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Guide to Basal Cell and Squamous Cell Skin Cancer Surgery

When it comes to skin cancer, understanding the different types such as basal cells and squamous cells is crucial. Basal cell and squamous cell skin cancers are common types of skin cancer that develop in the top layer of the skin.

These cancers typically occur on parts of the body that are exposed to the sun, such as the face, neck, and arms.

 

Skin Cancer Overview

Understanding Different Types of Skin Cancer

Basal cell and squamous cell carcinomas are the most common types of skin cancer. Basal cell carcinoma usually appears on areas of the skin that are regularly exposed to the sun, while squamous cell carcinoma can develop on any part of the body, including mucous membranes and genitals.

Risk Factors for Developing Basal and Squamous Cell Skin Cancers

Risk factors for developing basal and squamous cell skin cancers include prolonged sun exposure, having fair skin, a history of sunburns, a weakened immune system, and exposure to radiation or certain chemicals.

Symptoms and Diagnosis of Skin Cancer

Symptoms of basal and squamous cell skin cancers may include changes in the skin, such as the appearance of new growths, sores that do not heal, or changes in existing moles. Diagnosis typically involves a skin biopsy to examine the cells under a microscope.

Mohs Surgery Explained

Role of Mohs Surgery in Treating Skin Cancer

Mohs surgery, also known as Mohs micrographic surgery, is a precise surgical technique used to treat skin cancer. It is often recommended for basal and squamous cell skin cancers due to its high cure rate and ability to preserve healthy skin.

Procedure of Mohs Micrographic Surgery

In Mohs micrographic surgery, the surgeon removes thin layers of skin containing cancer cells and examines each layer under a microscope until no cancer cells are detected, ensuring that only the cancerous tissue is removed while preserving healthy tissue.

Benefits of Mohs Surgery for Basal and Squamous Cell Cancers

The benefits of Mohs surgery for basal and squamous cell skin cancers include high cure rates, minimal scarring, and the ability to preserve as much healthy skin as possible, particularly in cosmetically sensitive areas such as the face.

Surgery Options Options for Skin Cancer

Excision Procedures for Removing Cancerous Cells

Excision procedures involve surgically removing the cancerous cells along with a margin of healthy tissue to ensure complete removal. This method is commonly used for small skin cancers that have not spread.

Reconstructive Surgery After Skin Cancer Removal

Reconstructive surgery may be necessary after removing skin cancer to restore the appearance and function of the skin. Techniques such as skin flaps and skin grafts are used to cover and repair the area where the cancer was removed.

Using Skin Flaps and Skin Grafts in Reconstructive Surgery

Skin flaps involve moving nearby healthy skin with its blood supply to cover the surgical site, while skin grafts use skin from another part of the body or synthetic material to cover the area. These techniques help in reconstructing the skin after cancer removal.

Radiation Therapy and Lymph Node Examination

Role of Radiation in Treating Remaining Cancer Cells

Radiation therapy may be recommended to treat any remaining cancer cells after surgery, particularly in cases where the cancer has spread or in areas where surgery is not an ideal option. It helps to destroy cancer cells and prevent recurrence.

Lymph Node Evaluation in Advanced Skin Cancer Cases

In advanced skin cancer cases, lymph node evaluation may be necessary to determine if the cancer has spread beyond the skin. This involves examining the nearby lymph nodes for any signs of cancer metastasis.

Importance of Clear Margins in Cancer Surgery

Clear margins in cancer surgery refer to ensuring that the edges of the removed tissue are free from cancer cells. This is crucial to prevent the recurrence of cancer and to ensure that all cancerous cells are removed during the surgery.

Preventative Measures and Follow-Up Care

Tips for Preventing Skin Cancer Recurrence

To reduce the risk of skin cancer recurrence, it is essential to protect the skin from sun exposure by using sunscreen, wearing protective clothing, and avoiding tanning beds. Regular skin self-exams and check-ups with a dermatologist are also important for early detection.

Regular Skin Check-Ups and Monitoring

Regular skin check-ups and monitoring are crucial for individuals who have undergone skin cancer surgery. These check-ups help to detect any new skin changes or signs of cancer recurrence early, allowing for prompt intervention and treatment.

Dealing with Scars After Skin Cancer Surgery

Scarring is a common consequence of skin cancer surgery, particularly in cases where large areas of skin are removed. Various treatment options are available to help manage and minimise the appearance of scars, including laser therapy, topical treatments, and surgical revisions.

Conclusion

Surgery to remove skin cancer is the most common treatment for skin cancer. Depending on the type and size of the cancer, a doctor may perform excision or Mohs surgery to remove the cancer. In excision surgery, the doctor removes the cancer along with a thin piece of normal skin. Mohs micrographic surgery is usually done for larger or more aggressive skin cancers that have poorly defined borders. In this procedure, the doctor removes the cancer layer by layer and examines the tissue under a microscope to make sure the cancer is treated.

After the surgery is done, the doctor may also use a skin graft, where the skin is removed from another part of the body to cover the missing skin. This helps to reconstruct and restore the skin around the surgical site. It is important to follow up with regular skin checks after surgery to ensure that the cancer does not return. In some cases, radiation therapy may also be used to destroy any remaining cancer cells.

Fees and Additional Information

Consultation Fees

  • Private Standard Consultation: $130 - Medicare Rebate: $42.85
  • Private Long Consultation: $170.00 - Medicare Rebate: $82.90
  • Concession card holder standard consultation: $80 - Medicare Rebate: $42.85
  • Concession card holder long consultation: $140 - Medicare Rebate: $82.90

Saturday fees (Toombul Clinic Only)

  • Private Standard Consultation: $160 - Medicare Rebate: $42.85
  • Private Long Consultation: $200.00 - Medicare Rebate: $82.90
  • Concession card holder reduced fees: not applicable during these periods.

Additional Fee Information

  • DVA Gold and White Card approved - Bulk Billed (not applicable after hours and Saturdays - full fee applies).
  • Biopsy Fees start from $50.00
  • Excision fees vary by procedure and you will be informed by the Dr at your appointment.
  • Pricing as of the 1/7/2024 and subject to change without notice.

Additional Clinic Information

Please note: We do accept cash payments at this clinic. Surcharges may apply to EFTPOS and Credit cards payments.

Parking and accessibility:

  • Parking is free and wheelchair accessible.
  • Disabled parking spots also available.

Please note: If you are unable to attend your appointment, please contact our office as early as possible so that the appointment can be offered to our waiting list.

All Clinic Opening Hours

  • Toombul:
    Mon, Tues, Thurs, Fri - 8:00am - 5:00pm
    Wed - 8:00am - 5:30pm
    Sat - 8:00am - 1:00pm
  • Mitchelton:
    Mon, Wed, Fri - 8:00am - 5:00pm;
    Tues, Thurs- 8:00am - 5:30pm
  • Warner:
    Mon, Tues, Wed, Thurs, Fri - 8:00am - 5:00pm

Melanoma Skin Cancer

Skin Cancer Clinic Toombul

9 Parkland Street,
Nundah, QLD, 4012
07 3256 6766

Skin Cancer Clinic Mitchelton

Unit 1, 23 Blackwood Street,
Mitchelton, QLD, 4053
07 3855 8500

Skin Cancer Clinic Warner

1405 Old North Road,
Warner, QLD, 4500
07 3106 1340