1.
Name the major skin carcinogens that can initiate precancerous growth.
2.
What conditions predispose to cutaneous malignancy (xeroderma pigmentosa, basal cell nevus syndrome, actinic keratosis, nevus sebaceous to name a few!)?
3.
Describe tumors that mimic SCCA (keratocanthoma, pseudoepitheliomatous hyperplasia, and desmoplastic melanoma).
4.
Profile the high risk patient skin cancer patient.
5.
Copy the Fitzpatrick classification of skin types for us.
6.
What are Bowen’s disease? Marjolin’s ulcer? Verrucous carcinoma?
7.
List the different types of BCCA; microscopic and clinical distinctions?
8.
What cells do BCCA arise from? SCCA?
9.
What is a Merkel Cell Tumor? How should it be managed?
10.
What is Mohs surgery? Who should get it?
Reference(s):
Perkins, W. (2010). Who should have Mohs micrographic surgery? Current Opinion in Otolaryngology & Head and Neck Surgery, 18(4), 283–289.
11.
What are retinoids and what role do they have in the treatment of skin cancer?
12.
Is there a role for photodynamic therapy in the treatment of skin cancer?
13.
What is the proper margin for BCCA vs. SCCA? Does location matter?
Reference(s):
Schell, A. E., Russell, M. A., & Park, S. S. (2013). Suggested excisional margins for cutaneous malignant lesions based on Mohs micrographic surgery. JAMA Facial Plastic Surgery, 15(5), 337–343.
14.
What is the role of sentinal lymph node biopsy?
Reference(s):
Durham, A. B., Lowe, L., Malloy, K. M., McHugh, J. B., Bradford, C. R., Chubb, H., … McLean, S. A. (2016). Sentinel Lymph Node Biopsy for Cutaneous Squamous Cell Carcinoma on the Head and Neck. JAMA Otolaryngology– Head & Neck Surgery, 142(12), 1171–1176.
15.
Role of Radiation and Cutaneous SCCA.
Reference(s):
Hinerman, R. W., Indelicato, D. J., Amdur, R. J., Morris, C. G., Werning, J. W., Vaysberg, M., … Mendenhall, W. M. (2008). Cutaneous squamous cell carcinoma metastatic to parotid-area lymph nodes. The Laryngoscope, 118(11), 1989–1996.
16.
Patterns of lymphatic spread.
Reference(s):
Peiffer, N., Kutz, J. W. J., Myers, L. L., Isaacson, B., Sumer, B. D., Truelson, J. M., … Roland, P. S. (2011). Patterns of regional metastasis in advanced stage cutaneous squamous cell carcinoma of the auricle. Otolaryngology–Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery, 144(1), 36–42.
17.
Management of neck disease in cutaneous SCCA.