ROJoson PEP Talk: Skin & Soft Tissue Tumors - Medical Mgt - Part 1 - Fundamentals and Generalities

1. Empowerment
objective - for
laypeople to have an
understanding of
the FUNDAMENTALS
and GENERALITIES in
the MEDICAL
MANAGEMENT of
SKIN and SOFT
TISSUE TUMORS–
Part 1.
Health Disorder
Course–
Fundamentals
and
Generalities in
Medical
Management
of Skin and
Soft Tissue
Tumors – Part
1
March 5, 2022
1400H - 1500H
Via Zoom

2. Empowerment
objective - for
laypeople to have an
understanding of
the FUNDAMENTALS
and GENERALITIES in
the MEDICAL
MANAGEMENT of
SKIN and SOFT
TISSUE TUMORS–
Part 1.
Health Disorder
Course–
Fundamentals
and
Generalities in
Medical
Management
of Skin and
Soft Tissue
Tumors – Part
1
ROJoson PEP Talk
I have a Patient
Empowerment
Program in which I
like to empower the
lay people or
patients to take
control in the
management of
their health.

3. There are 3 courses
in the PEP Talk.
I completed the Core
Course on October 9,
2021.

4. From October 23,
2021 onwards, I have
been tackling Health
Disorder and Health
Issue Courses. This
may take 3 years or
longer.

5. Empowerment
objective - for
laypeople to have an
understanding of
the FUNDAMENTALS
and GENERALITIES in
the MEDICAL
MANAGEMENT of
SKIN and SOFT
TISSUE TUMORS–
Part 1.
Health Disorder
Course–
Fundamentals
and
Generalities in
Medical
Management
of Skin and
Soft Tissue
Tumors – Part
1
My PEP TALK today
is entitled:
Fundamentals and
Generalities in
Medical
Management of
SKIN and SOFT
TISSUE TUMORS,
Part 1. This is part
of the Health
Disorder Course.

6. Contents:
• What is a skin tumor? A soft tissue tumor?
• What are the different types of skin and soft
tissue tumors?
• What are the causes of skin and soft tissue
tumors?
• How common are the skin and soft tissue
tumors?
PART 1
Fundamentals
and Generalities
in Medical
Management of
Skin and Soft
Tissue Tumors

7. Contents:
• Clinical diagnosis of skin and soft tissue
tumors
• Paraclinical diagnostic procedures for skin and
soft tissue tumors
• Treatment for skin and soft tissue tumors
• Prognosis for skin and soft tissue tumors
PART 2
Fundamentals
and Generalities
in Medical
Management of
Skin and Soft
Tissue Tumors

8. Fundamentals
and Generalities
in Medical
Management of
Skin and Soft
Tissue Tumors
Definition of Terms in Title AND Delimitation of
Coverage of Talk:
Fundamentals – simplest and essential facts and
theories which can serve as a basis or foundation
and support for advanced information
Generalities – general statements of info, not
covering specifics and details
Medical Management – diagnosis and treatment
by physicians

9. Fundamentals
and Generalities
in Medical
Management of
Skin and Soft
Tissue Tumors
What is a skin tumor? A soft tissue tumor?

10. Fundamentals
and Generalities
in Medical
Management of
Skin and Soft
Tissue Tumors
What is a skin tumor? A soft tissue tumor?
3 key words to define
Skin?
Soft tissue?
Tumor?

11. Fundamentals
and Generalities
in Medical
Management of
Skin and Soft
Tissue Tumors
What is a skin tumor? A soft tissue tumor?
Bone is NOT part of
the Skin and Soft
Tissue Group.
Skin = epidermis +
dermis
Soft Tissue =
subcutaneous tissue
(fat + blood vessels
+ nerves +
connective tissues)
+ muscle

12. Fundamentals
and Generalities
in Medical
Management of
Skin and Soft
Tissue Tumors
What is a skin tumor? A soft tissue tumor? Skin is “balat” in the
Pilipino language.
It is what one sees
on the surface of
the entire body of a
person.

13. Fundamentals
and Generalities
in Medical
Management of
Skin and Soft
Tissue Tumors
What is a skin tumor? A soft tissue tumor? Soft tissue refers to the
part of the body right
under the skin and
outside of the bone,
joint, cartilage,
ligament, and cavity
that may be under it.
More specifically, soft
tissue consists of the
layer underneath the
skin that contains fats,
nerves, blood vessels,
connective tissues, and
muscles.

14. Fundamentals
and Generalities
in Medical
Management of
Skin and Soft
Tissue Tumors
What is a skin tumor? A soft tissue tumor?
What is a tumor of the skin? Of the soft tissue?
There are a lot of definitions and concepts related
to the use of the word “tumor” that often leads
to confusion among the laypeople as well as the
health professionals.
In the Philippines, the following words are
commonly used: bukol, bump, mass, lump,
nodule, tumor, cyst or sis, etc. Oftentimes, they
may be referring to the same thing but sometimes
not.
To simplify things, I
recommend
focusing on the
terms “mass” or
“tumor” in English
and “bukol” in
Tagalog.
Can use these three
terms synonymously to
mean the same thing.
Don’t use “cyst” or “sis”
unless one is sure what
it means. Cyst is a mass
that contains fluid.

