SURGERY PROCEDURES - Skin cancer surgery
Benigni skin tumours
is a benign skin and mucose change that can vary in colour, shape and size. A grown person has some 15-20 moles – some exist from birth, and others appear later in life. Moles are not to be removed, except in the case of unsuitable localisation at the constantly irritated spot (by underwear, clothes, jewellery) or for aesthetic reasons, but occasionally they should be checked and the attention should be paid to their growth, colour, shape and accompanying phenomena, such as itching, flaking or bleeding. They are removed by surgical excision, and the final diagnosis is verified histo-pathologically.
is a benign skin and mucose epithelium change of viral origin. Most frequently they are on the neck, upper arm, in the armpit, under the breasts, on the stomach and groins. It has various shapes, often hangs, is elastic, and has a colour of the skin. It is removed by radioexcision or smaller surgical excision.
is a benign fat tissue tumour which usually appears in the subcutaneous tissue of the neck, on the back, shoulders, abdominal wall. It has small dimensions, although sometimes it has gigantic dimensions. Lipoma is a soft, elastic node which is not always well distinguished from the surrounding tissue, and it is covered with the skin of unchanged appearance. It has to be carefully removed in whole, as possible remains of this tumour can be a cause of its repeated appearing.
is a flat yellowish skin change of various sizes, located usually on the covered body parts – face, neck, cleavage, arms, back. It does not appear on the palms and foots soles. In time it grows and becomes darker, even black. It is removed by radio-waves.
is manifested on the skin as individual or multiple, hard or painless node. It appears in adult persons, on the limbs, and sometimes on other body parts as well. It is reddish or yellowish-brown, from several millimetres to several centimetres in size. It is removed by surgical excision.
is a skin change which represents a blocked sebaceous gland which is joined to the skit occurs on the face, head, earlobes, neck and back. An infection with festering signs can develop. It has to be removed in whole, as otherwise it can re-appear.
Maligant skin tumours
Basal-cell skin carcinoma
is the most frequent skin tumour. It occurs in older age groups, and appears on the body parts exposed to sun, such as face and hands. It can have various shapes and ways of growth: flat or projecting, with erythematous and even squamous surface, some appear as yellowish nodes, while the others are dark pigmented. Very rarely forms metastases, but locally it can be very invasive and infiltrate into local structures.
Plane-cell skin carcinoma
is the second frequent malignant skin tumour. It ncan appear anywhere on the body, but very rarely it occurs on the unchanged skin. There are two forms of plane-cell carcinoma: the first looks like a small lesion, covered with crust, of round or irregular form, while the second form of this tumour usually looks like a small bulge which gradually penetrates the surrounding subcutaneous tissue. This tumour has all the characteristics of actual malignant disease: local-infiltrative growth, appearance of recidives and frequent metastases.
is relatively rare, but most aggressive of all the malignant tumours. Moles, UV radiation, heritage, hormones, chemical factors represent risk factors. In the majority of cases, a malignant melanoma appears on the field of the existing nevuses, and very rarely from the unchanged skin. The change is suspected of malignant melanoma if it is assymetric, changed colour, has irregular edges, often bleeds or itches, and has a diameter of more than 6 mm.
Other skin changes that need to be known
Two types of skin-type changes are young (benns, binders) and keratoses of the liver are changes that consist of skin-rich cells rich in pigment melanin, at or above the level of the skin. Many youngsters are not dangerous, but some of the births are present or some it contains a variety of colors and poorly defined boundaries can grow in malignant melanoma. Youngsters are most often removed for aesthetic reasons or are susceptible to chronic irritation (rubbing with clothes or jewelry). These irritations can cause precancerous changes. Solar or actinic keratosis is a rugged, red, or rather varied growth on the skin. They are found, most often, in places exposed to the sun, sometimes they can develop into planocellular carcinoma.
Identification of malignant skin diseases
Basocellular carcinoma and planocellular carcinoma can vary significantly in appearance, i.e. there are many different shapes. In the beginning, a small white or pink nipple or swelling may be small or glossy, can be smooth and glossy, or have a recess on the surface. Initially, it may be like a red spot and afterwards as a row of dry uneven laundries that are later covered with crayfish , a group of circles or worms with visible capillaries on the surface, such as ulceration on the surface of the skin that does not grow anywhere or as a whitish patch that looks like a severe tissue. Malignant melanomas usually signal themselves on a change in size (usually rapid growth), shape, color on an existing youngster, or a newborn from a normal goat. Look for "ABCD" signals in the appearance of melanoma Asymmetry-asymmetric growth; Border irregularity-uneven or Color change color change, brown brown, and sometimes a blush of red, red and blue; Diameter-height and size larger than 6 mm in diameter or any unusual and rapid growth. In all these forms of malignant skin disease, which are roads in our area, it is most important to remember the following: Get to know and research your goat from head to toe (do not forget your back!). If you notice the unusual change in any part of the body, do not hesitate and visit your doctor to check it jointly. In our people, there is a belief that such changes (called birthmarks), especially young people should not be tired and because of this people often come up late with advanced stages of these diseases or not, which has devastating effects on their health. These changes should not be touched in terms of irritation (piercing with caught needles, silk threading or hair shuffling, or treating some plant extracts) as this may lead to fatigue, but they should be treated professionally and sometimes removed by curing the surrounding healthy skin without affecting the change.
