Pathology - Melanocytic Flashcards

1
Q

what turns phaeomelanin into eumelanin?

A

MC1R

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2
Q

one defective copy of MC1R causes what?

two defective copies of MC1R causes what?

A

1 - freckling

2 - red hair and freckling

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3
Q

what is the other word for freckles?

A

ephilides

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4
Q

actinic lentigines is also known as what?

A

‘age’ or ‘liver’ spots

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5
Q

give the sizes of the following congenital melanocytic naevi:

(a) small
(b) medium
(c) large

A

(a) small <2cm
(b) medium 2-20cm
(c) large >20cm

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6
Q

name the 3 types of naevus

A

junctional
compound
intradermal

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7
Q

what stages in life do the following naevus occur:

junctional
compound
intradermal

A

junctional - childhood
compound - adolescence
intradermal - adulthood

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8
Q

where are the melanocytes located in a junctional naevus?

A

DEJ

compound - DEJ and dermis

intradermal - dermis

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9
Q

name the 2 types of dysplastic naevi

A

sporadic and familial

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10
Q

what is there a strong FHx of in familial DN?

A

melanoma

CDKN2A

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11
Q

what is not affected in DN?

A

epidermis

epidermis involvement in melanoma

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12
Q

naevi that are surrounded by a ring of depigmentation are called what?

A

halo naevi

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13
Q

what is the naevi called that is entirely dermal and consist of pigment rich dendritic spindle cells?

A

blue naevi

they mimic melanoma

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14
Q

name the rare naevus described by epidermal hyperplasia and closely mimic melanoma consisting of large spindle and/or epithelioid cells

A

Spitz naevus

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15
Q

melanoma is commoner in which sex?

A

female

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16
Q

name the 4 main types of melanoma

A
  1. superficial spreading
  2. sacral/mucosal lentiginous
  3. lentigo maligna
  4. nodular
17
Q

dermal invasion of a melanoma is known as what\?

A

VGP - vertical growth phase

18
Q

which melanoma does not have RPG?

A

nodular melanoma (VGP)

the other 3 types have both RGP + VGP

19
Q

__________ is a strong adverse indicator

A

ULCERATION is a strong adverse indicator

20
Q

a mutation in what gene is seen in melanoma?

A

BRAF (proto-oncogene)