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Clin Med 206: Lumps
| Question | Answer |
|---|---|
| Lesion that is attached in one area to the lid | Pedunculated lesion |
| If you see a capillary lobule it means that a lesion is _____? | Benign |
| Characteristics of CIN? (Corneal Conjunctival Intraepitheliam Neoplasm) | Not always elevated, if only on the cornea it will surround 360 degrees, pts may also have lesions on soles of feet |
| What is CIN commonly mistaken for? | pannus |
| Thickening of the epithelium | Hyperplasia |
| When normal cells have turned into abnormal cells and have a different morphology | Dysplasia |
| What is it called when CIN cells go past the epithelium? | Squamous cell carcinoma |
| Treatment of a CIN | surgical excision w/amniotic graph, cryotherapy to kill feeder vessels, mitomycin C or 5-FU |
| The glands of Zeiss and Moll are ________ in relation to the Meibomian glands | Superficial |
| What are the ABCDs of Eye and Skin Lesions | Asymmetry, Borders, Color, Diameter(>6mm) |
| Viral papilloma seen in younger people (5-30yrs) | Verrucae |
| Lesion that is typically round pearly, symmetrical and flesh colored | Papilloma |
| Most common benign lesion of the eyelid | Squamous Papilloma |
| Overgrowth of normal epithelum (non-viral). Seen in people age 30 and older. | Squamous Papilloma |
| Characteristics of eyeild verrucae | Multi-lobulated, 5-20yrs, commonly seen with HPC |
| Most common type of verruca | Verruca Plana |
| Three types of verruca | 1. verruca plana, 2. verrucae vulgaris, 3. cutaneous horn |
| Verrucae with small, distinct borders, lightly raised, "cauliflower like" | Verruca Plana |
| Verruca that is pendunculated, fleshy and soft to the touch | Verrucae Vulgaris |
| Verruca that is keratinized and hard to the touch | Cutaneous Horn |
| When is treatment warrented for pts with eyelid papilloma? | Tx warranted in cases of cosmetic concern, impaired lid function or discomfort |
| What is the most common surgical treatment of squamous papilloma? | Local surgical excision |
| An acute focal infection of the glands of Zeiss or Moll | External hordeolum |
| An acute focal infection of the meibomian glands | Internal hordeolum |
| Signs/symptoms of a hordeolum | Painful, swollen, red eyelid |
| Most common bacterial cause of hordeolum | Staph Aureus |
| What should you rule out if you suspect internal hordeolum? | Preseptal cellulitis |
| If concerned with preseptal cellulitis, how should else should be given to treat internal hordeolum? | Systemic antibiotics |
| If patient has a painful preseptal cellulitis what should you test? | Temperature |
| A ________ is usually seen externally with an external hordeolum | White point |
| Treatment for Internal/External hordeolum | Hot compresses 4-5x/day 5-10 mins, lid scrubs bid, and antibiotic ointment qid |
| A chronic, localized, granulomatous lesion of the sebaceous glands | Chalazion |
| A chalazion commonly occurs after ________ | An acute internal hordeolum |
| A hard, immobile, painless, nodular, pearl-like bump | Chalazion |
| Treatment of Chalazion | hot compresses bid w/lid massage, intralesional steroid injection, surgical excision |
| Mos reliable/effective way to remove chalazion | Surgical excision |
| Most common skin cancer (80-90%) | Basal cell carcinoma |
| Most common epithelial tumor | Basal cell carcinoma |
| What causes basal cell carcinoma? | UV exposure |
| What types of pts commonly get basal cell carcinoma? | Older, light-skinned pts |
| Basal cell carcinoma most commonly affects the __________. | Lower eyelid |
| Three types of basal cell carcinoma | Nodular, nodulo-ulcerative, morpheoform |
| Most common type of basal cell carcinoma | Nodular |
| Morpheoform basal cell carcinoma is the most extensive form and has ______ and ______ borders | pale and ill-defined |
| Basal cell carcinoma accounts for __% of pt deaths | 0.1% |
| Painless lesion with central ulceration, pearly rolled edges, waxy and firm nodule, immobile with fine blood vessels on surface | Basal Cell Carcinoma |
| What is the most common treatment for basal cell carcinoma/squamous cell carcinoma? | Mohs micrographic surgery (for primary and recurrent) |
| Slow growing, locally invasive, rarely metastatic tumor | Basal Cell Carcinoma |
| A rare malignant epithelial tumor that is caused by UV exposure | Squamous Cell Carcinoma |
| In Squamous Cell Carcinoma the _________ is most commonly involved | Upper eyelid |
| An aggressive tumor that can invade the orbit and metastasize to lymph nodes | Squamous Cell Carcinoma |
| The most lethal eyelid malignancy | Sebaceous Gland Carcinoma |
| In Sebaceous Gland Carcinoma the ________ is most commonly involved | Upper lid (Meibomian Glands) |
| Small, benign, whitish-yellowish nodule on bulbar conjunctiva that is most commonly present nasally | Pinguecula |
| A superficial fibrovascular lesion located on the bulbar conjunctiva extending onto cornea | Pterygium |
| Which bulbar lesion can case significant irregular corneal astigmatism? | Pterygium |
| What is the most common graft type used for removal of pterygium? | Amnion graft |
| A rare pre-malignant lesion which can mimic pterygium | Corneal Conjunctival Intraepithelial Neoplasm |
| A fleshy/frothy, vascularized lesion, that is multi-lobulated and resembles a raspberry. | Corneal Conjunctival Intraepithelial Neoplasm |
| The most common conjunctival malignancy in the US | Squamous cell carcinoma of the conjunctiva |
| Treatment of choice for squamous cell carcinoma of the conjunctiva | Excisional biopsy |
| Most common location of squamous cell carcinoma of the conjunctiva | Corneoscleral limbus |
Created by:
LaurenLofdahl
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