Skin Cancer
A large number of malignancies could affect the skin but the commonest ones are the squamous cell cancer, basal cell cancer and malignant melanoma.
Details
New growths or changes in a pre-existing skin lesion such as rapid enlargement or ulceration should arouse suspicion.
Your doctor will examine the lesion and especially the loco-regional lymphatics. A biopsy may be taken for confirmation of the diagnosis and delineation of the type of pathology. Investigations may be warranted to delineate possible spread of the disease. Modern facilities are usually organised in a multi-disciplinary arrangement so that patients benefit from the expertise of the plastic surgeon, dermatologist and the oncologist. Either surgery or radiation therapy may be the first line treatment. Often surgical excision is performed and this may be followed by radiotherapy if indicated. Proper surgical removal entails removal with an adequate margin and therefore if the defect is large, skin graft or sometimes tissue flaps may be necessary to achieve wound closure. Regional lymphatic spread may call for additional treatment.
Results
Treatment outcome is dependant upon the stage of the disease at initial presentation.
Caution
Patients are advised to seek medical advice for suspicious lesions early to ensure the best result from treatment.