1. NonMelanoma Skin Cancer Dr David Burdon-Jones Consultant Dermatologist Dorset County Hospital Foundation Trust Interactive

2. Nonmelanoma skin cancer Select the most correct answer Pearliness in a BCC is best appreciated by Use of a magnifying glass Use of a magnifying glass Removal of overlying crust Removal of overlying crust Stretching the lesion Stretching the lesion Use of a Wood’s light Use of a Wood’s light

3. Nonmelanoma skin cancer Select the most correct answer Pearliness in a BCC is best appreciated by Use of a magnifying glass Use of a magnifying glass Removal of overlying crust Removal of overlying crust Stretching the lesion Stretching the lesion Use of a Wood’s light Use of a Wood’s light

4. Nonmelanoma skin cancer Select the most correct answer Nodular BCC most commonly occurs on Scalp Scalp Ear Ear Nose Nose Arm Arm

5. Nonmelanoma skin cancer Select the most correct answer Nodular BCC most commonly occurs on Scalp Scalp Ear Ear Nose Nose Arm Arm

6. Nonmelanoma skin cancer Select the most correct answer Superficial BCC most commonly occurs on the Face Face Limb Limb Scalp Scalp Trunk Trunk

7. Nonmelanoma skin cancer Select the most correct answer Superficial BCC most commonly occurs on the Face Face Limb Limb Scalp Scalp Trunk Trunk

8. Nonmelanoma skin cancer Select the most correct answer. What percentage of BCCs can be pigmented? What percentage of BCCs can be pigmented? 1-10% 1-10% 11-20% 11-20% 21-30% 21-30% BCCS are never pigmented BCCS are never pigmented

9. Nonmelanoma skin cancer Select the most correct answer. What percentage of BCCs can be pigmented? What percentage of BCCs can be pigmented? 1-10% 1-10% 11-20% 11-20% 21-30% 21-30% BCCS are never pigmented BCCS are never pigmented

10. Nonmelanoma skin cancer Select the most correct answer Ulceration is commonest in Bowen’s disease Bowen’s disease Melanoma Melanoma BCC BCC SCC SCC

11. Nonmelanoma skin cancer Select the most correct answer Ulceration is commonest in Bowen’s disease Bowen’s disease Melanoma Melanoma BCC BCC SCC SCC

12. Nonmelanoma skin cancer Select the most correct answer BCCs sometimes occur on Scrotum Scrotum Under fingernails Under fingernails On the oral mucosae On the oral mucosae On the conjunctivae On the conjunctivae

13. Nonmelanoma skin cancer Select the most correct answer BCCs sometimes occur on Scrotum Scrotum Under fingernails Under fingernails On the oral mucosae On the oral mucosae On the conjunctivae On the conjunctivae

14. Nonmelanoma skin cancer Select the most correct answer Superficial BCCs respond to treatment with 5% Fluoro-uracil cream 5% Fluoro-uracil cream Imiquimod cream Imiquimod cream Photo-dynamic Treatment Photo-dynamic Treatment All the above All the above

15. Nonmelanoma skin cancer Select the most correct answer Superficial BCCs respond to treatment with 5% Fluoro-uracil cream 5% Fluoro-uracil cream Imiquimod cream Imiquimod cream Photo-dynamic Treatment Photo-dynamic Treatment All the above All the above

16. Nonmelanoma skin cancer Select the most correct answer Fast track referral is NOT appropriate for BCC BCC SCC SCC Melanoma Melanoma Lentigo maligna Lentigo maligna

17. Nonmelanoma skin cancer Select the most correct answer Fast track referral is NOT appropriate for BCC BCC SCC SCC Melanoma Melanoma Lentigo maligna Lentigo maligna

18. Superficial BCC

19. Nodular BCC

20. Nonmelanoma skin cancer Select the most correct answer Bowen’s disease most commonly presents as A psoriasisform plaque A psoriasisform plaque An indurated dermal nodule An indurated dermal nodule An ulcerated plaque An ulcerated plaque A pigmented plaque A pigmented plaque

21. Nonmelanoma skin cancer Select the most correct answer Bowen’s disease most commonly presents as A psoriasisform plaque A psoriasisform plaque An indurated dermal nodule An indurated dermal nodule An ulcerated plaque An ulcerated plaque A pigmented plaque A pigmented plaque

22. Nonmelanoma skin cancer Select the most correct answer Bowen’s disease occurs In women In women On the calf On the calf As multiple plaques As multiple plaques All the above All the above

23. Nonmelanoma skin cancer Select the most correct answer Bowen’s disease occurs In women In women On the calf On the calf As multiple plaques As multiple plaques All the above All the above

24. Nonmelanoma skin cancer Select the most correct answer The differential diagnosis of Bowen’s Disease includes Inflamed seborrhoiec keratosis Inflamed seborrhoiec keratosis Solar keratosis Solar keratosis Superficial BCC Superficial BCC All of the above All of the above

25. Nonmelanoma skin cancer Select the most correct answer The differential diagnosis of Bowen’s Disease includes Inflamed seborrhoiec keratosis Inflamed seborrhoiec keratosis Solar keratosis Solar keratosis Superficial BCC Superficial BCC All of the above All of the above

26. Nonmelanoma skin cancer Select the most correct answer Bowen’s Disease does NOT respond to treatment with 5 Fluoro-uracil cream 5 Fluoro-uracil cream Photo-dynamic Treatment Photo-dynamic Treatment Solaraze gel Solaraze gel Cryotherapy Cryotherapy

