Ebook Surgery - A case based clinical review: Part 2
➤ Gửi thông báo lỗi ⚠️ Báo cáo tài liệu vi phạmNội dung chi tiết: Ebook Surgery - A case based clinical review: Part 2
Ebook Surgery - A case based clinical review: Part 2
Part XISkinChristian de Virgilio, Section EditorRecently Changed Skin Lesion36Arezou Tory Yaghoubian and Junko Ozao-ChoyA 44 year old fair skinned Cau Ebook Surgery - A case based clinical review: Part 2ucasian male who works as a lifeguard presents with a 1-cm pigmented skin lesion on the right forearm that has recently become variegated and larger in diameter. The patient denies itching, oozing, or bleeding associated with the lesion. He has a history of severe blistering childhood sunburns. The Ebook Surgery - A case based clinical review: Part 2lesion is slightly elevated, asymmetric with ill-defined borders. There is no evidence of bleeding, ulceration, or excoriation. There are no satelliteEbook Surgery - A case based clinical review: Part 2
lesions or in-transit metastasis seen. Examination of the patient's right axilla ami neck reveals no obvious lymphadenopathy. No other skin lesions aPart XISkinChristian de Virgilio, Section EditorRecently Changed Skin Lesion36Arezou Tory Yaghoubian and Junko Ozao-ChoyA 44 year old fair skinned Cau Ebook Surgery - A case based clinical review: Part 2095, USAc-mail: ayaghoub@ucla.eduJ.Ozao-Choy.MDtM)Division of Surgical Oncology. Harbor-UCLA Medical Center. 1000 w. Carson Street. Box 25. Torrance. CA 90509. USAe-mail: jn/.iocboy wdhs.lacounly.gov367c. de Virgilio (cd.). Surgery: A Case Based Clinical Review.DOI 10.1007/978-1-4939-1726-6_36. © Sp Ebook Surgery - A case based clinical review: Part 2ringer Science* Business Media Nesv York 2015368A.T. Yaghoubtan and J. Ozao-ChoyDiagnosisWhat is the Differential Diagnosis and What Clues on HistoryEbook Surgery - A case based clinical review: Part 2
and Physical Examination Might Direct You Towards Specific Diagnoses?DiagnosisMalignant?CommentsJunctional neviNoDark, flat, smooth lesions. They are Part XISkinChristian de Virgilio, Section EditorRecently Changed Skin Lesion36Arezou Tory Yaghoubian and Junko Ozao-ChoyA 44 year old fair skinned Cau Ebook Surgery - A case based clinical review: Part 2n lesions with a very low risk of malignant degeneration. Most common mole of children.Compound neviNoBrown 10 black, well-circumscribed lesions that are< 1 cm in diameter. They may be elevated and arc frequently hairy, arising from the epidermal-dermal interface and from within the dermis Malignant Ebook Surgery - A case based clinical review: Part 2 transformation is rare.Intradermal neviNoLight-colored, well-circumscribed lesions < 1 cm in diameter Hairs arc usually present and the cell distribuEbook Surgery - A case based clinical review: Part 2
tion occurs in the dermis. Malignant transformation is rare. Most common mole in adults.Giant pigmented neviNoBrown to black hairy lesions With an irrPart XISkinChristian de Virgilio, Section EditorRecently Changed Skin Lesion36Arezou Tory Yaghoubian and Junko Ozao-ChoyA 44 year old fair skinned Cau Ebook Surgery - A case based clinical review: Part 2mended.Spitz neviNoSmooth, lound. pink-black lesions measuring 1-2 cm in diameter found mainly in children. They have increased ccllularity and occur in nests within the upper dermis. Atypical nevi have a small risk of malignant degeneration.Pigmented aclinic kentiosisNoPremalignant lesions caused b Ebook Surgery - A case based clinical review: Part 2y sun exposure, sand paper texture, small, rough, erythematous, or brownish papules, often on the face, back, or neck, also called "cutaneous horn”.KeEbook Surgery - A case based clinical review: Part 2
ratotic anihvtnaNoWell-differentiated tumor originating from the prlosebacvous glands, develops rapidly and regresses spontaneously (outgrows blood suPart XISkinChristian de Virgilio, Section EditorRecently Changed Skin Lesion36Arezou Tory Yaghoubian and Junko Ozao-ChoyA 44 year old fair skinned Cau Ebook Surgery - A case based clinical review: Part 2olored plaques, coin-like, waxy, "sluck-on" appearanceDysplastic nevusNoLarge, pigmented lesions, irregular border, frequently occur on the back, chest, buttocks, breast, and scalp and can be found in sun-exposed and sun-protected areas.MelanomaYesProliferation of melanocytes, most common cause of d Ebook Surgery - A case based clinical review: Part 2eath from skin cancer, presents as mote-like growth with "ABCD" (see below ).Squamous cell carcinomaYesProliferation of squamous cells characterized bEbook Surgery - A case based clinical review: Part 2
y formation of keratin pearls presents as ulcerated, nodular, mass with no tclangicctasias. usually on the face (classically involving the lower lip)BPart XISkinChristian de Virgilio, Section EditorRecently Changed Skin Lesion36Arezou Tory Yaghoubian and Junko Ozao-ChoyA 44 year old fair skinned Cau Ebook Surgery - A case based clinical review: Part 2clasias (classically involving the upper lip).Metastatic tumors to skinYesIn males, the most common sources arc malignant melanoma (32 %). lung, colon, carcinoma of the oral cavity, larynx, and kidney. In females, the most common sources are breast (70 %). followed by melanoma, iind ovary.What Is th Ebook Surgery - A case based clinical review: Part 2e Most Likely Diagnosis?In a patient presenting with a recently changed skin lesion that has become variegated and larger in diameter with an asymmetrEbook Surgery - A case based clinical review: Part 2
ic. irregular border, the most likely diagnosis is melanoma. Additionally, (he patient's fair-colored skin, occupation as a lifeguard, and history of Part XISkinChristian de Virgilio, Section EditorRecently Changed Skin Lesion36Arezou Tory Yaghoubian and Junko Ozao-ChoyA 44 year old fair skinned CauPart XISkinChristian de Virgilio, Section EditorRecently Changed Skin Lesion36Arezou Tory Yaghoubian and Junko Ozao-ChoyA 44 year old fair skinned CauGọi ngay
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