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  • Iman Teguh B RS. Husada Ilmu Penyakit Kulit Univ. Tarumanagara

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    This document discusses keratoacanthoma (KA), a type of skin lesion formerly considered pseudocancer but now regarded as a variant of squamous cell carcinoma. KA typically presents as solitary, rapidly growing red nodules on sun-exposed areas like the face, ears and extremities. Treatment options include intralesional triamcinolone for solitary lesions or surgical excision for larger lesions, which may be followed by radiotherapy. KA lesions typically regress spontaneously within 2-6 months or over a year, leaving a scar, though locally destructive growth and rare metastases have been reported in some cases.

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    This document discusses keratoacanthoma (KA), a type of skin lesion formerly considered pseudocancer but now regarded as a variant of squamous cell carcinoma. KA typically presents as solitary, rapidly growing red nodules on sun-exposed areas like the face, ears and extremities. Treatment options include intralesional triamcinolone for solitary lesions or surgical excision for larger lesions, which may be followed by radiotherapy. KA lesions typically regress spontaneously within 2-6 months or over a year, leaving a scar, though locally destructive growth and rare metastases have been reported in some cases.

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    24 views9 pages

    Iman Teguh B RS. Husada Ilmu Penyakit Kulit Univ. Tarumanagara

    Uploaded by

    Iman Teguh
    This document discusses keratoacanthoma (KA), a type of skin lesion formerly considered pseudocancer but now regarded as a variant of squamous cell carcinoma. KA typically presents as solitary, rapidly growing red nodules on sun-exposed areas like the face, ears and extremities. Treatment options include intralesional triamcinolone for solitary lesions or surgical excision for larger lesions, which may be followed by radiotherapy. KA lesions typically regress spontaneously within 2-6 months or over a year, leaving a scar, though locally destructive growth and rare metastases have been reported in some cases.

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    Download as PPTX, PDF, TXT or read online from Scribd
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    of 9

    IMAN TEGUH B RS. Husada Ilmu Penyakit Kulit Univ.

    Tarumanagara

    KA

    is a special lesion; formerly considered a pseudocancer it is now regarded by most as a variant of squamous cell carcinoma.

    Predileksi muka telinga dan ekstremitas Efluorosensi nodus lonjong berwarna merah, permukaan licin dengan bagian tengahnya (bagian atap) tampak hiperkeratosis, dapat solitar-multipel, ukuran lentikular-numular, terdapat teleangiektasis yang mengelilingi nodus

    Terapi

    Bila lesi solitar triamsinolon asetonide intralesi atau eksisi dan kuretase pada keratoakantoma raksasa: eksisi / bedah listrik dilanjutkan dengan radioterapi Konsultasi spesialis kulit-spesialis bedah

    Clinical

    findings confirmed by representative biopsy. SCC, hypertrophic solar keratosis, verruca vulgaris.

    KERATO AKANTOMA et/ HPV 9,16,19,25,37 orang tua pria>wanita= 2 : 1 soliter tumbuh cepat 2 cm 2mgg remisi spontan brp bln/th daerah kena matahari nodus merah, kubah crater asimtomatik

    VERUKA VULGARIS Et/ HPV 1,2,4,27,29 anak, remaja pria=wanita multipel tumbuh lambat remisi bila induk dibuang tmpt mdh trauma papul vegetasi meluas wn kulit, merah kecoklatan asimtomatik

    Spontaneous

    regression in 26 months or sometimes >1 year in most cases. There is progressive keratinization with expansion of the central keratotic plug until all epithelial tumor tissue is converted into horny material and shed (Figs. 11-15 B and 11-15 C ) which leads to a scar. However, KA is locally destructive; lymph node and visceral metastases have been observed in some cases.

    Fitzpatrick

    colour atlas and synopsis of clinical dermathology Kuliah univ Tarumanagara

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