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Lester Daron Robert Thompson, MD
SKIN
Skin basal cell carcinoma.
Thompson LD.
Ear Nose Throat J. 2010 Sep;89(9):418-20.
FIRST PARAGRAPH: Basal cell carcinoma (BCC) is a low-grade malignancy
of basal keratinocytes, the cells responsible for epidermis formation.
Melanocytes are seen between the keratinocytes, but they are not responsible
for this tumor type. The etiology is multifactorial, related to ultraviolet
sun exposure, radiation, and immunosuppression, among other factors.
This is one of the most common cancers in humans. The tumors will typically
present in older adults, although young adults can also develop this
tumor. There is a slight male predilection, but this may be due to differences
in sun exposure rather than gender variance. Caucasians and light-skinned
people have a higher incidence than dark-skinned people.
PMID: 20859866
See full article (<1 MB .pdf)
Melanoma.
Thompson LD.
Ear Nose Throat J. 2007 Sep;86(9):542, 545.
FIRST PARAGRAPH: Melanoma is a malignancy of melanocytes that show a
series of molecular events that result in the melanocytes going through
a stepwise progression from dysplasia to invasion to metastasis. Melanomas
account for approximately 4.4% of all malignancies. Approximately 62,000
new cases of melanoma are reported annually in the United States, and
they are responsible for about 7,900 deaths. The incidence of melanoma
worldwide has been increasing steadily.
PMID: 17970142
See full article (<1 MB .pdf)
Molluscum contagiosum.
Nelson BL, Thompson LD.
Ear Nose Throat J. 2003 Aug;82(8):560.
FIRST PARAGRAPH: Molluscum contagiosum is a virus-induced epithelial
hyperplasia produced by a DNA poxvirus. This common disease can be found
on the skin and mucosal surfaces. It is acquired by direct contact with
an infected individual or, less commonly, by contact with a fomite (e.g.,
clothing, towels, and toys); autoinoculation is common. Molluscum contagiosum
is usually seen in children and young adults; immunocompromised persons
are especially vulnerable to infection. Lesions predominantly arise
on the skin of the face, neck, eyelids, trunk, and genitalia, as well
as on the mucous membranes of these areas (as applicable). The incubation
period averages between 2 and 7 weeks, although it can be much longer.
PMID: 14503090
See full article (<1 MB .pdf)
Pilomatricoma.
Thompson LD.
Ear Nose Throat J. 2012 January;91(1):18-20
FIRST PARAGRAPH: Pilomatricoma, also referred to as pilomatrixoma and
calcifying epithelioma of Malherbe, is a benign dermal-subcutaneous
tumor derived from the matrix of the hair follicle. Its development
is associated with a known mutation in the CTNNB1 gene, the gene that
encodes for beta-catenin. Pilomatricomas are relatively common tumors.
They usually arise during the first 2 decades of life, and they have
no predilection for either sex.
PMID: 22278863
See full article (<1 MB .pdf)
Skin keloid.
Thompson LD
Ear Nose Throat J. 2004 Aug;83(8):519.
FIRST PARAGRAPH: A keloid is a form of excessive scar formation that
occurs in response to tissue injury. Keloids arise as a result of abnormal
wound healing where there is a disruption of the balance between collagen
formation and degradation with a shift toward excess synthesis. Even
with injuries that are seemingly minor, the resultant scar formation
is disproportionately excessive. The etiology is unknown.
PMID: 15487627
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Seborrheic keratosis.
Thompson L.
Ear Nose Throat J. 2006 Feb;85(2):79.
FIRST PARAGRAPH: Seborrheic keratosis is a benign proliferation of the
epidermis. Many names are applied to this lesion (senile wart, melanoacanthoma),
but seborrheic keratosis is the most widely accepted. Considered one
of the most common skin lesions, it usually occurs in older patients;
there is no predilection for either sex. The lesions appear “stuck on”
the skin, usually on sun-exposed skin. They can be tan, brown, or black.
Frequent irritation or friction may cause a papule/nodule to become
red and scaly and result in a clinical misdiagnosis. Many variants of
seborrheic keratosis are recognized clinically and histologically, but
they have no management implications.
PMID: 16579189
See full article (<1 MB .pdf)
Melanocytic nevus.
Thompson L.
Ear Nose Throat J. 2006 Dec;85(12):804.
FIRST PARAGRAPH: Nevus is an umbrella term used to describe a host of
benign melanocytic growths. Most nevi are small (<0.6 cm), well demarcated,
circumscribed lesions with variable pigmentation. Histologically, they
are symmetrical.
PMID: 17240699
See full article (<1 MB .pdf)
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