Skin and Soft Tissue Lesions


The student understands gross anatomy and histology of the soft tissue structures.

Knowledge Objectives

Through their reading and patient care experiences, at the end of the rotation students should be able to:

Describe the commonly used local anesthetics.
Discuss the advantages and disadvantages of epinephrine in the local anesthetic.
Discuss special precautions needed on the digits.
Discuss safe dosage ranges of the common anesthetics and the potential toxicities of these drugs.
Describe the common benign skin lesions and their treatment (papillomas, skin tags, subcutaneous cysts, lipomas).
Describe the characteristics, typical location, etiology and incidence of basal cell and squamous skin cancers.
Discuss the relationship to solar irradiation, ethnicity, previous tissue injury, & immunosuppression.
Discuss the characteristics of malignant skin lesions which distinguish them from benign lesions.
Discuss the appropriate treatment of small and large basal and squamous cancers and their prognosis.
Describe the characteristics, typical locations, etiology and incidence of malignant melanoma.
Discuss the relationship of melanoma to benign nevi and characteristics which help differentiate them.
Discuss risk factors for melanoma. What are the lesions which have high potential for malignan transformation?
Discuss the various types of melanoma and prognosis for each type.
Discuss the relationship of size and thickness to prognosis.
Discuss the usual treatment for cutaneous melanoma including margins, depth and lymph node management including sentinel node mapping.
Describe the incidence, etiology, epidemiology and classification for soft tissue sarcomas.
Discuss the differences in frequency and cell type between childhood and adult sarcomas.
Discuss the features which differentiate benign from malignant soft tissue tumors.
Discuss staging and how the stage impacts prognosis for these tumors.
Discuss the potential role and extent of surgery in their treatment; chemotherapy? radiation? immunotherapy?
Discuss the relationship of Kaposi’s sarcoma to HIV infection and the implications for the patient’s management.
Discuss the importance of sun screens and other skin protection, particularly in fair-skinned individuals.