MOLES AND KERATOSES : Most people have moles, spots or keratoses present on their skin. Most of these growths are benign.
Treatment of moles and skin lesions : In most instances, raised moles or keratoses can easily be treated in the office treatment room by performing a shave excision. This involves removing the mole at the level of the skin. Then the base of the mole is cauterized. A scab forms over the site and new skin grows back leaving an area that is undetectable. The mole is always sent to the pathologist to rule out any microscopic evidence of skin cancer.
SKIN CANCERS :
Skin cancer is the most common form of cancer and its incidence continues to grow. Although skin cancers can occur on any part of the body, 80% appear on the face, head or neck where they may be disfiguring as well as dangerous. If the skin cancer is small, the procedure can usually be performed quickly and easily in an outpatient setting. In many cases, the resulting scar is barely visible, or will be concealed within the natural folds and contours of the face.
The method used to remove skin cancers depends largely on the type of cancer, the stage of growth and location on the body. If the cancer is small, it can be removed by simple excision, leaving a thin, barely visible scar. There are other non-surgical methods which include radiation therapy, cryosurgery (freezing the cancer cells), and topical chemotherapy, (application of anti-cancer ointments and creams to the skin). Moh’s surgery is a procedure in which the cancer is shaved off one layer at a time and examined under the microscope until the margins are clear. If the cancer is larger in size, or if it has spread to the lymph nodes, a larger more complex surgery may be required.
GRAFTS AND FLAPS :
When large defects occur from either trauma or the removal of benign or malignant tumors, skin grafts and flaps are considered as a treatment modality.
GRAFTS : Skin grafting involves the transfer of skin from a healthy part of the body (donor site) to cover the injured area. The graft is said to "take" when new blood vessels and scar tissue form in the injured area. All grafts leave some scarring at the donor and recipient sites. Composite grafts usually involve taking 2 types of tissue in one graft. For example, the removal of a portion of the ear, which contains both skin and cartilage, can help reconstruct missing parts of the nose.
Flap surgery is a complex procedure in which skin, along with the underlying fat, blood vessels and sometimes the muscle, is moved from an adjacent area near the defect or from another healthy part of the body. In some flaps the blood supply remains attached at one end to the donor site. In other flaps, the blood vessels in the flap are reattached to vessels at the new site using microvascular surgery. In general, flap surgery produces better cosmetic results than skin grafts.
POSTOPERATIVE COURSE : After you have been treated in the Spalding Outpatient Surgery Center, you will return for regular follow-up visits to ensure that there is no recurrence of your skin cancer.
The following precautions should be taken:
TEL : 310.858.6749
FAX : 310.271.9266
120 S. Spalding Drive, Suite 340
Beverly Hills, California 90212