Flashcards in Benign & Malignant Neoplasms Deck (55)
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1
Q
What is juvenile xanthogranuloma?
A
single spot, growing in kids, present at birth, asymptomatic, pink undertonem
2
Q
How do you treat juvenile xanthogranuloma?
A
resolve by 5-6 yrs
3
Q
What is a spitz nevus?
A
melanocytic nevus, beefy red color, kids
4
Q
What is the treatment for spitz nevus?
A
if anything atypical - completely remove it
5
Q
What is halo nevus?
A
normal, look at mole inside, if weird take if off, some of these moles go away
6
Q
How do you treat halo nevus?
A
monitor - common in kids
7
Q
What is nevus spilus?
A
present at birth
8
Q
What is the treatment for nevus spilus?
A
monitor and biopsy anything weird = nodule or papules = bunch biopsy
9
Q
What is becker's melanosis?
A
teenage boy with light tan patch on chest and back, hairy, unilateral, shows up when hormones start
10
Q
What is the treatment for becker's melanosis?
A
nothing, cosmetics (laser hair removal?)
11
Q
What is ILVEN?
A
benign, present on birth on extremity, ITCHHHYYY, resistent to tx, papules --> straight line
12
Q
What is the treatment of ILVEN?
A
NONE, relieve itch, surgical excision
13
Q
What is nevus sebaceous?
A
scalp, present at birth, greasy at puberty, has BCC within
14
Q
What is the treatment for nevus sebaceous?
A
complete excision
15
Q
What is neurofibroma?
A
benign tumors, look for cafe au lait, buttonhole sign, squeeshy
16
Q
What is neurofibroma tx?
A
nothing
17
Q
What is molluscum contagiosum?
A
contagious, shiny tiny umbilicated papule, viron in middle, croups, from fomites, itchy
18
Q
How do you treat molluscum contagiosum?
A
Canthacur, veregen ointment In2
19
Q
Can parents get molluscum contagiosum from kids?
A
no
20
Q
What is mastocytoma?
A
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
benign
21
Q
What is the treatment for mastocytoma?
A
resolve in childhood
nonsedating H1 blockers/H2 blockers - 2 week trial of class 1 steroids under occlusion
nonsedating H1 blockers/H2 blockers - 2 week trial of class 1 steroids under occlusion
22
Q
What is nevus ota/ito?
A
ota = face
ito = shoulder
ipsilateral blue sclera
Asian population
ito = shoulder
ipsilateral blue sclera
Asian population
23
Q
What is the treatment for ota/ito nevus?
A
resolve by puberty
24
Q
What is the treatment for hemangiomas of infancy?
A
propranalol
25
Q
What is the msot common benign soft tissue tumor in childhood?
A
hemangiomas of infancy
26
Q
Who gets hemangiomas of infancy?
A
shite skin, higher in girls and premies
27
Q
What are xanthelasma?
A
high cholesterol levels, increase risk of ischemic heart disease
28
Q
What is the treatment for xanthelasma?
A
get blood work for lipis, numb and excisional surgery
29
Q
What are milium?
A
tiny hard cysts, from heavy creams around eyes, make sure they are not something else
30
Q
What is hidrocystoma?
A
tumor from apocrine or eccrine sweat glands
hotter climates
hotter climates
31
Q
What are multiple hidrocystomas related to?
A
Schopf-Schulz-Passarge syndrom
32
Q
How do you treat hidrocystomas?
A
CO2 laser, excision
33
Q
What are syringoma?
A
benign, asian, high recurrance
34
Q
What is trichilemmomas?
A
benign tumor, Cowden's disease if multiple, for plaque, men in their 50s
biopsy maybe
biopsy maybe
35
Q
What are mucocele?
A
rupture of salivary gland duct, blueish silver cast, translucent, inner surface of lips (lower)
36
Q
How do you treat mucocele?
A
resolve on own, salt water rinses, surgical excision
37
Q
What is lingual papillitis?
A
inflammation of papillae of tongue, due to trauma, stress, hormones, GI, spicy food, clinically dx
38
Q
How do you treat lingual papillitis?
A
spontaneous resoluation, salt water rinses, local anesthetics, topical steroids
39
Q
What can leukoplakia be?
A
squamous cell carcinoma
40
Q
What are white patches on oral mucosa of lips?
A
leukoplakia
41
Q
Who gets leukoplakia?
A
smokers
42
Q
What is verrucous carcinoma/SCC?
A
wart like, floor of mouth, soft palate, non smoking female, growing -->SCC --> ENT
43
Q
What is pyogenic granuloma?
A
due to trauma/infection - vascular
painful
blees a lot, crusted
painful
blees a lot, crusted
44
Q
What is the treatment of pyogenic granuloma?
A
surgical removal, silver nitrate or imiquimod, cauterize feeder vessel, make baby tourniquet with glove
45
Q
What is acquired digital fibrokeratoma?
A
fibrous lesion on finger
idiopathic or trauma
idiopathic or trauma
46
Q
What is the treatment for acquired digital fibrokeratoma?
A
cosmetic, surgical excision
47
Q
What is subungual exostosis?
A
benign tumor, growth from bone or cartilage, DO NOT EXCISE
48
Q
Who gets subungual exostosis?
A
femal and kids
49
Q
What do you have to do for subungual exostosis?
A
x ray
50
Q
What are myxoid/mucous cyst?
A
benign cysts, arthritis of DIP, nail dystrophy, connected to joint!, high recurrance
51
Q
What are glomus tumor?
A
painful nail during cold temps, blanch nails see gray pink spot
52
Q
How do you treat glomus tumor?
A
laser or surgical excision by hand surgery
53
Q
What is onychomatricoma?
A
longitudinal ridging, curving nail, biopsy nail via window of back nail
54
Q
What is the tetrad of onychomatricoma?
A
xanthonychia, longitudinal ridging, splinter hemorrhage, overcurvature
55
Q
What is melanonychia?
A
longitudinal pigmentation of nailbed, dark skinned individuals, psoriasis, HIV, chemo, biopsy it, MEASURE WIDTH 3mm biopsy
