1 / 49

Common MMalignant Skin Tumours, M elanoma, Biopsy M ethods, Surgical

Common MMalignant Skin Tumours, M elanoma, Biopsy M ethods, Surgical. Therapy. Claire Temple MD MSc FRCSC Associate Professor, UW O Division of Plastic Surgery Hand and Upper Limb Centre. Skin Examination. Physical Examination.  Overall skin type.  Lesion description.

alodie
Download Presentation

Common MMalignant Skin Tumours, M elanoma, Biopsy M ethods, Surgical

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Common MMalignant Skin Tumours, M elanoma, Biopsy M ethods, Surgical Therapy Claire Temple MD MSc FRCSC Associate Professor, UW O Division of Plastic Surgery Hand and Upper Limb Centre

  2. Skin Examination

  3. Physical Examination  Overall skin type  Lesion description

  4. Fitzpatrick classification  I W hite  II W hite  III W hite Always burns, never tans Always burns, little tan Slight burn, slow tan  IV Pale brown  V Brown Slight burn, fast tan Rarely burns, dark tan Never burns, dark tan  VI Dark brown/black

  5. Lesion description  Size in mm - two dimensions  Color  Surface characteristics –  scale(excess keratin)  crust(dried serum)  excoriated/erosion/ulcer

  6. Lesion description  NOUN Macule/patch flat lesion<>1cm Papule/plaque raised lesion <>1cm Nodule/tumour deep dermal lump <>1cm Vesicle/bulla elevated fluid filled lesion <>1cm

  7. If pigmented lesion, also describe:  A asymmetry  B borders  C color  D diameter  E elevation

  8. Biopsy Techniques

  9. Biopsy Techniques  Incisional  Shave  Punch  Incisional ellipse  Excisional

  10. Punch biopsy

  11. Punch biopsy

  12. Punch biopsy

  13. Punch Biopsy

  14. Incisional biopsy

  15. Excisional Biopsy

  16. Basal Cell Carcinoma

  17. Etiology - MM ultifactorial  UVR (Sun, tanning beds)  Ionizing radiation  Age >40  Fitzpatrick I, II phenotype  Immunosuppression  Old, unstable scars  Genetic conditions  Insecticides, hydrocarbons, arsenic

  18. Basal Cell Carcinoma  Malignant tumour arising from basal cell layer of epidermis  90% of all skin cancers  40% of North Americans will develop a BCC  85% facial, 30% nose

  19. Basal Cell Carcinoma  Nodular Form  Telangiectatic papule  translucent  pearly rolled border  Slow growing  Rarely metastasizes

  20. Variants  Nodular - 60%  Superficial  Pigmented  Morpheaform or sclerosing

  21. Nodular BCC

  22. Rodent Ulcer

  23. Sclerosing BCC

  24. Somme Exammples to Practice

  25. Pigmented Basal Cell Carcinoma

  26. Superficial Basal Cell Carcinoma

  27. Treatment  Prevention  Electrodessication/Curettage  Surgical Excision with 4 mm margins Mohs

  28. Respect Basal Cell Carcinoma

  29. Squamous Cell Carcinoma

  30. Squamous Cell Cancer

  31. Actinic Keratoses

  32. SCC  Malignant lesion arising in epidermis  Age >40  15% lifetime risk in Caucasians  Risk of metastases 0.5-6%  Thickened, ulcerated, erythematous lesion  Examine nodal basins

  33. SCC  Main treatment is surgical  6mm or wider margin  Radiation  May recur along nerves  May metastasize

More Related