Skin Cancer Excision Sydney

Types of Skin Cancer Excision Procedures

Skin cancer excision, a critical tool in the battle against skin cancer, is not a one-size-fits-all procedure. Depending on the type, size, location, and depth of the skin cancer, different excision methods may be employed:

• Simple Excision: The most common form of skin cancer excision, simple excision involves cutting out the cancerous tissue and a margin of healthy skin around it. This margin is taken as a precaution to ensure all cancerous cells are removed. Simple excision is typically used for smaller, less aggressive cancers and is often performed in a doctor’s office under local anaesthesia.
• Wide Local Excision: Used primarily for larger or more invasive cancers, wide local excision involves removing a more considerable amount of surrounding healthy tissue than simple excision. This method is particularly used for melanomas or cancers that have a higher risk of spreading. The size of the margin taken depends on the cancer’s characteristics and location.
• Mohs Micrographic Surgery: A specialised form of skin cancer excision, Mohs surgery is used primarily for cancers in cosmetically sensitive areas, like the face, or for cancers that have recurred after previous treatment. The procedure involves removing the cancer layer by layer, with each layer being examined under a microscope until no cancer cells are detected. This technique allows for the precise removal of cancerous tissue while preserving as much healthy tissue as possible.
• Curettage and Electrodesiccation: This method is sometimes used for small, superficial cancers. It involves scraping away the cancerous tissue with a curette (a sharp, ring-shaped instrument) and then using an electric needle to destroy any remaining cancer cells. This method is less invasive but may not be suitable for all types of skin cancers.
• Cryosurgery: For very superficial skin cancers, cryosurgery might be used. This involves freezing the cancerous cells with liquid nitrogen. It’s a less common method and typically used for pre-cancerous growths or very thin cancers.

Each of these methods has its specific indications, advantages, and limitations. The choice of procedure depends on multiple factors, including the type of skin cancer, its size and depth, its location on the body, the patient’s overall health, and previous skin cancer history. The decision is made collaboratively by the patient and Dr BishSoliman, ensuring the chosen method aligns with the patient’s medical needs and personal circumstances.

How is the Skin Cancer ExcisionProcedure Performed

Skin cancer excision, involves several steps designed to ensure the complete removal of cancerous tissue:

Before the Procedure:

• Consultation: The journey begins with a consultation with Dr BishSoliman. During this meeting, Dr Solimanwill examine the skin cancer, discuss the patient’s medical history, and recommend the most appropriate type of excision.
• Preparation: Patients may be advised to avoid certain medications or supplements that could increase bleeding risk. Instructions on eating and drinking before the surgery will also be provided, especially if sedation is to be used.

During the Procedure:

• Local Anaesthesia: Skin cancer excisions are typically performed under local anaesthesia, which numbs the treatment area. This means patients are awake during the procedure but won’t feel any pain.
• Excision: Depending on the type of excision, Dr Soliman will remove the cancerous tissue along with a margin of healthy skin. The size of the margin depends on the cancer type and its characteristics.
• Closure and Dressing: After the cancer is removed, the wound is closed with stitches. The method of closure depends on the size and location of the excision. The area is then dressed to protect the wound and promote healing.

After the Procedure:

• Pathological Examination: The excised tissue is sent to a laboratory for pathological examination. This analysis confirms that all cancerous cells have been removed and provides additional information about the cancer.
• Recovery Instructions: Patients receive detailed instructions for caring for the wound, including how to keep it clean and dry, and when to return for a follow-up or stitch removal.

The procedure’s duration varies depending on the cancer’s size and location, but it takes between 30 minutes to an hour. In most cases, patients can go home the same day.

Recovery after Skin Cancer Excision Procedure 

The recovery period following a skin cancer excision is an essential phase, where patients can expect to heal and gradually return to their daily routines.

Post-Procedure Care:

• Wound Care: Immediately after the procedure, patients are given detailed instructions on how to care for the wound. This includes keeping the area clean and dry, changing dressings as advised, and applying any prescribed ointments or creams.
• Pain Management: Some discomfort or pain around the surgery site is common, but it’s usually mild and manageable. Over-the-counter pain relievers like paracetamol or ibuprofen can be taken to ease discomfort. However, it’s important to follow Dr Soliman’s advice on which medications are safe to use.

Healing Process:

• Initial Healing: The first few days post-surgery are crucial for healing. Patients may experience swelling, redness, or bruising around the area, which gradually subsides.
• Stitch Removal: If non-dissolvable stitches are used, they are removed within a week or two post-surgery, depending on the location and size of the excision.
• Activity Restrictions: Patients are often advised to avoid strenuous activities or heavy lifting for a short period to prevent strain on the surgical site and promote healing.

Long-term Care and Monitoring:

• Scar Care: Scarring is a natural part of the healing process. The size and visibility of the scar depend on the excision’s size and location. Over time, most scars fade significantly.
• Follow-up Appointments: Regular follow-up appointments are essential to monitor the healing process and check for any signs of skin cancer recurrence.
• Sun Protection: Protecting the skin from the sun is vital, especially post-surgery. Using sunscreen, wearing protective clothing, and avoiding peak sun hours are critical steps in preventing further skin damage and reducing the risk of new skin cancers.

Recovery Duration:

• The recovery time varies depending on the size and location of the excision and the patient’s overall health. Most patients resume normal activities within a few days, but complete healing of the wound can take a couple of weeks.

Medical References about Skin Cancer Excision

• Basal Cell Carcinoma: Causes, Symptoms & Treatment – Cleveland Clinic
• Treatment – Skin cancer (non-melanoma) – NHS
• Skin Cancer Types: Basal Cell Carcinoma Diagnosis and Treatment – American Academy of Dermatology
• Basal Cell Carcinoma – Mayo Clinic
• Mohs Surgery – Cleveland Clinic