers - 2 week trial of class 1 steroids under occlusion

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What is nevus ota/ito?

ota = face
ito = shoulder
ipsilateral blue sclera
Asian population

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What is the treatment for ota/ito nevus?

resolve by puberty

What is the treatment for hemangiomas of infancy?

propranalol

What is the msot common benign soft tissue tumor in childhood?

hemangiomas of infancy

Who gets hemangiomas of infancy?

shite skin, higher in girls and premies

What are xanthelasma?

high cholesterol levels, increase risk of ischemic heart disease

What is the treatment for xanthelasma?

get blood work for lipis, numb and excisional surgery

What are milium?

tiny hard cysts, from heavy creams around eyes, make sure they are not something else

What is hidrocystoma?

tumor from apocrine or eccrine sweat glands | hotter climates

What are multiple hidrocystomas related to?

Schopf-Schulz-Passarge syndrom

How do you treat hidrocystomas?

CO2 laser, excision

What are syringoma?

benign, asian, high recurrance

What is trichilemmomas?

benign tumor, Cowden's disease if multiple, for plaque, men in their 50s biopsy maybe

What are mucocele?

rupture of salivary gland duct, blueish silver cast, translucent, inner surface of lips (lower)

How do you treat mucocele?

resolve on own, salt water rinses, surgical excision

What is lingual papillitis?

inflammation of papillae of tongue, due to trauma, stress, hormones, GI, spicy food, clinically dx

How do you treat lingual papillitis?

spontaneous resoluation, salt water rinses, local anesthetics, topical steroids

What can leukoplakia be?

squamous cell carcinoma

What are white patches on oral mucosa of lips?

leukoplakia

Who gets leukoplakia?

smokers

What is verrucous carcinoma/SCC?

wart like, floor of mouth, soft palate, non smoking female, growing -->SCC --> ENT

What is pyogenic granuloma?

due to trauma/infection - vascular painful blees a lot, crusted

What is the treatment of pyogenic granuloma?

surgical removal, silver nitrate or imiquimod, cauterize feeder vessel, make baby tourniquet with glove

What is acquired digital fibrokeratoma?

fibrous lesion on finger | idiopathic or trauma

What is the treatment for acquired digital fibrokeratoma?

cosmetic, surgical excision

What is subungual exostosis?

benign tumor, growth from bone or cartilage, DO NOT EXCISE

Who gets subungual exostosis?

femal and kids

What do you have to do for subungual exostosis?

x ray

What are myxoid/mucous cyst?

benign cysts, arthritis of DIP, nail dystrophy, connected to joint!, high recurrance

What are glomus tumor?

painful nail during cold temps, blanch nails see gray pink spot

How do you treat glomus tumor?

laser or surgical excision by hand surgery

What is onychomatricoma?

longitudinal ridging, curving nail, biopsy nail via window of back nail

What is the tetrad of onychomatricoma?

xanthonychia, longitudinal ridging, splinter hemorrhage, overcurvature

What is melanonychia?

longitudinal pigmentation of nailbed, dark skinned individuals, psoriasis, HIV, chemo, biopsy it, MEASURE WIDTH 3mm biopsy