Benign & Malignant Neoplasms

Question 1

What is juvenile xanthogranuloma?

Answer 1

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

Question 2

How do you treat juvenile xanthogranuloma?

Answer 2

resolve by 5-6 yrs

Question 3

What is a spitz nevus?

Answer 3

melanocytic nevus, beefy red color, kids

Question 4

What is the treatment for spitz nevus?

Answer 4

if anything atypical - completely remove it

Question 5

What is halo nevus?

Answer 5

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

Question 6

How do you treat halo nevus?

Answer 6

monitor - common in kids

Question 7

What is nevus spilus?

Answer 7

present at birth

Question 8

What is the treatment for nevus spilus?

Answer 8

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

Question 9

What is becker’s melanosis?

Answer 9

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

Question 10

What is the treatment for becker’s melanosis?

Answer 10

nothing, cosmetics (laser hair removal?)

Question 11

What is ILVEN?

Answer 11

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

Question 12

What is the treatment of ILVEN?

Answer 12

NONE, relieve itch, surgical excision

Question 13

What is nevus sebaceous?

Answer 13

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

Question 14

What is the treatment for nevus sebaceous?

Answer 14

complete excision

Question 15

What is neurofibroma?

Answer 15

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

Question 16

What is neurofibroma tx?

Answer 16

nothing

Question 17

What is molluscum contagiosum?

Answer 17

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

Question 18

How do you treat molluscum contagiosum?

Answer 18

Canthacur, veregen ointment In2

Question 19

Can parents get molluscum contagiosum from kids?

Answer 19

no

Question 20

What is mastocytoma?

Answer 20

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

Question 21

What is the treatment for mastocytoma?

Answer 21

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

Question 22

What is nevus ota/ito?

Answer 22

ota = face
ito = shoulder
ipsilateral blue sclera
Asian population

Question 23

What is the treatment for ota/ito nevus?

Answer 23

resolve by puberty

Question 24

What is the treatment for hemangiomas of infancy?

Answer 24

propranalol

Question 25

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

Answer 25

hemangiomas of infancy

Question 26

Who gets hemangiomas of infancy?

Answer 26

shite skin, higher in girls and premies

Question 27

What are xanthelasma?

Answer 27

high cholesterol levels, increase risk of ischemic heart disease

Question 28

What is the treatment for xanthelasma?

Answer 28

get blood work for lipis, numb and excisional surgery

Question 29

What are milium?

Answer 29

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

Question 30

What is hidrocystoma?

Answer 30

tumor from apocrine or eccrine sweat glands | hotter climates

Question 31

What are multiple hidrocystomas related to?

Answer 31

Schopf-Schulz-Passarge syndrom

Question 32

How do you treat hidrocystomas?

Answer 32

CO2 laser, excision

Question 33

What are syringoma?

Answer 33

benign, asian, high recurrance

Question 34

What is trichilemmomas?

Answer 34

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

Question 35

What are mucocele?

Answer 35

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

Question 36

How do you treat mucocele?

Answer 36

resolve on own, salt water rinses, surgical excision

Question 37

What is lingual papillitis?

Answer 37

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

Question 38

How do you treat lingual papillitis?

Answer 38

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

Question 39

What can leukoplakia be?

Answer 39

squamous cell carcinoma

Question 40

What are white patches on oral mucosa of lips?

Answer 40

leukoplakia

Question 41

Who gets leukoplakia?

Answer 41

smokers

Question 42

What is verrucous carcinoma/SCC?

Answer 42

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

Question 43

What is pyogenic granuloma?

Answer 43

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

Question 44

What is the treatment of pyogenic granuloma?

Answer 44

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

Question 45

What is acquired digital fibrokeratoma?

Answer 45

fibrous lesion on finger | idiopathic or trauma

Question 46

What is the treatment for acquired digital fibrokeratoma?

Answer 46

cosmetic, surgical excision

Question 47

What is subungual exostosis?

Answer 47

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

Question 48

Who gets subungual exostosis?

Answer 48

femal and kids

Question 49

What do you have to do for subungual exostosis?

Answer 49

x ray

Question 50

What are myxoid/mucous cyst?

Answer 50

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

Question 51

What are glomus tumor?

Answer 51

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

Question 52

How do you treat glomus tumor?

Answer 52

laser or surgical excision by hand surgery

Question 53

What is onychomatricoma?

Answer 53

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

Question 54

What is the tetrad of onychomatricoma?

Answer 54

xanthonychia, longitudinal ridging, splinter hemorrhage, overcurvature

Question 55

What is melanonychia?

Answer 55

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