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42 Cards in this Set
- Front
- Back
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cysts
-where do they form on the body? |
externally as well as internally anywhere in the body
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most common cyst is the epidermal inclusion cyst
-it is very similar to cysts except they have |
a depth to them and usually contain thick whtie cheesy substances
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configuration of lesions
ringlike with raised borders around flat, clear, centers of normal skin |
annular
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configuration of lesions
circular |
circinate
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configuration of lesions
well-defined with sharp borders |
circumscribed
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configuration of lesions
several lesions grouped together |
clustered
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configuration of lesions
lesions that merge with one another and appear confluent |
coalesced
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configuration of lesions
widespread, involving most of the body with intervening areas of normal skin, generalized |
diffuse
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configuration of lesions
occuring in a straight line |
linear
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configuration of lesions
with wavy borders, resembling a snake |
serpiginous
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configuration of lesions
all areas of the body involved, with no areas of normal appearing skin |
universal
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ABCDs of skin leasion assessment
what do they stand for |
A- asymmetric (one half unlike the other half)
B- border irregular (scalloped or poorly circumscribed border C- color varied- from one area to another, shades of brown, black, red, white D-diameter larger than 6mm as a rule (diameter of a pencil eraser) |
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Nevi/Mole
-what is the difference |
nevi is flat, under the skin
mole is raised and superficial |
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Nevi/Moles
-it is a growth of what |
pigment forming cells
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Nevi/Moles
are classified as benign true or false |
true
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Nevi/Moles
what is the link to malignant melanoma |
50% of malignant melanoma arise from moles and nevi that undergo cellular changes
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Nevi or mole
regular, well defined borders and are uniform in color ranging from light colors to dark brown |
nevi
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Actinic Keratosis
are they cancerous? |
no, they are pre-malignant and may develop into squamous cell carcinoma
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Actinic Keratosis
what population is this seen in |
people with chronic sun damaged skin
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Actinic Keratosis
what are the clinical manifesations |
small 1-10mm macule or papule with dry, rough, adherent, yellow or brown scale
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Malignant Melanoma
prigmented cancers that arise from? |
the melanin-producing cells
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Malignant Melanoma
do they metastisize? |
yes, highly
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Malignant Melanoma
what are the 2 inherited traits |
light skinned and less pigmentation
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Malignant Melanoma
people who do what 2 things have a higher rate to develop cancer |
live at high altitudes, work out doors
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Malignant Melanoma
if one developes malignant melanoma, what is their prognosis and survival baed on? |
early recognitiion and treatment/diagnosis
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Malignant Melanoma
what treatment works for this? |
chemotherapy, it is resistant to radiation
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Malignant Melanoma
what population is this commin in? |
light skin, not typically in hispanic and african americans
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Malignant Melanoma
what are some risk factors (3) |
genetic predisposition
exposure to UV light presence of 1 or more precursor lesions that resemble unsual moles |
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Malignant Melanoma
what are the signs and symptoms |
irregulary shaped, pigmented papule or plaque
variegated colors with red, white, and blue tones |
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Treatment of skin cancer
what is used to treat actinic keratosis? |
topical: 5FU (topical chemotherapy with 5-fluorouracil cream)
treated areas become tender and inflammed as lesions crust ooze and erode |
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Treatment of skin cancer
what is used to treat superficial basal cell? |
topical: 5FU
topical chermotherapy with 5-fluroracilc ream.. treated areas become tender and inflammed as lesions crust ooze and erode |
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Treatment of skin cancer
what is used to treat invasive basal cell |
radiation
-it is limied to older patients with large, deep, invasive basal cell tumors and to those who have poor risks for surgery |
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Treatment of skin cancer
what is the most common means of managing any type of skin cancer |
surgical
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Treatment of skin cancer
what does Cryosurgery involve? |
local application of liquid nitrogen to isolated lesions, causing cell death and tissue destruction (tissue freezing)
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Patient education
-indivudal education is based upon type of skin cancer -all educationing is based on what |
the extent of metastasis
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Skin cancer
How is this assessed? Prevention of? |
ABCD
avoiding or reducing exposure to sunlight. using sunscreen adn wearing protective clothing whenever in the sun, avoiding tanning beds |
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Skin cancer
Malignant melanoma: how is it detected? |
ABCD method and then a skin biopsy
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Pre-cancerous types of skin leasions: keratotic, seborreaic
which one is premalignant from chronic sun damage? |
keratotic
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Pre-cancerous types of skin leasions: keratotic, seborreaic
which one is common in old people |
keratotic
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Pre-cancerous types of skin leasions: keratotic, seborreaic
which one appears as multiple pasted on papules or plaques ranging in color from flesh tones to brown or black |
seborreaic
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Pre-cancerous types of skin leasions: keratotic, seborreaic
which one has a surface of the lesion that has a rough greasy and wartlike texture |
seborreaic
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benign epidermal neoplasms often mistaken for what
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actinic keratoses
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