You are performing an annual physical exam on Mrs. Whyte, a 56 y.o caucasian woman. During
your exam of her shoulder, you notice a suspicious looking skin growth on her back. Mrs.
Whyte states that it has been there a long time but does seem to be getting bigger. She reports
that it occasionally bleeds and now seems to be darker than it was before.
1. What additional questions would you ask her? What are some risk factors for skin
cancer?
2. List the signs of possible malignant changes in a skin lesion. Which of these signs is Mrs.
Whyte exhibiting?
3. Based on the description and appearance, which type of lesion are you most suspicious
for? In your answer discuss the characteristics of the typical lesion of squamous cell
carcinoma, melanoma, and Kaposi sarcoma.
4. List the four warning signs of skin cancer. Which of these is Mrs. Whyte exhibiting?
5. Assuming there were no concerning lesions noted during your exam what would you
recommend for preventative care of the integumentary system?
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