Tumors.txt

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Author:
sendzik
ID:
143598
Filename:
Tumors.txt
Updated:
2012-03-25 04:21:30
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Tumors
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Tumors.txt
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  1. Papilloma
    • What:Overgrown of epidermal skin of eye lid (squamous)
    • Cause:Virus- verucca plana, vulgaris, digitala Non viral- elderly
    • What to look for/Sx:Viral- fast growth, rough, not eroded vasculature R.O. neoplastic growth, color change, bleeding, vascularization, surface ulceration, erosion
    • Tx:None indicated- reassure Excision for cosmesis or trichiasis -refer if suspicious, take photos -use antibiotics if excision is done
  2. Verucca
    • What:Papilloma with inclusion bodies
    • Cause:Transmission by direct/indirect contact (virus)
    • What to look for/Sx:Conjunctivitis, keratitis
    • Tx:Spontaneous regression, treat infection or prophylaxis with drops -biopsy and cryo if suspicious
  3. Cutaneous horn
    • What:Keratinized papilloma
    • Tx:Easy excision
  4. Seborrheic keratitis
    • What:Benign epi growth
    • Cause:Middle aged asian, trunk, head, brow/lid
    • What to look for/Sx:-Not premalignant -sharp definition, slight elevation, brown plaster, little invasion into epidermis, none into dermis
    • Tx:Refer to dermatologist for excision
  5. Keratoacanthoma
    • What:Pseudocarcinoma hyperplasia
    • Cause:Exposure on hairy areas, 50-70 yo Caucasian What to look for/Sx:Rapid growth- 1-2cm, rasised initially, dome nodule with central core (keratin crater), Rolled, elevated borders Pore grows and exposes crater and discharges keratin
    • Tx:RO SCC and muscum contagiousum -spontaneous regression, excision usually to be sure -photo document - sometimes BCC or SCC occur on edges or borders after excision

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