Pestana- 8. Skin Surgery Flashcards Preview

Surgery > Pestana- 8. Skin Surgery > Flashcards

Flashcards in Pestana- 8. Skin Surgery Deck (12)
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1

Which skin condition may show up as a small, raised waxy lesion or as a non-healing ulcer?

basal cell carcinoma

2

How do you diagnose and treat basal cell carcinoma?

excision in toto

3

What must you do if a patient presents with a non-healing ulcer?

get a full-thickness biopsy at the edge of the lesion (probably basal cell but must differentiate between other skin cancers)

4

Why must you remove a basal cell carcinoma?

it grows very slowly and can kill by local invasion

5

How large of a clear margin do you need when removing a BCC?

1mm

6

What type of surgery may be done to get clear margins on the face without disfigurement?

Mohs

7

Via what route will squamous cell carcinoma metastasize?

lymphatic

8

How large of a clear margin do you need when removing a squamous cell carcinoma?

0.5- 2cm

9

When do you worry about a pigmented skin lesion?

when it is larger than 0.5 cm

10

What is the treatment for melanomas

local excision

11

What size indicates that a melanoma will have a terrible prognosis?

>4 mm

12

What is the preferred adjuvant systemic therapy for metastatic melanoma?

interferon