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NonMelanoma Skin Cancer

NonMelanoma Skin Cancer. Interactive. Dr David Burdon-Jones Consultant Dermatologist Dorset County Hospital Foundation Trust. Nonmelanoma skin cancer. Select the most correct answer Pearliness in a BCC is best appreciated by Use of a magnifying glass Removal of overlying crust

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NonMelanoma Skin Cancer

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  1. NonMelanoma Skin Cancer Interactive Dr David Burdon-Jones Consultant Dermatologist Dorset County Hospital Foundation Trust

  2. Nonmelanoma skin cancer Select the most correct answer 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

  3. Nonmelanoma skin cancer Select the most correct answer 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

  4. Nonmelanoma skin cancer Select the most correct answer Nodular BCC most commonly occurs on • Scalp • Ear • Nose • Arm

  5. Nonmelanoma skin cancer Select the most correct answer Nodular BCC most commonly occurs on • Scalp • Ear • Nose • Arm

  6. Nonmelanoma skin cancer Select the most correct answer Superficial BCC most commonly occurs on the • Face • Limb • Scalp • Trunk

  7. Nonmelanoma skin cancer Select the most correct answer Superficial BCC most commonly occurs on the • Face • Limb • Scalp • Trunk

  8. Nonmelanoma skin cancer Select the most correct answer. What percentage of BCCs can be pigmented? • 1-10% • 11-20% • 21-30% • BCCS are never pigmented

  9. Nonmelanoma skin cancer Select the most correct answer. What percentage of BCCs can be pigmented? • 1-10% • 11-20% • 21-30% • BCCS are never pigmented

  10. Nonmelanoma skin cancer Select the most correct answer Ulceration is commonest in • Bowen’s disease • Melanoma • BCC • SCC

  11. Nonmelanoma skin cancer Select the most correct answer Ulceration is commonest in • Bowen’s disease • Melanoma • BCC • SCC

  12. Nonmelanoma skin cancer Select the most correct answer BCCs sometimes occur on • Scrotum • Under fingernails • On the oral mucosae • On the conjunctivae

  13. Nonmelanoma skin cancer Select the most correct answer BCCs sometimes occur on • Scrotum • Under fingernails • On the oral mucosae • On the conjunctivae

  14. Nonmelanoma skin cancer Select the most correct answer Superficial BCCs respond to treatment with • 5% Fluoro-uracil cream • Imiquimod cream • Photo-dynamic Treatment • All the above

  15. Nonmelanoma skin cancer Select the most correct answer Superficial BCCs respond to treatment with • 5% Fluoro-uracil cream • Imiquimod cream • Photo-dynamic Treatment • All the above

  16. Nonmelanoma skin cancer Select the most correct answer Fast track referral is NOT appropriate for • BCC • SCC • Melanoma • Lentigo maligna

  17. Nonmelanoma skin cancer Select the most correct answer Fast track referral is NOT appropriate for • BCC • SCC • Melanoma • Lentigo maligna

  18. Superficial BCC

  19. Nodular BCC

  20. Nonmelanoma skin cancer Select the most correct answer Bowen’s disease most commonly presents as • A psoriasisform plaque • An indurated dermal nodule • An ulcerated plaque • A pigmented plaque

  21. Nonmelanoma skin cancer Select the most correct answer Bowen’s disease most commonly presents as • A psoriasisform plaque • An indurated dermal nodule • An ulcerated plaque • A pigmented plaque

  22. Nonmelanoma skin cancer Select the most correct answer Bowen’s disease occurs • In women • On the calf • As multiple plaques • All the above

  23. Nonmelanoma skin cancer Select the most correct answer Bowen’s disease occurs • In women • On the calf • As multiple plaques • All the above

  24. Nonmelanoma skin cancer Select the most correct answer The differential diagnosis of Bowen’s Disease includes • Inflamed seborrhoiec keratosis • Solar keratosis • Superficial BCC • All of the above

  25. Nonmelanoma skin cancer Select the most correct answer The differential diagnosis of Bowen’s Disease includes • Inflamed seborrhoiec keratosis • Solar keratosis • Superficial BCC • All of the above

  26. Nonmelanoma skin cancer Select the most correct answer Bowen’s Disease does NOT respond to treatment with • 5 Fluoro-uracil cream • Photo-dynamic Treatment • Solaraze gel • Cryotherapy

  27. Nonmelanoma skin cancer Select the most correct answer Bowen’s Disease does NOT respond to treatment with • 5 Fluoro-uracil cream • Photo-dynamic Treatment • Solaraze gel • Cryotherapy

  28. 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

  29. 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

  30. Bowen’s Disease

  31. 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

  32. 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

  33. Keratoacanthoma

  34. 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

  35. 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

  36. Chondrodermatitis Helicis Chronica

  37. 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

  38. 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

  39. Nonmelanoma skin cancer Choose the most correct answer The most important clinical sign of SCC is • A fungating exophytic growth pattern • Bleeding • Ulceration • Induration

  40. Nonmelanoma skin cancer Choose the most correct answer The most important clinical sign of SCC is • A fungating exophytic growth pattern • Bleeding • Ulceration • Induration

  41. Nonmelanoma skin cancer Which of the following sites of SCC is the LEAST likely to metastasize? • Nose • Scalp • Lip • Ear

  42. Nonmelanoma skin cancer Which of the following sites of SCC is the LEAST likely to metastasize? • Nose • Scalp • Lip • Ear

  43. Nonmelanoma skin cancer Select the INCORRECT answer Treatment Options for SCC include • Excision • Serial curettage and diathermy • Photodynamic therapy • Radiotherapy

  44. Nonmelanoma skin cancer Select the INCORRECT answer Treatment Options for SCC include • Excision • Serial curettage and diathermy • Photodynamic therapy • Radiotherapy

  45. 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

  46. 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

  47. Squamous Cell Cancer

  48. NonMelanoma Skin Cancer Interactive Any Questions?

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