27. Nonmelanoma skin cancer Select the most correct answer Bowen’s Disease does NOT respond to treatment with 5 Fluoro-uracil cream 5 Fluoro-uracil cream Photo-dynamic Treatment Photo-dynamic Treatment Solaraze gel Solaraze gel Cryotherapy Cryotherapy

28. Nonmelanoma skin cancer Which of the following is INCORRECT regarding Bowen’s Disease? Bowen’s Disease is squamous cell cancer in situ Bowen’s Disease is squamous cell cancer in situ Bowen’s Disease is usually indurated to palpation Bowen’s Disease is usually indurated to palpation Bowen’s Disease can extend down the follicular epithelium Bowen’s Disease can extend down the follicular epithelium Bowen’s Disease can be pigmented Bowen’s Disease can be pigmented

29. Nonmelanoma skin cancer Which of the following is INCORRECT regarding Bowen’s Disease? Bowen’s Disease is squamous cell cancer in situ Bowen’s Disease is squamous cell cancer in situ Bowen’s Disease is usually indurated to palpation Bowen’s Disease is usually indurated to palpation Bowen’s Disease can extend down the follicular epithelium Bowen’s Disease can extend down the follicular epithelium Bowen’s Disease can be pigmented Bowen’s Disease can be pigmented

30. Bowen’s Disease

31. Nonmelanoma skin cancer Which of the following is NOT TRUE regarding Keratoacanthoma? Rapid growth Rapid growth Total or partial involution Total or partial involution A keratotic central crater A keratotic central crater Best not excised Best not excised

32. Nonmelanoma skin cancer Which of the following is NOT TRUE regarding Keratoacanthoma? Rapid growth Rapid growth Total or partial involution Total or partial involution A keratotic central crater A keratotic central crater Best not excised Best not excised

33. Keratoacanthoma

34. Nonmelanoma skin cancer Choose the best answer for the following statement Chondrodermatitis nodularis helicis can usually be distinguished from SCC by the following Painful to lie on the pillow at night Painful to lie on the pillow at night A tendency to heal with pressure relief A tendency to heal with pressure relief Can be multiple, linear, or bilateral Can be multiple, linear, or bilateral All of the above All of the above

35. Nonmelanoma skin cancer Choose the best answer for the following statement Chondrodermatitis nodularis helicis can usually be distinguished from SCC by the following Painful to lie on the pillow at night Painful to lie on the pillow at night A tendency to heal with pressure relief A tendency to heal with pressure relief Can be multiple, linear, or bilateral Can be multiple, linear, or bilateral All of the above All of the above

36. Chondrodermatitis Helicis Chronica

37. Nonmelanoma skin cancer Which of the following statements regarding SCC is INCORRECT Distribution more closely parallels sun exposed areas than does BCC Distribution more closely parallels sun exposed areas than does BCC Can be tender Can be tender Is commoner than BCC in immunosuppressed patients Is commoner than BCC in immunosuppressed patients Occurs more commonly on top lip than lower lip Occurs more commonly on top lip than lower lip

38. Nonmelanoma skin cancer Which of the following statements regarding SCC is INCORRECT Distribution more closely parallels sun exposed areas than does BCC Distribution more closely parallels sun exposed areas than does BCC Can be tender Can be tender Is commoner than BCC in immunosuppressed patients Is commoner than BCC in immunosuppressed patients Occurs more commonly on top lip than lower lip Occurs more commonly on top lip than lower lip

39. Nonmelanoma skin cancer Choose the most correct answer The most important clinical sign of SCC is A fungating exophytic growth pattern A fungating exophytic growth pattern Bleeding Bleeding Ulceration Ulceration Induration Induration

40. Nonmelanoma skin cancer Choose the most correct answer The most important clinical sign of SCC is A fungating exophytic growth pattern A fungating exophytic growth pattern Bleeding Bleeding Ulceration Ulceration Induration Induration

41. Nonmelanoma skin cancer Which of the following sites of SCC is the LEAST likely to metastasize? Nose Nose Scalp Scalp Lip Lip Ear Ear

42. Nonmelanoma skin cancer Which of the following sites of SCC is the LEAST likely to metastasize? Nose Nose Scalp Scalp Lip Lip Ear Ear

43. Nonmelanoma skin cancer Select the INCORRECT answer Treatment Options for SCC include Excision Excision Serial curettage and diathermy Serial curettage and diathermy Photodynamic therapy Photodynamic therapy Radiotherapy Radiotherapy

44. Nonmelanoma skin cancer Select the INCORRECT answer Treatment Options for SCC include Excision Excision Serial curettage and diathermy Serial curettage and diathermy Photodynamic therapy Photodynamic therapy Radiotherapy Radiotherapy

45. Nonmelanoma skin cancer According to IOG Guidelines, which of the following does NOT require referral to Secondary care for Excision? SCC SCC Melanoma Melanoma Basal cell cancer Basal cell cancer Sebaceous cyst Sebaceous cyst

46. Nonmelanoma skin cancer According to IOG Guidelines, which of the following does NOT require referral to Secondary care for Excision? SCC SCC Melanoma Melanoma Basal cell cancer Basal cell cancer Sebaceous cyst Sebaceous cyst

47. Squamous Cell Cancer

48. NonMelanoma Skin Cancer Interactive Any Questions?