15. Fundamentals
and Generalities
in Medical
Management of
Skin and Soft
Tissue Tumors
What is a skin tumor? A soft tissue tumor?
A tumor is an unusual and abnormal collection of
tissues occupying a space in any area or part of
the human body.
It may be of any size or shape.
It may be of any consistency.
It may be cystic, solid, or complex.
By itself, it can be of any etiology, either cancer or
not cancer, until determined by further
assessment.

16. Fundamentals
and Generalities
in Medical
Management of
Skin and Soft
Tissue Tumors
What is a skin tumor? A soft tissue tumor?
Based on location of
tumor
Skin tumor –
tumor in / on the
skin
Soft tissue tumor
– tumor in / on
the soft tissue
Bone tumor – tumor
in / on the bone

17. Fundamentals
and Generalities
in Medical
Management of
Skin and Soft
Tissue Tumors
What is a skin tumor? A soft tissue tumor?
A tumor has to be differentiated from
prominence, induration, swelling of tissues and
enlargement of organs.
Prominence of a tissue means it is more
protruding than usual but there is no space-
occupying mass.
Examples of prominence of tissues are a
prominent part of a jaw, muscle, and rib.

18. Fundamentals
and Generalities
in Medical
Management of
Skin and Soft
Tissue Tumors
What is a skin tumor? A soft tissue tumor?
A tumor has to be differentiated from
prominence, induration, swelling of tissues and
enlargement of organs.
Induration of a tissue means it is thicker and
harder on palpation than usual but there is no
space-occupying mass.
Examples of induration of tissues are calluses on
the sole of the foot, thickening of a part of a skin
due to chronic irritation and inflammation, and
scars.

19. Fundamentals
and Generalities
in Medical
Management of
Skin and Soft
Tissue Tumors
What is a skin tumor? A soft tissue tumor?
A tumor has to be differentiated from
prominence, induration, swelling of tissues and
enlargement of organs.
Swelling of tissues without an accompanying
space-occupying mass is mere swelling. In the
absence of an accompanying mass, the swelling
may be due to inflammation of the tissue or fluid
retention, such as edema of the legs.
Note: swelling of tissues may be associated with a
space-occupying mass in which case the focus of
evaluation is on the mass.

20. Fundamentals
and Generalities
in Medical
Management of
Skin and Soft
Tissue Tumors
What is a skin tumor? A soft tissue tumor?
A tumor has to be differentiated from
prominence, induration, swelling of tissues and
enlargement of organs.
Enlargement of an organ without an
accompanying space-occupying mass is mere
enlargement. In medical parlance, this is called
hypertrophy or hyperplasia.
Note: enlargement of an organ may be associated
with a space-occupying mass in which case the
focus of evaluation is on the mass.

21. Fundamentals
and Generalities
in Medical
Management of
Skin and Soft
Tissue Tumors
What is a skin tumor? A soft tissue tumor?
For skin tumor, it has to be differentiated from
rashes and unusual discoloration of the skin.
Rashes Rashes
with eruptions
Discoloration

22. Fundamentals
and Generalities
in Medical
Management of
Skin and Soft
Tissue Tumors
What is a skin tumor? A soft tissue tumor?
So,
a skin and soft tissue tumor is an unusual
and abnormal collection of tissues
occupying the skin and soft tissue and it is
NOT a …………………

23. Fundamentals
and Generalities
in Medical
Management of
Skin and Soft
Tissue Tumors
What is a skin tumor? A soft tissue tumor?
So,
a skin and soft tissue tumor is an unusual
and abnormal collection of tissues
occupying the skin and soft tissue and it is
NOT a prominence, induration, swelling
enlargement, skin rashes or discoloration.

24. Fundamentals
and Generalities
in Medical
Management of
Skin and Soft
Tissue Tumors
What is a skin tumor? A soft tissue tumor?
Note: An infection of the skin and soft tissue may
present as a tumor.
Usually, the tumor is an abscess (one that
contains pus).
NOTE:
Will include
infections of the
skin and soft tissue
presenting with
tumors in the
discussion.

25. Fundamentals
and Generalities
in Medical
Management of
Skin and Soft
Tissue Tumors
What are the different types of skin and
soft tissue tumors?

