GROUP 1A*PLENARY DISCUSSION 3.61 Grup 1A*The Members: Wiwing Mayriska Putri Longmai Bunga Persik Yulia Merita Sahdilla Putri Denisa Alfadilah Vanny Asrytuti Rizki Dwayana Putra o!a Suryati Doni Andika Putra Vahry Yudanda Putra Muhar Randi "ety Mariani Doris S2 Grup 1A*The !"#h S$e%&r!' 3 Grup 1A( Grup 1A*M')e '% N's#r!)*Mrs.Melan(female,49yearsold)isan activistwhocometothepublichealth servicewiththebleedingmolesonher nostril since 2 weeks ago. t is seed corn si!e which is curve and easy to bleeding. thappened2monthsago."heworried, cu!thatmolesisdifferentfromthe frecklesonherneck,chest,andface. #hey are not bleeding.* Grup 1A*M')e '% N's#r!)*#hen,Mrs.Melanremembersnewson #$.tisabout%peopleswhoblood related.#heyhavefrecklesandblack spotsallovertheirbody,alsotumor which is easy to bleed. s it Mrs. Melans molessamewiththatpeoples&sthere anyrelationshipbetweensunlight e'posureorgeneticalfactor(herfather and granfather) with Mrs. Melan moles&6 Grup 1A*M')e '% N's#r!)*#he result of physical e'amination(*)eneral status( )ood**ermatologic "tatus*+ntherightnostril(tumor,.%',.4'-.2 cm,soliter,defined,firmpapuleslike strings of pearls and roden ulcer ..*+nthebothofcheeksandneck(flat papule,hiperpigmentation,discrete, definedborder,milierandlenticular si!e.+ Grup 1A*M')e '% N's#r!)*/e't, the doctor refers Mrs. Melan to the hospitalforbleedtumormanagement. *octor said that not all that brown moles will bleeding. 0ut, she still worried about themoles(tumor)surgeryandother treatmentsthatwillbedoneinthe hospital.*1owdoyoue'plaintheskinlesion finding on the scenario&, Grup 1A*Term!%')'-./ Grup 1A1)Moles (nevus)2)Rodent Ulcer3)Discrete*Term!%')'-.10 Grup 1A#hemedicaltermforamoleisaNEVUS(moleis2atinfor 3spot.3).* Congenital or acquired*4 commonmoleisagrowthontheskinthatdevelopswhen pigmentcells(melanocytes)growinclusters.Mostadults havebetween-,and4,commonmoles.#hesegrowthsare usuallyfoundabovethewaistonareasexposedtothesun. #hey are seldom found on the scalp, breast, or buttocks.*4lthough common moles may be present at birth, they usually appear later in childhood. Most people continue to develop new moles until about age 4,. n older people, common moles tend to fade away.*4nother name for a mole is a nevus. #he plural is neviNI1 N!'%& C&%$er I%s#!#u#e2 2011*M')e11 Grup 1ANI1 N!'%& C&%$er I%s#!#u#e2 201112 Grup 1A*R'3e%# U)$er*t is one of the clinical manifestation of basal cell carcinoma (055) nodular tipe.*tmaystartasasmalllumpthatgetsbigger. #heedgesusuallyhaveashinyorpearly look.Themiddleisusuallydepressed (sunken)causeotelangiectasis."ometimes themiddle!ecomescrustyoranulcer de"elops. 4n ulcer is an area that is breaking down and begins to get deeper. C&%$er Rese&r$h U42 201(13 Grup 1AMe3s$&pe2 201*1( Grup 1A*D!s$re#e*tisskinlesiondistributionwhichiswell demarcatedordefined6abletodrawaline around it with confidence A35&%$e3 &ssessme%# &%3 $)!%!$&) 3!-%'s!s !% pr!m&r. $&re 63r372 200+.1* Grup 1A*Pr'b)ems I3e%#!"!$!'