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Flashcards in Pestana Skin Surgery Deck (7):
1

What is the most common skin cancer?

Basal Cell Carcinoma?

2

What is the diagnostic test for all skin cancers?

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

3

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.

4

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.

5

ABCDE of Melanoma?

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

6

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

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

7

Where does melanoma predictably metastasize? Adjuvant treatment?

ANYWHERE! Interferon.