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Dermatology Diploma > Harmless Lumps & Bumps > Flashcards

Harmless Lumps & Bumps Flashcards

1
Q

What is this and what is the treatment?

A

Plane Warts

Treat with Topical retinoids, cryotherapy or imiquimod.

Cryotherapy can cause Koebnerisation.

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2
Q

What is this?

What is the treatment

A

Molloscum Contagiosum

Treat with Molludab, topical imiquimod.

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3
Q

If a giant molloscum or many molloscums appear in an adult, what should you suspect?

A

Immunocompromise. (HIV etc)

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4
Q

What is this?

How is it treated?

A

Sebaceous Hyperplasia

  • Removal with curretage, cauteryor excision
  • Deep Peels with TCA also help.
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5
Q

How do you remove milia?

A

A green needle (to extrude the calcified contents)

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6
Q

What is this?

How is it treated?

A

Syringoma (Benign tumours of sweat glands)

Occur under the eyes

Often run in families

Best left alone

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7
Q

What is this?

How is it treated?

A

Pyogenic Granuloma

  • Curettage and cautery BUT always send for histology.
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8
Q

Why must you always send pyogenic granulomas for histology?

A

Differential diagnosis of amelanotic melanoma

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9
Q

Where do pyogenic granulomas usually occur?

A
  • Head
  • Neck
  • Upper trunks
  • Hands
  • Feet
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10
Q

What is the cause of pyogenic granulomas?

A
  • Infection (usually Staph)
  • Hormonal influences - pregnancy, COCP
  • Drug induced (retinoids & Protease Inhibitors)
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11
Q

How are skin tags removed?

A

Snip Excision or Ablation

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12
Q

What is this?

A

Dermatosis Papulosa Nigra

(Think Morgan Freeman)

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13
Q

How are Dermatosis Papulosa Nigra treated?

A

Usually left alone.

If removed, consider low pwer hyfrecation after a test area.

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14
Q

What are these?

How are they treated?

A

Cherry Angiomas

(Campbell De Morgan Spots)

Harmless - best leftalone.

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15
Q

Where and at what age do Cherry Angiomas appear?

A
  • 30 years old
  • Tunk and proximal limbs
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16
Q

What is this?

A

Stucco Keratosis

A variant of a seborrheic keratosis that is exclusively onthe acral locations as smallscaly papules.

17
Q

What is this called and what should you consider if you see this?

A

Lesar-Trelat sign

Eruptive onset of many seborrhoeic keratoses inconjunction with anunderlying malignancy.

18
Q

How do you treat xanthelasma?

A

Using TCA

19
Q

What is this?

A

Naevus sebaceous

It appears in childhood on the scap or face.

20
Q

How do you treat Naevus sebaceous

Why should they be monitored?

A

Excision not needed.

Monitor 25% will develop a malignant tumour.

21
Q

What is this?

A

Granuloma Annulare

Red papules that appear over the distal extremeties

22
Q

What 2 conditions is grannuloma annulare associated with?

A

Diabetes

Thyroid disease

23
Q

How is grannuloma annulare treated?

A

50% resolve spontaneously within 2 years

Potent corticosteroids or intralesional steroids can help.

24
Q

What is this?

A

Dermatofibroma

(Dimple sign upon squeezing)

25
Q

What is this?

A

Pilomatricoma

  • (A beign tumour of a hair follicle)
  • It occurs in children on the face or arms.
  • Removed with simple excision
26
Q

What is this?

A

Leiomyoma

A benign smooth muscle tumour of the erector pili muscle

27
Q

What is HLRCC?

A

Hereditary Leiomyomatosis and Renal Cell Cancer Syndrome

What are themanifestations of this syndrome?

  • Cutaneous leiomyomas
  • Uterine leiomas (Fibroids)
  • Uterine Leiomyosarcomas
  • Renal Cell Cancers
28
Q

What else are Leiomyomas associated with?

A
  • Gardner Syndrome
  • HIV
  • CLL
  • Polycythaemia
29
Q

What is this?

A

An infundibular (epidermoid) cyst

30
Q

What is this?

A

A Tricilemmal (Pilar) Cyst.

Arises froma hair root sheath.

31
Q

What is this?

A

A Myxoid pseudocyst

32
Q

What is this?

A

Dermoid cyst

  • Most occur on the head and neck, either in the mid-line or at the lateral edge of the eyebrow.
33
Q

What is this?

A

An eccrine poroma

  • Painful paulo-nodular lesion on the soles of the feet, palms or scalp.
  • Middle ages adults
34
Q

What are these?

A

Apocrine hidrocystomas

Glassy appearance with a blueish tint.

Dermatology Diploma (39 decks)

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