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Skin lesion removal

What is skin lesion?

When a part of the skin has different appearance or abnormal growth than it is called skin lesion. There are two big groups to sort them: primary and secondary. The primary lesions appear at birth, like birthmarks. The secondary skin lesions evolve after the irritation of primary skin lesions. Infection, allergic reaction or sensivity can also cause skin lesion.

Are there different types of skin lesions?

A systemic infection, an infection that occurs throughout your body can cause skin lesions. Some skin lesions are hereditary, such as moles and freckles. Birthmarks are lesions that exist at the time of birth. Others can be the result of an allergic reaction or sensitivity caused by conditions like poor circulation or diabetes.
There are many types of skin lesions, such as:

Lipoma
Lipoma

Lipoma

A lipoma is a slow-growing, fatty lump that’s most often situated between your skin and the underlying muscle layer. A lipoma, which feels doughy and usually isn’t tender, moves readily with slight finger pressure.

Lipomas are usually detected in middle age. Some people have more than one lipoma.
A lipoma isn’t cancer and usually is harmless, however if it bothers you, is painful or is growing, it is advised to have it removed.

Fibroma
Fibroma

Fibroma

Fibromas are benign tumors that are composed of fibrous or connective tissue cells that have a spindle shape. They can grow in all organs, arising from mesenchyme tissue. If multiple fibroids grow, it is called fibromatosis. For cutaneous fibroids, there are soft fibromas (molluscum pendulum) and fibroids which are hard.
For both forms, there is usually a small benign tumor of skin color. The soft fibroma may be pedunculated or sessile and is almost always painless. Skin areas most often affected are the armpits, neck and groin. Fibroids are nodules compact disks, often brownish, which can be painful.

Basalioma
Basalioma

Basalioma

Basalioma (also known as basal cell carcinoma) is the most common skin cancer. While basalioma has a very low metastatic risk, this tumor can cause significant disfigurement by invading surrounding tissues.

It often appears as a waxy bump, though it can take other forms. Basal cell carcinoma occurs most often on areas of the skin that are often exposed to the sun, such as your face and neck.

Pigmented skin disorder
Pigmented skin disorder

Pigmented skin disorder

Skin color is determined by a pigment (melanin) made by specialized cells in the skin (melanocytes). The amount and type of melanin determines a person’s skin color.

Pigmentary disorder is a general term which includes hyperpigmentary disorders (darkening of the skin) and hypopigmentary disorders (decrease in the normal skin color). The most common disorders being melasma (hyperpigmentary) and vitiligo (hypopigmentary).

Atheroma
Atheroma

Atheroma

Patches of atheroma are like small fatty lumps that develop within the inside lining of blood vessels (arteries).

Atheroma is also known as atherosclerosis and ‘hardening of the arteries’.

Atheroma may cause various cardiovascular diseases such as angina, heart attack, stroke and peripheral vascular disease.

Why is a skin lesion removal needed?

The skin lesion removal is also known as cryotherapy. Some of the skin lesions may become cancerous, therefore removal is needed to avoid more serious diseases. If the cancer is not cut out it may spread to the surrounding skin and to other parts of the body (metastasise).
Other reasons why a lesion may be removed include for diagnosis, cosmetic appearance, if it is symptomatic (eg. tender or prone to being knocked), or to remove an inflamed or frequently infected cyst.

How does the procedure work?

A variety of techniques are used to remove skin lesions. The particular technique selected will depend on such factors as the seriousness of the lesion, its location, and the patient’s ability to tolerate the procedure. The aim of these surgeries is to completely remove the lesion and to clear out its area. An operation takes about 15-45 minutes, its duration largely depends on the type and extension of the lesion.

What are the benefits and risks of the operation?

A successful lesion removal procedure effectively and completely removes any abnormal growth on the skin. In most cases, the lesion removed is sent to a laboratory and placed under closer analysis to determine malignancy.
It is impossible to cut the skin without scarring in some way, so you will always have some sort of scar. Your dermatologist will excise the lesion and repair the wound in a way that will keep the scar to a minimum. Some people have an abnormal response to skin healing and these people may get larger scars than usual (keloid or hypertrophic scarring).

Am I a good candidate for skin lesion removal?

In order to diagnose a skin lesion, a dermatologist will want to conduct a full physical exam. Treatment is based on the underlying cause or causes for skin lesions. The doctor will take into account the type of lesion, personal health history, and any treatments previously attempted.

How should I prepare for the surgery?

Before the surgery please collect all of your medication that you currently take. You need to inform our hospital about all of your allergies and past illnesses. For this reason, you will also receive a detailed medical questionnaire form to fill in.

What shall I do after skin lesion removal?

Keep the wound dry and follow your doctor’s instructions regarding the aftercare of your skin. It is very important to be more careful with that part of your body and to keep it always clean. A small amount of pinkness and tenderness to touch around the wound edges is normal but, if the wound becomes increasingly red or painful, consult your dermatologist promptly – it could be infected and need a course of antibiotics.

Why is regular check-up important after skin lesion removal?

The scar will initially be red and raised but usually reduces in colour and size over several months. It is advised to go for a check-up 7-14 days after the surgery.

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