Non-Melanoma Skin Cancer

Chapter 11 of Volume 3, Skin, Burns & Surgical Principles. Revision notes and examiner-style viva questions with model answers for the FRCS (Plast).

13 viva questions in this chapter

1. A 68-year-old has a 1.5 cm lesion on the nasal ala. How do you assess and classify it?
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2. What margin, and how do you decide?
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3. When would you refer for Mohs, and what is the evidence?
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4. The histology reports an involved deep margin on a morphoeic BCC of the temple. What do you do?
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5. An 88-year-old with a superficial BCC on the shin declines surgery. What are the options?
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6. A patient has a locally advanced BCC eroding into the orbit, unsuitable for surgery or radiotherapy.
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7. A 3 cm ulcerated SCC on the ear of a 74-year-old. Stage it and stratify it.
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8. What margin do you take, and what do you do about the nodes?
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9. Would you do a sentinel node biopsy in high-risk cutaneous SCC?
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10. A 58-year-old renal transplant recipient has four SCCs on the forearms and dozens of actinic keratoses.
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11. How do you manage a scalp covered in actinic keratoses?
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12. A 62-year-old has an ulcerated nodule in a burn scar sustained aged 20.
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13. An 80-year-old has a rapidly growing, painless red nodule on the forearm. It was assumed to be a cyst.
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