Sandbox:Roukoz: Difference between revisions

Jump to navigation Jump to search
No edit summary
No edit summary
Line 18: Line 18:
! colspan="1" rowspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Physical exam 2
! colspan="1" rowspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Physical exam 2
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Physical exam 3
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Physical exam 3
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Lab 1
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Presentation
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Lab 2
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Areas affected
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Lab 3
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Unique features
|-
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" |'''Cutaneous squamous cell carcinoma'''
| style="background: #DCDCDC; padding: 5px; text-align: center;" |'''Cutaneous squamous cell carcinoma'''
Line 29: Line 29:
| style="background: #F5F5F5; padding: 5px;" |Hyperkeratotic
| style="background: #F5F5F5; padding: 5px;" |Hyperkeratotic
| style="background: #F5F5F5; padding: 5px;" |Increased size
| style="background: #F5F5F5; padding: 5px;" |Increased size
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |papules, plaques, or nodules, and smooth, hyperkeratotic, or ulcerative lesions
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |any cutaneous surface, including the head, neck, trunk, extremities, oral mucosa, periungual skin, and anogenital areas
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |In fair-skinned individuals, SCCs most commonly arise in sites frequently exposed to the sun
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |

Revision as of 20:05, 17 February 2019

Diseases Clinical manifestations Para-clinical findings Additional findings
Symptoms Physical examination
Lab Findings Histopathology
Symptom 1 Symptom 2 Symptom 3 Physical exam 1 Physical exam 2 Physical exam 3 Presentation Areas affected Unique features
Cutaneous squamous cell carcinoma Pain Erythema Indurated Hyperkeratotic Increased size papules, plaques, or nodules, and smooth, hyperkeratotic, or ulcerative lesions any cutaneous surface, including the head, neck, trunk, extremities, oral mucosa, periungual skin, and anogenital areas In fair-skinned individuals, SCCs most commonly arise in sites frequently exposed to the sun
  • 60 percent of squamous cell carcinomas occur at the site of a previous actinic keratosis
Merkel cell carcinoma Starts on areas of skin exposed to the sun Single pink, red, or purple shiny bump Painless Blue-red, dome-shaped nodule
Nodular malignant melanoma Lump that has been rapidly growing over the past weeks Cells proliferate downwards through the skin (vertical growth)
  • Two-thirds arise in normal skin, the rest in existing moles
  • Genetic component in some cases with a positive family history
Amelanotic melanoma Color usually pink, purple or normal skin color Usually have an asymmetrical shape with an irregular border Red, nonspecific lesion with slightly elevated borders
  • Do not make melanin, so lesions are not pigmented
Basal cell carcinoma Coarse scale lesion
Superficial basal cell carcinoma Scaly patch Erythematous lesion
  • large, hyperchromatic, oval nuclei and little cytoplasm
  • well differentiated and cells appear histologically similar to basal cells of the epidermis
Nodular basal cell carcinoma Pearly papule with telangiectasias
Cutaneous metastases of internal malignancy Other sites lungs, liver, brain, skin, or bone. The most frequent site of metastasis for cutaneous SCC is the regional lymph nodes;
Benign Skin Lesions
Sebaceous cell carcinoma Yellow-nodule Suspected due to evidence of eyelash loss
Rhabdomyosarcoma Bulging of the eye or a swollen eyelid Develops in skeletal muscles usually
Actinic keratoses Pain Hyperkeratosis Erythema less pigmentation, and tend to be somewhat smaller in size.
Prurigo nodules Hard lesion Itchy lumps
Paget disease Eczema-like rash of the skin Around the genital regions of males and females. Similar to mammary paget disease chronic
Inflamed seborrheic keratosis Waxy, "stuck on," often hyperkeratotic appearance
Viral warts Verrucous lesion Caused by HPV
Pyogenic granuloma Rapidly growing Red, dome-shaped Friable papule with a collarette of scale
Bowenoid papulosis multiple, red- to brown-colored, small papules that
  • primarily arise on genitals
  • induced by human papillomavirus (HPV) infection
Nummular eczema Itchy lesions Coin shaped spots Chronic condition
Psoriasis Flaking, inflammation Thick, white, silvery, or red patches of skin Chronic condition
Pyoderma gangrenosum Purulent ulcer Ragged and violaceous border
Venous stasis ulcers
Traumatic ulcers
Bowen Disease Red scaly patch Very early form of skin cancer that is very treatable

referred to as squamous cell carcinoma insitu

Sebaceous Hyperplasia Lesions can be single or multiple lesions

Yellowish, soft, small papules on the face

Usually on the nose, cheeks, and forehead
Allergic Contact Dermatitis Itchy rash Red rash Not contagious
Atopic Dermatitis Itchy rash Fever Red rash Chronic and sometimes accompanied by asthma
Atypical Fibroxanthoma Erythematous, dome-shaped papule
Nevus
Chemical Burns
Limbal Dermoid Contains choristomatous tissue Benign congenital tumor
Benign hereditary intraepithelial dyskeratosis Rare autosomal-dominant disorder of the conjunctiva and oral mucosa
primary acquired melanosis
Fibrous xanthoma Containing fibromatous elements Arises due to disturbed systemic lipid metabolism
Inflamed seborrheic keratosis Inflamed and hyperpigmented On dermatoscopic evaluation, presence of horned cysts and hairpin-shaped blood vessels
Juvenile xanthogranuloma Reddened, yellowish-tan color of lesions Slightly raised bumps Typically
Cutaneous fungal infections
Desmoplastic trichoepithelioma
Adnexal carcinoma Very rare
Keratoacanthoma
Darier disease Keratosis follicularis
Cutaneous T-cell lymphoma Mycosis fungoides
Marjolin's ulcer Lesions in sites of chronic wounds and scars Excessive granulation tissue, Rolled or everted wound margins Bleeding on touch
  • rare type of SCC
  • Very slow malignant transformation
Epithelioma cuniculatum Increased size Verrucous carcinoma on the plantar foot
Anogenital also known as giant condyloma acuminatum of Buschke-Loewenstein
Keratoacanthoma Found on actinically damaged skin Rapid initial growth Dome-shaped or crateriform nodules with a central keratotic core Increased size keratocytic epithelial tumors