A patient is showing the nurse some changes in his skin that he ...

[penza]

A patient is showing the nurse some changes in his skin that he found while taking a shower. Which of the following lesions would give the nurse concern that it might be a precancerous lesion?
 
  Select all that apply.
  A)
  Soft, flesh-colored papule located on the neck and armpit.
  B)
  Wart-like, tan-brown lesion that is sharply outlined and a few centimeters in diameter.
  C)
  Several dry, brown, scaly lesions that are approximately 1 cm in diameter, and a few of the lesions are showing some ulceration.
  D)
  Tan to brown lesions commonly called liver spots are located on the forearm and hands.
  E)
  Red-colored mark close to the skin surface located on the face.

Question 2

A 56-year-old female with a diagnosis of breast cancer has developed bone metastases, which her oncologist would like to treat with radiation therapy. What is her physician's most likely primary goal in the treatment plan of the metastases?
 
  A)
  Thorough elimination of neoplastic cells in the bone structure
  B)
  Preservation of normal weight bearing and range of motion
  C)
  Ensuring vascular supply to the bone is not affected
  D)
  Prevention of pathologic fractures

[juiceman1987]

Answer to Question 1

Ans:
C, D

Feedback:

Actinic keratoses are the most common premalignant skin lesion that develops on sun-exposed areas. The lesions are often multiple and more easily felt than seen. The lesions are described as dry, brown, and scaly approximately 1 cm in diameter. A few of the lesions may be showing some ulceration. Tan to brown lesions commonly called liver spots are located on the forearm and hands. Liver spots are considered risks for the development of skin cancer and should be treated. Keratoses are a horny growth or an abnormal growth of the keratinocytes. A seborrheic keratosis is a benign, sharply circumscribed, wartlike lesion that has a stuck-on appearance. Soft, flesh-colored papule located on the neck, axilla (armpit), and intertriginous areas are skin tags. A seborrheic keratosis is a wartlike, tan brown or black lesion that is sharply outlined and a few centimeters in diameter. Strawberry nevus, or hemangioma, is named for its color. This red tinge to your skin comes from a collection of blood vessels close to your skin's surface. While the hemangioma can be anywhere, the most common locations are the face, scalp, back, or chest. It is very common and noncancerous.

Answer to Question 2

Ans:
D

Feedback:

While care providers would certainly try to maintain blood supply and mobility, the primary goal in the treatment of bone metastases is to prevent pathologic fractures. Complete elimination of neoplastic cells is not commonly attainable with radiation treatment.