26. Fundamentals
and Generalities
in Medical
Management of
Skin and Soft
Tissue Tumors
What are the different types of skin and
soft tissue tumors?
Based on cells or tissues of origin
SOFT TISSUE TUMORS
Fat tissues
Muscular tissues
Connective tissues
Blood vessels
Nerves
SKIN TUMORS
Basal cells
Squamous cells
Melanocytes
Skin glands
Blood vessels
Nerves
Connective tissues

27. Fundamentals
and Generalities
in Medical
Management of
Skin and Soft
Tissue Tumors
What are the different types of skin and
soft tissue tumors?
Based on cells or tissues of origin
SKIN TUMORS
Basal cells
Squamous cells
Melanocytes
Skin glands
Blood vessels
Nerves
Connective tissues
Basal cell carcinoma
Squamous cell carcinoma
Mole / Nevus
Melanoma
Seborrheic keratosis
Seborrheic adenoma
Hemangioma
Lymphangioma
Neurilemmoma
Fibroma
Epidermal cysts
warts

28. Fundamentals
and Generalities
in Medical
Management of
Skin and Soft
Tissue Tumors
What are the different types of skin and
soft tissue tumors?
Based on cells or tissues of origin
SOFT TISSUE TUMORS
Fat cells and tissues
Muscular tissues
Connective tissues
Blood vessels
Nerves
Fat tumor – lipoma / liposarcoma
Muscular tumor – rhabdomyoma / sarcoma
Connective tissue tumor – fibroma / sarcoma
Blood vessel tumor – hemangioma /
hemangiosarcoma
Nerve tumor – neurilemmoma /
neurosarcoma

29. Fundamentals
and Generalities
in Medical
Management of
Skin and Soft
Tissue Tumors
What are the causes of skin and soft tissue
tumors?
• New and uncontrolled growths of cells (cancers
vs non-cancers)
• Inflammations / infections (abscesses)
• Unknown causes

30. Fundamentals
and Generalities
in Medical
Management of
Skin and Soft
Tissue Tumors
What are the causes of skin and soft tissue
tumors?
Causes of new and uncontrolled growths of cells
(cancers vs non-cancers)
• Genetic predisposition
• Chronic irritation
• Excessive sunlight exposure
• Excessive radiation
• Others unknown

31. Fundamentals
and Generalities
in Medical
Management of
Skin and Soft
Tissue Tumors
What are the causes of skin and soft tissue
tumors?
Inflammations / infections (abscesses)
• Genetic predisposition
• Hygiene dysfunction

32. Fundamentals
and Generalities
in Medical
Management of
Skin and Soft
Tissue Tumors
How common are the skin and soft tissue
tumors?
Skin tumors - non-cancers more common than
cancers
More common non-cancer skin tumors:
• Moles
• Epidermal cysts
• Seborrheic keratosis
• Warts

33. Fundamentals
and Generalities
in Medical
Management of
Skin and Soft
Tissue Tumors
How common are the skin and soft tissue
tumors?
Skin tumors - non-cancers more common than
cancers
More common cancer skin tumors:
• Basal cell carcinomas (usually on face)
• Squamous cell carcinomas
• Melanomas (least common)

34. Fundamentals
and Generalities
in Medical
Management of
Skin and Soft
Tissue Tumors
How common are the skin and soft tissue
tumors?
Soft tissue tumors - non-cancers more common
than cancers
More common non-cancer soft tissue tumors:
• Lipomas (most common)
• Neurilemmomas
• Fibromas
• Hemangiomas / lymphangiomas

35. Fundamentals
and Generalities
in Medical
Management of
Skin and Soft
Tissue Tumors
How common are the skin and soft tissue
tumors?
Soft tissue tumors - non-cancers more common
than cancers
More common cancer soft tissue tumors:
• Sarcomas (different types such as
fibrosarcomas, liposarcomas, etc.)

36. Contents:
• What is a skin tumor? A soft tissue tumor?
• What are the different types of skin and soft
tissue tumors?
• What are the causes of skin and soft tissue
tumors?
• How common are the skin and soft tissue
tumors?
PART 1
Fundamentals
and Generalities
in Medical
Management of
Skin and Soft
Tissue Tumors
Summary
Take Away

37. Fundamentals
and Generalities
in Medical
Management of
Skin and Soft
Tissue Tumors
Take Away in
relation to
Patient
Empowerment
Be always in touch with reliable medical
information on fundamentals and
generalities in medical management of
skin and soft tissue tumors.
Knowledge is power; it gives power.
Use the 4Ks of Patient Empowerment:
Kaalaman, Kakayanan, Karapatan and
Kapangyarihan
to gain greater control over decisions in
medical management of skin and soft
tissue tumors.

38. Empowerment
objective - for
laypeople to have an
understanding of
the FUNDAMENTALS
and GENERALITIES in
the MEDICAL
MANAGEMENT of
SKIN and SOFT
TISSUE TUMORS–
Part 1.
Health Disorder
Course–
Fundamentals
and
Generalities in
Medical
Management
of Skin and
Soft Tissue
Tumors – Part
1