Skin Cancer S/Sx's - ANSWER 1) open sore, does not heal x3 weeks
2) spot or sore that burns, itches, stings, crusts, or bleeds
3) any mole/spot that changes size/texture, develops irreg borders, appears pearly/transluc
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Skin Cancer S/Sx's - ANSWER 1) open sore, does not heal x3 weeks
2) spot or sore that burns, itches, stings, crusts, or bleeds
3) any mole/spot that changes size/texture, develops irreg borders, appears pearly/translucent/multi-colored
*BCC = most common but, MM = most fatal
ABCDE's of Melanoma - ANSWER Assymetry (of entire lesion)
Border (irregularities)
Color (variability within lesion/brown-black)
Diameter (>6mm = 1/4 inch)
Elevation (recently raised)
melanoma - ANSWER -Dx: skin biopsy (shave or punch)
-referral to dermatologist or surgeon for wide excision
actinic keratosis - ANSWER -Tx of few lesions: cryotherapy and surgical interventions (tangential excision or curettage followed by electrodesiccation).
-Bx: to exclude or confirm the presence of invasive SCC
--Lesions that appear indurated (suggests SCC)
--Painful, ulcerated, or bleeding lesions
--Hyperkeratotic/hypertrophic AKs that failed to
resolve after standard therapies or recurred rapidly
(<3 months)
basal cell carcinoma (BCC) - ANSWER -Tx: electrodessication & curettage
squamous cell carcinoma (SCC) - ANSWER -Dx: skin biopsy
-Tx: total excision
Acral lentiginous melanoma - ANSWER occurs most often on hands, feet or nail beds of dark skinned individuals (especially blacks & Asians)
acne vulgaris - ANSWER -Dx: PE
-Labs: adrenal or gonadal dysfunction if possible cause
-Tx takes 6-12 wks => topical therapy first line
First-Line Tx: acne vulgaris - ANSWER -Topical Therapy: retinoin (Retin-A), adapalene (Differin), tazarotene (Tazorac), azelac acid (Azelex), benzoyl peroxide, salicylic acid
-applied to skin at bedtime
-SE: erythema, dryness, sun sensitivi
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