Transcript Skin Cancer Interactive Presentation

NonMelanoma Skin Cancer
Interactive
Dr David Burdon-Jones
Consultant Dermatologist
Dorset County Hospital Foundation
Trust
Nonmelanoma skin cancer
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Pearliness in a BCC is best appreciated by
• Use of a magnifying glass
• Removal of overlying crust
• Stretching the lesion
• Use of a Wood’s light
Nonmelanoma skin cancer
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Pearliness in a BCC is best appreciated by
• Use of a magnifying glass
• Removal of overlying crust
• Stretching the lesion
• Use of a Wood’s light
Nonmelanoma skin cancer
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Nodular BCC most commonly occurs on
• Scalp
• Ear
• Nose
• Arm
Nonmelanoma skin cancer
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Nodular BCC most commonly occurs on
• Scalp
• Ear
• Nose
• Arm
Nonmelanoma skin cancer
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Superficial BCC most commonly occurs on the
• Face
• Limb
• Scalp
• Trunk
Nonmelanoma skin cancer
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Superficial BCC most commonly occurs on the
• Face
• Limb
• Scalp
• Trunk
Nonmelanoma skin cancer
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What percentage of BCCs can be
pigmented?
• 1-10%
• 11-20%
• 21-30%
• BCCS are never pigmented
Nonmelanoma skin cancer
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What percentage of BCCs can be
pigmented?
• 1-10%
• 11-20%
• 21-30%
• BCCS are never pigmented
Nonmelanoma skin cancer
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Ulceration is commonest in
• Bowen’s disease
• Melanoma
• BCC
• SCC
Nonmelanoma skin cancer
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Ulceration is commonest in
• Bowen’s disease
• Melanoma
• BCC
• SCC
Nonmelanoma skin cancer
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BCCs sometimes occur on
• Scrotum
• Under fingernails
• On the oral mucosae
• On the conjunctivae
Nonmelanoma skin cancer
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BCCs sometimes occur on
• Scrotum
• Under fingernails
• On the oral mucosae
• On the conjunctivae
Nonmelanoma skin cancer
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Superficial BCCs respond to treatment with
• 5% Fluoro-uracil cream
• Imiquimod cream
• Photo-dynamic Treatment
• All the above
Nonmelanoma skin cancer
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Superficial BCCs respond to treatment with
• 5% Fluoro-uracil cream
• Imiquimod cream
• Photo-dynamic Treatment
• All the above
Nonmelanoma skin cancer
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Fast track referral is NOT appropriate for
• BCC
• SCC
• Melanoma
• Lentigo maligna
Nonmelanoma skin cancer
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Fast track referral is NOT appropriate for
• BCC
• SCC
• Melanoma
• Lentigo maligna
Superficial BCC
Nodular BCC
Nonmelanoma skin cancer
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Bowen’s disease most commonly presents as
•
•
•
•
A psoriasisform plaque
An indurated dermal nodule
An ulcerated plaque
A pigmented plaque
Nonmelanoma skin cancer
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Bowen’s disease most commonly presents as
•
•
•
•
A psoriasisform plaque
An indurated dermal nodule
An ulcerated plaque
A pigmented plaque
Nonmelanoma skin cancer
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Bowen’s disease occurs
• In women
• On the calf
• As multiple plaques
• All the above
Nonmelanoma skin cancer
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Bowen’s disease occurs
• In women
• On the calf
• As multiple plaques
• All the above
Nonmelanoma skin cancer
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The differential diagnosis of Bowen’s
Disease includes
• Inflamed seborrhoiec keratosis
• Solar keratosis
• Superficial BCC
• All of the above
Nonmelanoma skin cancer
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The differential diagnosis of Bowen’s
Disease includes
• Inflamed seborrhoiec keratosis
• Solar keratosis
• Superficial BCC
• All of the above
Nonmelanoma skin cancer
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Bowen’s Disease does NOT respond to
treatment with
• 5 Fluoro-uracil cream
• Photo-dynamic Treatment
• Solaraze gel
• Cryotherapy
Nonmelanoma skin cancer
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Bowen’s Disease does NOT respond to
treatment with
• 5 Fluoro-uracil cream
• Photo-dynamic Treatment
• Solaraze gel
• Cryotherapy
Nonmelanoma skin cancer
Which of the following is INCORRECT regarding
Bowen’s Disease?
