Pathology Flashcards

(50 cards)

1
Q

name a benign epidermal tumor

A

seborrheic keratosis

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2
Q

who commonly gets seborrheic keratosis?

A

older individuals

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3
Q

what is seborrheic keratosis?

A

a benign proliferation of epidermal keratinocytes

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4
Q

where do seborrheic keratosis’ normally affect?

A

face

trunk

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5
Q

what is lesser trelat sign and what can it indicate?

A

eruptive appearance of many seborrheic keratosis lesions

may indicate internal malignancy

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6
Q

name two precursors for SCC

A

bowen’s disease

actinic keratosis

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7
Q

where is bowen’s disease commonly found?

A

the legs

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8
Q

what is bowen’s disease?

A

squamous cell carcinoma in situ

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9
Q

describe the appearance of bowen’s disease

A

scaly patch with an irregular border

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10
Q

where is actinic keratosis often found?

A

the head and neck

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11
Q

what is actinic keratosis?

A

variable epidermal dysplasia

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12
Q

what virus is SCC associated with?

A

HPV 16

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13
Q

what are the two non melanocytic skin malignancies?

A

basal cell carcinoma

squamous cell carcinoma

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14
Q

where is basal cell carcinoma found?

A

sun exposed sites

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15
Q

who is most commonly affected by BCC?

A

middle aged and elderly

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16
Q

what are the three main subtypes of BCC?

A

nodular
superficial
infiltrative

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17
Q

what is another name for infiltrative BCC?

A

morphoeic

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18
Q

where are melanocytes derived from?

A

the neural crest

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19
Q

what gene turns phaeomelai into eumelanin?

A

MC1R

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20
Q

what does one defective copy of MC1R cause?

A

freckles

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21
Q

what does two defective copies of MC1R cause?

A

red hair

freckles

22
Q

what are ephilides?

A

freckles

patchy increase in melanin pigmentation

23
Q

when do freckles develop?

A

after UV exposure

24
Q

what is another name for actinic lentigines?

A

solar lentigines

age/liver spots

25
what are the four main types of melanoma?
superficial spreading acral lentiginous lentigo maligna nodular
26
what is the most common type of melanoma?
superficial spreading
27
where is superficial spreading melanoma commonly found?
trunk | limbs
28
where are melanocytes found in the skin?
DEJ of the basal layer
29
what do melanocytes do?
synthesise melanin transfer it to keratinocytes via dendritic processes
30
where are langerhans cells found?
the epidermis
31
what type of cells are langerhans cells?
dendritis
32
what dermis lies just beneath the epidermis?
papillary dermis
33
what are the two parts of the dermis?
papillary | reticular
34
what is hyperkeratosis?
increased thickness of the keratin layer
35
what is parakeratosis?
persistence of the nuclei in the keratin layer
36
what is acanthosis?
increased thickness of the epithelium
37
what is papillomatosis?
irregular epithelial thickening
38
what is spongiosis?
oedema between keratinocytes
39
what are the four main reaction patterns found in inflammatory skin diseases?
spongiotic psoriasiform lichenoid vesiculobullous
40
what characterises psoriasis?
increased epidermal turnover
41
what is the koebner phenomenon?
new psoriasis lesions at sites of trauma
42
what are munro micro abscesses in psoriasis?
collections of neutrophils in the upper layers of the epidermis
43
what characterises lichenoid disorders?
damage to basal epidermis
44
what is the prototypic lichenoid disorders?
lichen planus
45
what is seen on histology of lichen planus?
irregular sawtooth acanthosis
46
name three immunobullous diseases
pemphigus vulgaris bullous pemphigoid dermatitis herpetiformis
47
what is the pathophysiology behind pemphigus vulgaris?
loss of integrity of epidermal cell adhesion
48
what medication does pemphigus vulgaris respond to?
steroids
49
what is dermatitis herpetiformis associated with?
coeliac disease
50
what is the hallmark of coeliac disease?
papillary dermal micro abscesses