VERRUCA SURGERY

Question 1

DDx?

Answer 1

HPV

benign
-nevi, moluscium, contagiosum

malignant
-melanoma, verrucous carcinoma, basal and squamous cell carcinoma

Question 2

characteristics of verruca?

Answer 2

divergent skin lines

pin point bleeding

pain with lateral pressure, no pain or minimal pain with direct pressure

Question 3

tx options?

Answer 3

excision
laser
topical tx
-liquid nitrogen
-sal-acid
*if recurrent after tx, send a specimen to path

Question 4

how to treat a adult verruca?

Answer 4

biopsy
rule out verrucous carcinoma
*note warty tumor