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Flashcards in Pestana Skin Surgery Deck (7):

What is the most common skin cancer?

Basal Cell Carcinoma?


What is the diagnostic test for all skin cancers?

Punch biopsy (full thickness) at the edge of the lesion.


A fair skinned white surfer presents with a raised waxy lesion on the upper half of the face? Alternative presentation? Malignant? Treatment?

Basal Cell Carcinoma. A non healing ulcer. Not malignant, but can kill by relentless local invasion? Local excision with 1mm negative margins.


A fair skinned white surfer presents with a non healing ulcer on the lower lip. Malignant? Treatment?

Squamous Cell Carcinoma. Can metastaize to lymph nodes. Local excision with 0.5-2cm margins, nodal dissectionand radiation if necessary.


ABCDE of Melanoma?

Asymmetric, (irregular) Border, (different) Colors, Diameter (greater than 0.5cm), Expanding.


What must be determined by the biopsy report for melanoma? Differences in treatment?

Depth of invasion! 4cm = you're probably doomed.


Where does melanoma predictably metastasize? Adjuvant treatment?

ANYWHERE! Interferon.