Flashcards in Pestana Skin Surgery Deck (12)
Does basal cell carcinoma metz?
Where does basal cell carcinoma usually present?
upper part of face (anywhere above lips)
Treatment of basal cell carcinoma?
local excision with negative margins (1mm is enough) - curative because it does NOT metz
Does squamous cell carcinoma metz?
YES - to LN
Where does squamous cell carcinoma usually present?
bottom part of face (anywhere below lips)
Treatment of squamous cell carcinoma?
excision with wider margins (0.5 - 2cm) with LN dissection
Treatment of melanoma that is
Treatment of melanoma that is >1mm deep?
excision with wide margins (2-3cm)
Treatment of melanoma that is 1-4mm?
aggressive therapy (excision with wide margins + LN dissection)
Treatment of melanoma that is larger than 4mm?
none - terrible prognosis
What is unique about metastatic malignant melanoma?
it can metz to unusual places (LV muscle, duodenal wall, etc) and it has no predictable tiemtable