MSCT Week 6: Neoplasms of the Skin Flashcards

(73 cards)

1
Q

Question 1

A

This is a common benign proliferation of keratinocytes Seborrheic keratosis

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2
Q

Seborrheic keratosis Clinical Description

5 listed

A
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3
Q

Sign of Leser-Trelat

Step 1

A
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4
Q

Identify

A

Seborrheic Keratosis

  • well demarcated
  • mushroom epidermis
  • horn cysts(spaces in the tumor filled with keratin)
  • benign
  • regular looking cells
  • wouldn’t see a lot of mitosis
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5
Q

A benign proliferation of keratinocytes

A

Seborrheic keratosis

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6
Q

What is this?

A
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7
Q

Mitoses and atypia in seborrheic keratosis

A
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8
Q

What is this depicting?

A

Mitoses and atypia

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9
Q

Question 2

A

C is correct

A is Basal cell Carcinoma

B is a Melanoma

C is a benign Nemus

D Seborrheic Keratosis

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10
Q

Nevus definition

What does nevus mean?

What is a Nevi?

A
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11
Q

Nevus clinical characteristics

A
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12
Q

Benign Pigmented Lesions AKA

A

Nevus or Naevi

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13
Q

Identify

A
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14
Q

Identify

A
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15
Q

Identify

A

symmetrical

melanocytes get smaller with depth

would not expect to see atypia or mitoses

in a benign nevus

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16
Q

Benign Nevus Histology Characteristics

6 listed

A
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17
Q
A

Benign Naevia melanocytes get smaller as you go down

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18
Q

Question 3

Which of the following lesions is of most concer?

A

Correct Answer: A

A Melanoma

B Seborrheic Keratosis

C & D Benign Melanocytic Lesions

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19
Q

ABCDE of Melanoma

A
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20
Q

Subtypes of Melanoma

4 listed

A
  • Superficial Spreading Melanoma
  • Nodular Melanoma
  • Acral Lentiginous Melanoma
  • Lentig maligna Melanoma
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21
Q

Lentigo Maligna Melanoma

A
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22
Q

Acral Lentigous Melanoma

A
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23
Q

Nodular Melanoma

A

more deadly spreads vertically

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24
Q

Superficial Spreading Melanoma

A
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25
* Melanoma * nests of melanocytes (should be in basal layer but are extending up through the epidermis) * Atypical big melanocytes * Mitoses * Pagetoid spread of melanocytes (upward spread of melanocytes * melanocytes dont get smaller deeper in the dermis
26
Melanoma
27
Mitoses in melanoma
28
Histologic Features of Melanoma vs Naevi
29
Question 4
* Depth of invasion * Tumor thickness is the most important feature of melanoma * 10 year survival decreases with melanoma depth
30
Mutation common in Melanoma
BRAF V600E
31
Pharmacotherapy of Melanoma
32
Describe all lesions
A Crusted Plaque B multicolored hyperpigmented shiny plaque C shiny Vesicle with telangiectasia D cryterraform hyperkeratotic nodule
33
Question 5
**Correct Answer: C** A Squamous cell carcinoma B Melanoma C Basal Cell Carcinoma D Squamous cell carcinoma
34
Clinical Features of Basal Cell Carcinoma 6 listed
35
Question 6
Correct answer: A A Basal Cell Carcinoma B Squamous cell Carcinoma C Melanoma
36
Basal Cell Carcinoma Histological Features 5 listed
* basaloid (blue) * basaloid tumor islands * artifactual clefting around the nests * nests themselves have peripheral palisading nuclei * mucin blue stringy material
37
Basal Cell Carcinoma
38
Basal Cell carcinoma Clinical Features 4 listed
39
Basal Cell Carcinoma PAthogenesis
Sun exposure Genetic factors may also play a role
40
What is this?
Actinic Keratosis
41
42
Histological Features of Actinic Keratosis 5 listed
43
Question 8
**Correct Answer: D** a premalignant lesion caused by sun exposure and if left untreated about 10% would transform into squamous cell carcinoma
44
Actinic Keratosis Clinical Features
45
Describe lesions? Which is Malignant?
Pink or red plaque some red scale next lesion red plaque with white crusted scale
46
epidermis does not look normal diffusely enlarged keratinocytes full thickness atypia of the epidermis and mitoses
47
squamous cell carcinoma
48
Squamous Cell Carcinoma Histological Features
49
Squamous Cell Carcinoma Clinical Features 5 listed
50
Identify
squamous cell carcinoma is very pink because it is keratinizing Keratin pearls
51
Histological Features of Invasive Squamous Cell Carcinoma
52
Invasice Squamous Cell Carcinoma Clinical Characteristics
53
Invasive Squamous Cell Carcinoma details 4 listed
54
Pathogenesis of Invasive Squamous Cell Carcinoma
55
Etiology of Skin Cancer
UV Radiation UVA tanning and photoaging UVB causes sunburn UVC filtered out by atmosphere
56
How does UV Radiation damage DNA
57
Xeroderma Pigmentosum
58
Pyogenic Granuloma AKA
Lobular Capillary Hemangioma
59
Pyogenic Granuloma Clinical Features
60
Infantile Hemangiomas Clinical Features
61
Hemangiomas Additional details
62
Cherry Angioma Clinical Features
63
Glomus Tumor Clinical Features 4 listed
64
Identify
Kaposi Sarcoma related to HHV8 Viral Infection purplish plaques in immunosuppressed patients purple plaques or nodules treatment reverse immunosuppression
65
Histological Features of Kaposi Sarcoma
66
Herpes Virus 8
Kaposi Sarcoma
67
Angio Sarcoma Clinical Features 4 listed
68
Seborrheic Keratosis Summary
leser trelot sign be concerned
69
Nevus Sumary
70
Melanoma Summary
71
Basal Cell Carcinoma Summary
72
Actinic Keratosis to Squamous Cell Carcinoma Summary
73
summary of Vascular Lesions
pyogenic granuloma hemangioma cherry angioma Kaposi Sarcoma malignant vascular neoplasm herpes virus 8 reverse immunosuppresion Glomus Tumor smooth muscle capillary cells pain in exposure to cold