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Pathology - Skin 1
na
20
Medical
Professional
08/05/2010

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Cards

Term

Vitiligo

a) Pigment loss

b) Excess pigment

c) Pigment Cell proliferation

Definition
a)
Term
Freckle
a) Pigment loss

b) Excess pigment

c) Pigment Cell proliferation
Definition
b)
Term
Melasma
a) Pigment loss

b) Excess pigment

c) Pigment Cell proliferation
Definition
b)
Term
Lentigo
a) Pigment loss

b) Excess pigment

c) Pigment Cell proliferation
Definition
b)
Term
Melanocytic Nevi
a) Pigment loss

b) Excess pigment

c) Pigment Cell proliferation
Definition
c)
Term
Malignant Melanoma
a) Pigment loss

b) Excess pigment

c) Pigment Cell proliferation
Definition
c)
Term
A melanocytic nevus is a nevus of ___ origin that migrates to the skin from the ____ during embryonic life. ___ nevi aggregate along the dermal-epidermal junction. ____nevi drop off into the dermis forming nests of elongated cells. ____nevi composed of elongated cells resembling nueral tissue. Maturation is loss of ____ activity and aquisition of ____ activity. Associated with ___ & ___ mutations.
Definition
Melanocytic, Nural crest, Junctional, Compound, Intradermal, Tyrosinase, Cholinesterase, BRAF and NRAS
Term
Macule or slightly elevated plaque with certain variation in color. This is a _____ the histopathology is _____.
Definition
Dysplastic Nevus, Atypical Melanocytes
Term
Name the lesion:
Large pebbly surface, variegated brown macule with fuzzy margins and oval but symmetrical shape.
Definition
Dysplastc Nevus
Term
Name the lesion:
Bridging of melanocytic nests between adjacent rete ridges
Definition
Dysplasic Nevus
Term
What are the ABCDE characteristics of Melanoma?
Definition
Asymmetry, Border irregularity, Color variation, Dimater >6mm, Elevation
Term
Malignant Melanoma displays and ___growth pattern
Definition
Nodular/ Vertical
Term
What layer does each Clark Level of Invasion correspond to?
I
II
III
IV
V
Definition
I-Epidermis
II-Papillary Dermis
III- Lower Papillary Dermis
IV-Reticular Dermis
V- Subcutaneous fat
Term
What are the two methods of staging of Malignant Melanoma?
Definition
Clark Level of Invasion, Breslow Thickness
Term
For each Prognostic Criteria of Melanoma what indicates a favorable prognosis?
1) Depth of invasion
2) Mitotic activity
3) Regression
4) Tumor infiltrating lymphocytes at baseof vertical growth
5)Gender
6)Location
7)Lymph nodes metastasis
Definition
1) 2) Low
3)Absent
4)Numerous
5)Female
6)Limbs
7)Absent
Term
Name the Melanoma Variant:
After appearance immediately proceeds to vertical growth, poor prognosis
Definition
Nodular melanoma
Term
Name the Melanoma Variant:
Palms, soles & subungual area, any age, black-skinned people,
Definition
Acral lentiginous melanoma
Term
Name the Melanoma Variant: Atypical melanocytes at the dermoepidermal interface, irregular, angular & hyperchromatic nuclei, large flat pigmented patch on the sun exposed skin of the elderly
Definition
Lentigo maligna
Term
Name the Melanoma Variant:
Exhibits radial growth
Definition
Superfical spreading melanoma
Term
A 70 year old woman presents with facial discoloration. The patient is observed to have a flat, pigmented lesion on the atrophic sun damaged skin. Which of the following is the most likely diagnosis?
a) Acral lentiginous melanoma
b) Alopecia
c) Lentigo maligna
d) Mucosal lentiginous melanoma
e) Nodular melanoma
Definition
C)
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