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Clin Med 206: Lumps

QuestionAnswer
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