• Bowen’s Disease is squamous cell cancer in situ
• Bowen’s Disease is usually indurated to
•
•
palpation
Bowen’s Disease can extend down the follicular
epithelium
Bowen’s Disease can be pigmented
Nonmelanoma skin cancer
Which of the following is INCORRECT regarding
Bowen’s Disease?
• Bowen’s Disease is squamous cell cancer in situ
• Bowen’s Disease is usually indurated to
•
•
palpation
Bowen’s Disease can extend down the follicular
epithelium
Bowen’s Disease can be pigmented
Bowen’s Disease
Nonmelanoma skin cancer
Which of the following is NOT TRUE
regarding Keratoacanthoma?
• Rapid growth
• Total or partial involution
• A keratotic central crater
• Best not excised
Nonmelanoma skin cancer
Which of the following is NOT TRUE
regarding Keratoacanthoma?
• Rapid growth
• Total or partial involution
• A keratotic central crater
• Best not excised
Keratoacanthoma
Nonmelanoma skin cancer
Choose the best answer for the following
statement
Chondrodermatitis nodularis helicis can usually be
distinguished from SCC by the following
• Painful to lie on the pillow at night
• A tendency to heal with pressure relief
• Can be multiple, linear, or bilateral
• All of the above
Nonmelanoma skin cancer
Choose the best answer for the following
statement
Chondrodermatitis nodularis helicis can usually be
distinguished from SCC by the following
• Painful to lie on the pillow at night
• A tendency to heal with pressure relief
• Can be multiple, linear, or bilateral
• All of the above
Chondrodermatitis Helicis Chronica
Nonmelanoma skin cancer
Which of the following statements regarding SCC
is INCORRECT
• Distribution more closely parallels sun exposed
areas than does BCC
• Can be tender
• Is commoner than BCC in immunosuppressed
patients
• Occurs more commonly on top lip than lower lip
Nonmelanoma skin cancer
Which of the following statements regarding SCC
is INCORRECT
• Distribution more closely parallels sun exposed
areas than does BCC
• Can be tender
• Is commoner than BCC in immunosuppressed
patients
• Occurs more commonly on top lip than lower lip
Nonmelanoma skin cancer
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The most important clinical sign of SCC is
• A fungating exophytic growth pattern
• Bleeding
• Ulceration
• Induration
Nonmelanoma skin cancer
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The most important clinical sign of SCC is
• A fungating exophytic growth pattern
• Bleeding
• Ulceration
• Induration
Nonmelanoma skin cancer
Which of the following sites of SCC is the
LEAST likely to metastasize?
• Nose
• Scalp
• Lip
• Ear
Nonmelanoma skin cancer
Which of the following sites of SCC is the
LEAST likely to metastasize?
• Nose
• Scalp
• Lip
• Ear
Nonmelanoma skin cancer
Select the INCORRECT answer
Treatment Options for SCC include
•
•
•
•
Excision
Serial curettage and diathermy
Photodynamic therapy
Radiotherapy
Nonmelanoma skin cancer
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Treatment Options for SCC include
•
•
•
•
Excision
Serial curettage and diathermy
Photodynamic therapy
Radiotherapy
Nonmelanoma skin cancer
According to IOG Guidelines, which of the
following does NOT require referral to
Secondary care for Excision?
• SCC
• Melanoma
• Basal cell cancer
• Sebaceous cyst
Nonmelanoma skin cancer
According to IOG Guidelines, which of the
following does NOT require referral to
Secondary care for Excision?
• SCC
• Melanoma
• Basal cell cancer
• Sebaceous cyst
Squamous Cell Cancer
NonMelanoma Skin Cancer
Interactive
Any
Questions?