Skin cancers can be treated using surgical and non surgical treatments.

Surgical treatments used for treatment of skin cancers are physical treatments to remove the tumour.  Depending on the thickness of the lesion the treatment may be more or less invasive.  Thicker tumours are generally treated with excision and techniques include elipse (boat shaped excision), flaps and grafts. On occasion the wound may be left open for a period of time to await results of histopathology (as in the so called 'Slow Moh's'), but in most cases the wound is closed immediately following the removal of the tumour.  Surgical treatments also include diathermy and serial curettage.  This is usually used for superficial tumours on areas of the body where recurrence is less likely.  Both small and large tumours can be treated with this technique.

Non surgical treatments are treatments using medications to attack and remove the tumour. They include Aldara (Imiquimod), Efudix, and Metvix PDT (Photodynamic therapy).  These treatments are generally used for lesions which are thin and on areas of the body where recurrence is less likely, although small superficial lesions on higher risk areas may be suitable for these treatments.

Living in Australia you have a higher risk of skin damage as a result of increased exposure to the sun. Australians have a 2 in 3 chance of developing skin cancer in their lifetime. A simple yearly skin check can detect issues early and can save your life. Melanoma affects about 1 in 30 people in Australia and kills more than a 1000 people a year.

Skin tags are small benign growths attached to the skin by a small thin stalk. Skin tag removal is a simple process completed by a doctor. Removing skin tags at home can be painful and often bleed heavily or become infected.

Squamous Cell Carcinoma (SCC) is the second most common skin cancer, and often occur in elderly people who have had extensive sun exposure over their lifetimes.

Sunspots, which are also called solar or actinic keratoses, are pink or tan coloured scaly spots that feel slightly rough to the touch. They occur commonly in people over 40 with light skin and hair/eyes and on skin that’s often exposed to the sun.  Most common areas are the face, tips of the ears, back of hands and forearms. 

Sunspots can be a warning sign that you’ve spent too much time in the sun without appropriate sun protection, and indicate that you have a higher risk of developing skin cancer in the future.

Squamous cell carcinoma can develop from solar keratosis.  If your sun spot feels thicker and slightly raised off the surface of the skin, it may be an indication that it has progressed from solar keratosis to intraepidermal squamous carcinoma (IEC) which is a superficial form of squamous cell carcinoma (SCC). 

Solar keratosis is often treated with destructive treatments to individual lesions, such as cryotherapy (freezing treatment) or with a field treatment to the area.  Individual destructive treatments are usually used if there is a limited number of discrete spots to treat, and has the advantage of being cheap and quick.  Field treatments are usually used when there is a large area affected by large numbers of solar keratosis lesions or when the entire area is affected to some degree with solar keratosis and individual treatment is not practical.  Field treatments include Efudix, Photodynamic Therapy (PDT), Aldara, Solaraze or Picato.

Melanoma Scan - Skin Cancer Clinic

For further information, please feel free to Contact Us or follow the link to request an appointment by clicking Book Now.

Most children are at very low risk of skin cancers, so regular skin checks are not routinely recommended unless there are particular concerns.  While skin cancers including melanoma are rare, they do occur, so if there is a mole or spot that is changing or growing at an accelerated rate, or looks odd or different to every other mole on the child’s body, then they should be checked to ensure it is not a cancer.

The Melanoma Scan doctor and nurse will give you detailed instructions on how to care for your wound to reduce scarring. 

Shave excisions

With Shave excisions, the best results can be achieved using moist wound healing, using antibiotic ointments such as chloromycetin ointment or otocomb on high risk areas for infection, or using strataderm or stratamed silicone containing gels for areas at risk of keloid scarring.  For some areas simple moist wound dressings using Vaseline, antiseptic creams or pawpaw ointment may be a low cost and suitable alternative.  Your doctor will recommend the treatment that he believes is most suitable for your particular wound and situation.

Ellipse excisions

With ellipse excisions, taping is an important aspect of wound care to prevent a stretched up scar despite the support of the deep sutures. Equally important is abstaining where possible from exercise for up to 6 weeks following surgery.  That may not always be possible with people engaged in manual work, but often with care and getting assistance with lifting and carrying, stretching of the scar can be minimised.

Keloid scarring is a feared outcome for all excisions, however is very uncommon outside of a small group of people who appear to be prone to them.  In this group, silicone gels are utilised and the wound is reviewed 3-4 weeks after surgery to see if there is any sign of keloid formation, which can often appear after apparently normal early healing as a raised red itchy and uncomfortable scar.  Occasionally steroid injections may be used to halt keloid formation or reduce an established keloid scar, but the results are not always satisfactory in this keloid prone group of patients.

Melanoma Scan - Skin Cancer Clinic

For further information, please feel free to Contact Us or follow the link to request an appointment by clicking Book Now.

What is skin cancer?

Melanoma Scan doctors are dedicated skin cancer doctors, who are focussed on giving you the best outcome of your mole removal. 

Whether it is a cosmetic shave excision, or a biopsy to diagnose or exclude melanoma, your doctor will provide you with the best experience possible under the circumstances, and the piece of mind that your mole will always be tested to exclude the possibility of melanoma or other skin cancer in the tissue.

We are dedicated to giving you the best possible cosmetic outcome as well, especially where the mole is removed from the face or body because it is raised and getting traumatised or just generally “in the way”.  In these examples, our primary focus is on achieving an excellent cosmetic outcome. 

Where melanoma is a possibility, the focus is on giving the pathologist the whole lesion to analyse, so a larger wound may be required, which of course can take longer to heal, but will ensure that the most accurate diagnosis is achieved. Your doctor will guide you through the process step by step to ensure it is pain free and minimise inconvenience.

Melanoma Scan - Skin Cancer Clinic

For further information, please feel free to Contact Us or follow the link to request an appointment by clicking Book Now.