Dermatology – Benign Skin Neoplasms – Flashcards
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Define Epithelial Inclusion Cysts (EIC)
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Also known as an Epidermoid Inclusion Cyst; commonly on face and trunk and presents like a comedomal-like opening or pore that resembles a blackhead and is skin-colored to yellow white; soft cheese-like often malodorous material composed primarily of keratin is inside
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How do you treat an inflamed EIC that is fluctuant?
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Incise and drain then pack with gauze (a wick)
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How do you treat an inflamed EIC that is non fluctuant?
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Inject with intralesional corticosteroids
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How do you treat non inflamed EICs?
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Excised surgically, but can leave a significant scar
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Define Seborrheic Keratoses
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Begins in the 4th decade of life and presents as macular, papular, or verrucous with varying colors, but mostly brown; looks "stuck on" and is smooth
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Define Leser-Trelat
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Internal malignancy that is found by sudden appearance of multiple lesions with an inflammatory base
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What are the three variants of Seborrheic Keratoses?
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Dermatosis Papulosa Nigra, Stucco Keratosis, and Inverted Follicular Keratosis
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Define Dermatosis Papulosa Nigra
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Common in dark-skinned individuals; hyper pigmented papule on the face
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Define Stucco Keratosis
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Gray-white papule on the lower extremities (dorsal feet/ankles) of older adults
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Define Inverted Follicular Keratosis
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Endophytic variant of seborrheic keratosis; tan to pink papule on adult faces
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Define Cherry Angioma
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Bright, red, benign, vascular papule that is commonly found on the trunk or upper extremities; appears in adulthood, early tiny lesions can be macular; not not usually blanche
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Define Dermatofibroma
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Pink, tan or brown papule that is firm and dimples inward with lateral pressure; often found on the lower extremities of women and is common
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Multiple lesions of Dermatofibroma can be associated with what two diseases?
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HIV and Lupus erythematosus
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Define Acrochordons
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Skin tags; common and skin colored to pink and occasionally hyper pigmented, pedunculate papule found on the neck, axilla, groin
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Define Pyogenic Granuloma
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Rapidly growing, friable, red papulonodule that is sometimes pedunculate and often ulcerates and bleeds; usually found on the gums and fingers and may arise on the gingival of pregnant women
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Define Pressure Ulcers
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Occur from prolonged immobility, usually in the elderly; soft tissues are compressed between a bony prominence and an eternal surface
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What is Stage I of a Pressure Ulcer?
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Non-blanchable erythema with induration and warmth
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What is Stage II of a Pressure Ulcer?
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Irregular shadow ulceration; loss of epidermis, dermis, or both with erythema, induration, and warmth
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What is Stage III of a Pressure Ulcer?
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Deep ulceration with necrotic base
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What is Stage IV of a Pressure Ulcer?
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Deep ulceration reaching underlying bone