%16 Grup 1AGrup 1A 1+7hyMrs.Melan(female,49yo,anactivist) cometothepublicheathservicewithbleeding moles on her nostril 2 weeks ago&7hy is it larger and bleed easily from the sunken area since 2 months ago&7hy is it different from the freckles on her neck, chest,andface&7hatkindofdiseasesthatcould be happened in that area&7hat happened to the % peoples who are related byblood&7hatisthedifferencebetweenthem and Mrs. Melans&Grup 1A 1,sthereanyrelationshipbetweensunlight e'posureorgeneticalfactor(herfatherand granfather) with Mrs. Melan moles&7hatistheinterpretationofMrs.Melan dermatologic e'amination status&7hyisthedoctorrefersMrs.Melantothe hospital&7hatisthetreatmentforMrs.Melans bleedtumor and others moles&1owistheprognosisofMrs,Melans diseases& *Pr'b)ems A%&).s!sGrup 1A 1/Grup 1A 20-)7hyMrs.Melan(emale#$%yo#an acti"ist)cometothepublicheath servicewith!leedingmolesonher nostril & weeks ago&2)7hyisitlargerandbleedeasilyfrom the sunken area since 2 months ago&4nswer( Grup 1ANevus / NeviSkinCongenitalAcquiredNoralA!noral"at#ogenMelanoc$te%Melanin "igen&$'er'igentation(t#nic)eneticSunlig#t (*'osureGrup 1A 22*em&)e* A-e 8 (0 6(/ .'7* 9'b: &$#!5!s# R!s; &$#'rU< E=p'sureNE)ee3!%- M')es???*Suspe$# '" %e'p)&sm 6esp. M&)!-%&%$.7*As$etric*>order 1rregular*Colour 2ariation*Diaeter 3uor 4 / c*Evolution o, 5esions*unn$ 5ooking 5esionsGrup 1A 2** Sus'ect Skin Malignant (CA)* >&s&) Ce)) C&r$!%'m&t#e ost coon t$'e is N'3u)&r@R'3e%# U)$er* Squaosa Cell Carcinoao,ten etastatic via !lood or li'# circulation* Melanoa Malignantt#e ost alignant% #ig# ortalit$*>)ee3!%- M')es???Grup 1A 26>&s&) Ce)) C&r$!%'m&@R'3e%# U)$er*>)ee3!%- M')esAb%'rm&) >&s&) Ce)) Pr')!"er!'%Te)&%-!e$#&s!&r&-!)e: Ne$r's!sGrup 1A 2+%) 7hy is it different from the freckles onherneck,chest,andface&7hat kindofdiseasesthatcouldbe happened in that area&4nswer(Grup 1A 2,*1ts 5ikel$ %'# & M&)!-%&%$.*Di,,erential Diagnosis*Nevus*4er's!s Aeb'r'!$* Age 4 67 $o*3#ec#aracteristico,lesion+,ir 'a'ules0!ro8n9!lack0its 'redilectionrelatedtoU2e*'osure area0genetical,actor0ilier9lenticular si-eGrup 1A 2/4)7hathappenedtothe%peoples whoarerelatedbyblood&7hatis thedifferencebetweenthemand Mrs. Melans&4nswer(#hesimilarityissuspect malignancy.#hepossibilityis 'elanoma 'alignantGrup 1A 308)sthereanyrelationshipbetween sunlight e'posure or genetical factor (herfatherandgranfather)with Mrs. Melan moles&4nswer(9es.Skin Ca:CC)enetical ;actorU2 (*'osureMe)&%'s!#CC* SURGERYBBB4ERATOSIS AE>OROICGrup 1A 36*Treme%#Avoiding U2 e*'osure>>>Grup 1A 3+*Pre5e%#!'%BBB*Sun Screen% &ig# S";% ?91@A77 oBclock* Sun "rotection% U!rella0 )lasses* Nutrition% ric# antio*idants*etc*Treme%#Grup 1A 3,9)1owistheprognosisofMrs, Melans diseases& 4nswer(3..(# cosmetics problemsGrup 1A 3/*S$hemeGrup 1A (0Ne5us C Ne5!A%&m%es!s D Ph.s!$&) E=&m!%!'%C#aracteristicMe)&%'$.#e1.perp!-me%#!'%R!s; &$#'r)enetic(t#nicAge)enderU2 e*'osure etcM&)!-%&%$.>CCRodent UlcerDDSCC0 Melanoa Malignant>e%!-%: De-e%er!5eCeratosis De!oroicC'%-e%!#&)Re,erredSupp'r# E=&m!%!'%Treme%#Pr'-%'s!sC'mp)!$!'%C'sme#!$@M'rb!3!#.Grup 1A (1*Le&r%!%- ObEe$#!5eGrup 1A (2*Le&r%!%- ObEe$#!5e"tudentsbeabletounderstandande'plain about skin disorders, which are(* #he congenital of skin diseases* #he neoplasm of skin diseases* #he degenerati"e of skin diseasestsstartfromdeinition#epidemiology# etiology+riskactors#pathogenesis#clinical maniestations#diagnosis#treatmentalso pre"ention#prognosisandcomplicationof the diseases