A 40-year-old female is seen in the dermatologist’s office, upon the recommendation of her internist, for a workup for suspected MM on her left forearm. The suspicious lesion was a blackish skin growth approximately 1 cm in diameter. The dermatologist examined the patient and a tissue biopsy was performed. The biopsy confirmed that the growth was MM. Surgery was performed to remove the tumor. In addition, a 5 cm by 5 cm square of skin immediately surrounding the tumor was also moved. Because the removed skin included all three layers of skin, a skin graft was necessary to cover the open area. The donor site was the patient’s thigh. Following recovery from surgery, the patient was referred to a cancer specialist for follow-up care.
1.What pathological condition does the internist think this patient may have? Look this condition up in a reference source and include a short description. SLE is autoimmune disease name another
2. List and define each of the patients presenting symptoms.
3. What diagnostic tests did the dermatologist perfom? Describe. Why were they important to help make the diagnosis
4. Each physician initiated a treatment. Desribe
5. What does the term "workup" mena?
malignant melanoma is highly metastatic skin cancer
Irreguler, circular,bordered lesion with hues of tan,black or blue
Has characteristic rapid infiltration in to tissue
Clinical finding includes
Changes in color,shape in preexisting lesion
Oozing,bleeding and crusting
Biopsy reveals the type of cancer
Therapeutic intervention includes
Mohs micrographic surgery
Chemo surgery use of zinc chloride to fix cells before they are dissected by layers
Maintain therapeutic environment
Work up includes investigations ,diagnosis and treatment of disease
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