Prevention of repetition of the disease
After surgical treatment of skin cancers, your doctor will recommend regular controls to make sure that the cancer does not recur. Your doctor will sometimes be able to prevent repetition. In order to reduce the risk of repetition, it will sometimes be necessary to change the place of residence. The following measures are recommended for people who have not yet had malignant skin disease:
1. Avoid prolonged exposure to the sun, especially between 10 am and 2 pm, and during the summer months. Remember that ultraviolet rays pass through water and clothes, and are reflected in the sand of the snow.
2. When going outside for a long period of time, protect yourself from clothing such as a hat or cap with a wide rim or long sleeves.
3. All exposed parts of the body are lubricated with a sunscreen with a sonic protection factor of at least 15. Get plenty of hours before going out under the sun and repeat this several times, especially if you are swimming or swimming.
4. Finally, review your own skin. If you find anything suspicious, consult your plastic surgeon or dermatologist as soon as possible.
Types of skin malignancies
The most common type of goat malignant disease is basocellular carcinoma (basal cell carcinoma). Also, this type is the least dangerous solution, it grows slowly and rarely extends to distant places (metastases). Extremely rare is a threat to life, and if it is not treated, it can expand into deeper structures (subcutaneous tissue, muscles and bones) causing serious damage, especially if it is located near the eye. The squamous cell carcinoma is followed by the incidence of malignant skin diseases, most often happening on the lips, face or lips. Cheese is (metastasized) to distant places, regional lymph nodes and internal organs. It can be life-threatening if not treated! The third form of malignant skin disease is melanoma (melanoma), which is the earliest, although its incidence is rapidly increasing in recent times, especially in sunny parts of the planet. Malignant melanoma is the most dangerous type of malignant skin disease. IF IT IS PERMISSIBLY DISPLACED EASY, ITS DOSES CAN EXPOSE. If it is not detected quickly and does not cure in time, it is chewing very rapidly along the body and is most often deadly.
How to choose a doctor
If you suspect malignant skin disease, talking to a family doctor (or a general practitioner) is a good start. They will examine your skin and decide if a specialist is needed. If you notice any unusual growth, contact a dermatologist or specialist of plastic irreversible surgery. Both specialists they must be sufficiently experienced to recognize and treat malignant skin and other skin diseases. Specialists for plastic and reconstructive surgery are a good choice if the change should be surgically removed, since they leave better aesthetic results after such a procedure, which is extremely important if the changes are in visible places If you need additional treatment except for surgical removal, a plastic surgeon will refer you to the appropriate specialist.
Diagnosis and treatment
The diagnosis of malignant skin disease is set by removing the entire change or part of the change and sending it to the pathohistological analysis (review of the change under optic magnification-microscope, after special preparation). After that change can be treated with numerous methods, depending on the type of cancer, stage in which also contains localization on the body. Most changes are removed by the surgical code of the plastic surgeon. If a small operation can be changed, it can be simple and fast in ambulatory conditions using local anesthesia (a pair of needles in the vicinity of a local anesthetic change injection). The operation is the most common ellipsoid cure of the change poorly visible scarring. It is possible to execute the change with a special instrument (one type of sharp barrel) and then treat the region with an electric current for stopping bleeding or destroying the remaining malignant cells. This procedure leaves an oval white scar. Under normal circumstances, the risk of such surgery is very low. If the change is greater or has spread to regional lymph nodes or other sites in the body, radical surgery is necessary, usually in general anesthesia with hospital stay. Other possible treatments include cryotherapy (freezing of malignant cells), radiation therapy (treatment of changes in radiation x-rays), local chemotherapy (treatment of fats containing chemotherapeutic agent), Mohs surgery (a special surgical method in which the cancer is shaved in one layer at one time requires special treatment of the vessels). You should discuss with your doctor all the options before treatment. which is the best option for you, how effective it will be for your type of illness, possible and risk side effects, who best performs this procedure, what aesthetic and functional results can you expect? If you have any ambiguity, look for another opinion, Think of another plasticizer before you decide to treat. Different techniques used in treating such changes to God can be saved by life, but sometimes they may leave less good aesthetic appearance or functional outcome. Depending on the localization and the size of the change, it can leave a small but visible scar on your skin, as well as permanent changes that affect your structure facial features such as nose, narrow or lips. In such cases, no matter who performs a primary surgery, a plastic surgeon must be part of the team.Reconstructive techniques from simple revisions of the wound to complicated procedures for moving tissues from adjacent or distant parts to the body ( cutting surgery) can often fix broken tissues, re-shape your body and restore the appearance and function of that part.