CUTANEOUS TUMORS

Dr Nadeem Ahmed Khan Niazi

MBBS, M.Sc (Derma)
Senior Registrar Dermatology
• Any skin cell
• Benign / Malignant
• Dermal / Epidermal
 Epithelial
1. Epidermal; Warty naevus, Seborrhoeic
keratosis, Basal cell carcinoma, Squamous
cell carcinoma, Skin tags

2. Appendages; Steatocystoma multiplex,

Cylindroma, Apocrine cystadenoma

3. Cysts; Epidermoid, Milium, Steatocystoma

multiplex
 Melanocytic
• Melanocytic naevus
• Malignant melanoma
 Mesodermal
• Fibrous; Keloid, Fibrosarcoma

• Vascular; Granuloma pyogenicum, Cavernous

haemangioma Lymphangioma, Kaposi sarcoma

• Neural; Neurofibromatosis, Neurofibrosarcoma

• Smooth muscle; Leiomyoma, Leiomyosarcoma

• Reticuloendothelial; Mycosis fungoides

• Miscelanous; Osteoma cutis

 Warty naevi
• Congenital
• Single / Multiple
• Skin coloured / yellow brown
• Verrucous
• Excision
 Seborrhoeic Keratosis

• Multiple, benign, symptomless

• Brown / Brownish black
• Warty
• Trunk
• Stuck on appearance
• Curette
 Basal Cell Carcinoma
(Rodent Ulcer)

• BCC ( Basal cells )

• Locally invasive carcinoma
• Slowly growing
• Prolonged sun exposure
• Face / anywhere
• Centre ulcerated, translucent rolled up edge
• Skin biopsy
• Excision, Radiotherapy, curettage, Moh’s
microsurgery
 Squamous Cell Carcinoma
• Prickle cell layer
• Predisposing factors
Enviromental carcinogens
Chronic inflammatory disorders
Premalignant lesions
• Firm heaped up nodules
• Cauliflower like ulcerated plaque
• Skin biopsy
• Surgery, Radiotherapy
 Cysts
• Epidermoid cyst
Epidermis and pilosebaceous follicle
Central punctum
In area of acne vulgaris
• Tricholemmal cysts
Pilar cysts
External root sheath of hair follicle
Scalp
Lobulated and multiple
 Melanocytic Naevi
• Moles
• Melanocytes
• Birth / childhood / adulthood
• Small dark macules
• Raised smooth or warty papules
• Cosmetic importance
 Malignant Melanoma
• Melanocytes
• Sunny climates, fair skin people
• Often in pre-existing melanocytic naevi
Increased pigmentation, bleeding
• Macular
Irregular border, different colours
• Plaque
Pigmented, ulcerated, penetration
• Amelanocytic melanoma
• Wide local excision with lymph nodes
 Keloids
• Fibrous tissue tumor
• After trauma
• Benign, claw like
• Excision – recurrence
• Intralesional steroids
• Cryotherapy
 Granuloma Pyogenicum
• Site of trauma
• Rapid growth
• Small bright red
• Bleeding
• Friable
• Network of capillaries, fibrous stroma
Haemangiomas
 Salmon Patch
• 50% of infants
• Light pink
• Nape of the neck, forehead, eyelids
• Fade in a year
 Port Wine Stain
• Naevus Flammeus
• Birth
• Capillary angioma
• Purple macular lesions
• Isolated abnormality
• Associated with other defects
• Camouflage, laser
 Cavernous Haemangioma
• Neonate
• Well demarcated
• Dome shaped, compressible
• Increases rapidly for 6 months
• Regresses by age of 7
• Systemic steroids
• Surgery