Burnessa Deltoro HIT-101-71 7/23/19 Case Study Integumentary System PATIENT PROFILE: This 59-year old, fair skinned Caucasian man is seen in the dermatology clinic for evaluation. SUBJECTIVE DATA: Patient complains of a small but slowly enlarging papule on his right cheek. Lesion is described as persistent and oozing, no pruritus is reported. Patient worried that the growth could be cancerous. He has history of significant solar exposure due to his employment as a telephone line worker. OBJECTIVE DATA: Physical Examination, patient has a 1 x 1.5 cm pigmented epithelial neoplasm with semi-translucent border, loss of normal skin markings, and center induration. Telangiectatic vessels overlie lesion. DIAGNOSTIC STUDIES: Biopsy results: BCC Circle the correct answer: 1. The physical exam revealed neoplasm with the following: A. B. C. D. Soft center Scaly center Hard center Pruritic center 2. The biopsy finding showed the patient’s condition to be a/an: A. Precancerous skin condition formed from horny tissue. B. Epithelial tumor, which seldom metastasizes but invades local tissue. C. Cancerous condition that spread through the skin to the lymph nodes and frequently accompanies AIDS. D. Malignant growth that develops from scale-like epithelial tissue. Critical Thinking 1. From the information provided from the patient profile and subjective data, why would this patient be at an increased risk for skin cancer? Patients occupation and skin color put him at increased risk for skin cancer 2. Name a skin condition we covered in chapter 4 that presents with pruritus as a symptom. Burnessa Deltoro HIT-101-71 7/23/19 Psoriasis Definitions: pruritus-itchy skin can be caused or worsened by dry skin Lesion- an abnormal change in structure of an organ or part due to injury or disease especially : one that is circumscribed and well defined epithelial neoplasm - is a grouping of tumors arising from the glands and epithelium induration - Localized hardening of soft tissue of the body. The area becomes firm, but not as hard as bone Telangiectatic vessels- are dilated or broken blood vessels located near the surface of the skin or mucous membranes BCC- Basal Cell Carcinoma - epithelial tumor arising from the epidermis. It seldom metastasizes but invades local tissue.
