20 Starts as discrete, non tender nodules PATHOPHYSIOLOGY!Starts as discrete, non tender nodulesCan be skin tone, pink, red, violet, blue, black or brown!As malignant cells grow and divide, the nodules enlarge – interfere with skin capillaries and lymph vessels
21 Tumor very disorganized Tumor very disorganized! – poor skin perfusion, edema and necrosis occursTumors often extend into deeper structures – sinus and fistula formation
29 ASSESSMENT Location of Wound Size, Depth and Shape Amount and Nature of ExudatePresence and Level of MalodorType of Tissue PresentSigns and Symptoms of InfectionNature and Type of PainCondition of Peri-woundBleeding
30 ASSOCIATED PROBLEMSWHAT DOES THE PATIENTTHINK IS THE MOSTIMPORTANT?