.Benign Tumors
.Precancerous Tumors
•Malignant Tumors
•Pseudo-tumors
•True tumors
•
Tumor Origin :
Keratinocytes
Melanocytes
Vascular : Endothelial, Blood Components
Fibroblasts
Metastatic
Benign Tumors
•Clinical manifestations:
•< 3 months
•redness scar, elevated , capillary +
•Spontaneous flattening < 6 months
•Steroid + pressure dressing
KELOID
•Excessive healing response
•Failure of remodeling, prolonged inflammation
•predispositions:
females, young adults, mongoloid, Negros
TH: excision
cryosurgery
chemosurgery
electrosurgery
Nevus : All Of Birth Marks
Growth Anomali Of Immature Melanocytes In Skin
Melanocytic nevi= pigmented nevi= moles
= Melanocytic nevi
Cellular Blue Nevi
Dermal Melanocytoma
It Can develop to be melanoma
Melanotic nevi:
Melanin accumulation in mid and lower dermal,
may persist since neonatal
Mongolian spot
nevus ota/ito
Nevus of ota
Seborrheic Keratoses
Senile seborrheic warts
basal Cell papilloma
• keratinocytes hyper-proliferation
• A wrong name,
•Seborrhea areas and lower limb
•CM: early : flat papules, brownish yellow
late : verrucous, oily crust/scales, darker.
.HP: Proliferation of epidermal cells, basaloid, keratin pseudocyst,
.DD: melanocytic nevi
pigmented basalioma
verucca vulgaris
TX : electrosurgery,laser,cryosurgeryi
Malignancy (-)
SYRINGIOMA (HIDRADENOMA)
CM :
•1-5 mm nodules
•Multiples
•Skin colour
•Around orbital areas
(localized)
•Whole of the body (generalized)
Laser, Electrosurgery
Sebaceus Nevi of Jadhason
•Scalp And Face
CM :
•since born, prominent in puberty
•Patch to flat plaques, papillomatosis,
well boder, Yellowish, glossy, soft or
elastic in palpation
•Milia like lesion
•HP :
•proliferation of mature sebaceus
gland PA
•Hair follicle abortive
•Hidro-cyctic degeneration of
apocrine and ecrine gland
•Prog:
•30% developed to basalioma
sometimes : SCC
TH :
Excision
PRECANCEROUS LESIONS
•INSITU MALIGNANCY
•MALIGNANT CYTOLOGICALLY
•NO INVASION
•NO METASTASES
•Actinic keratoses
•Arsenic keratoses
•Bowen diseases
•Erythroplasia of Querat
•Paget diseases
•etc
Actinic Keratoses
•Ultraviolet radiation
•Light color skin peoples
•Sign of photoaging
•Sun exposed areas
•Basalioma and SCC
CM
•Plaque covered by adherent scales
•Bleeding if removed
•Telengectasias
•Prominence Skin wrinkles
•and skin elastosis
TH:
Topically 5 FU
Wide Excision
Arsenic keratoses
•Arsen
•Farmers: pesticides, insecticides
•Contact areas
•SCC
•Multiple : immunosuppresive
•Internal malignancy
•SCC
Paget Diseases
Intraductal Carcinoma
Apocrine Glands
Mammary Glands
non Mammary Glands
•Mammary
•Extra mammary Itchy
Erosion
Adherent crust
Itchy
No respon steroid
Nipple erosion
Nipple destruction
exzematous
Paget cells
Erythroplasia Queyrat
Indurative patch
Adherent scale
•SCC
•Uncircumcised peoples
•Personal hygiene
•Chronic trauma
•Hot climates
•genital herpes
PAPULOSIS BOWENOID
•HPV 6
•Sex-partner
•uncircumcised >>
MALIGNANT SKIN TUMORS
1. Squamous Cell Ca •Tumor origin : keratinocytes
CM •Invasive and potensial metastases
•Elderly
TH : wide excision
ionizing radiation
2. Basal cell carcinoma=basalioma
Superficial
NODULO ULCERATIVE
Noduler
PIGMENTED
Rodent ulcers
Exsicion
Radiation
5-FU Topical
Terapi:
A Year Later
basalioma
3. Malignant melanoma
Arising from melanocytes
Highly metastases
Clinical manifestation:
•Lentigo malignant melanoma
•Noduler melanoma
•Superficial spreading melanoma
•Acral lentiginous melanoma