Skin cancer

Basal Cell Carcinoma (BCC) and Squamous Cell Carcinoma (SCC) are the most common types of skin cancer; however, melanoma also presents with alarming frequency. 

There are a small number of genetic conditions that predispose people to skin cancer; however, the majority of cases are related to sun exposure.

Sun protection and UV radiation awareness are now ingrained in our society; however, often the damage has been done many years ago when people were actively encouraged to go outside to ‘get some colour’. 

Being sun-smart is still important regardless of age to ensure damage is not compounded and perpetuated.

Your consultation with Dr Mathew Lee will be held in our Mornington office. 

If Dr Lee suspects that you may have a skin cancer, a biopsy may be needed for diagnosis. This is a quick and simple procedure usually done under local anaesthesia. 

For a known BCC or SCC, the lesion will be cut out and sent to a pathology lab for examination under a microscope.

Treatment of skin cancers varies according to the type and location. 

Topical therapies including cryotherapy, Efudix cream and Aldara cream may be suitable for superficial lesions. 

Other lesions may require surgical treatment and reconstructions with skin grafts or flaps.

Most skin cancers are removed surgically.

Depending upon the cancer and the extent of the procedure, surgery for the removal of skin cancer can be performed as in-room procedures, a day case, or alternatively with a short hospital stay.

If the cancer is small, the procedure can be done quickly and easily. The procedure may be a simple excision, which usually leaves a thin, barely visible scar. If examination shows that all the cancer cells have been removed, you may not need further treatment aside from ongoing skin surveillance with your GP.

For a suspected melanoma, the surgeon may remove all or part of the lesion. It is then sent to a laboratory so a pathologist can examine it under a microscope. Depending on the pathologist’s report, a wider excision (that is, taking more skin more deeply) may be recommended. In this case, a skin graft or a skin flap may be required to repair a large area of skin. Some melanomas present in a more advanced form and necessitate discussion on local lymph node sampling (Sentinel Node biopsy). This helps to stage the disease and acts as a guide to any additional treatment (e.g. immunotherapy) that you may require.

Canvas Plastic Surgery will ensure you are provided with tailored instructions for your specific post-operative care.

Depending on the extent of the procedure, you may be able to go home the same day. With more complex cases and where skin grafts are needed, you may have to stay overnight in hospital or for a few days.

In the case of minor procedures, you may experience some pain and mild discomfort. If a large skin cancer has been removed or a skin graft performed, discomfort and pain may be significant. Pain relief may be required for several days.

It is normal to experience bruising and swelling. This will usually settle down in the week after surgery.