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Procedimento

Cutaneous oncology

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Indication:

Skin cancer, considered the most common in Brazil, about 25% of cases in the country and mainly affects people over 40 years and with fair skin.

Among several types of benign tumors, we can highlight: nevi, siringomas, keloids, lipomas, cysts, leiomyomas, neuromas, hemangiomas, among others.

Among the malignant lesions, the most common tumors are: basal cell carcinoma (BCC), squamous or squamous cell carcinoma (ECC) and melanoma.

Whenever you notice speckles or spots that show growth, changes in color or shape, irregularities in their edges, changes in size, and stains or scratching, bleeding, non-healing wounds, it is important to seek medical advice.

In case of skin cancer, the treatment is surgical, followed by reconstruction of the affected tissues.

Anesthesia Type:

Local, with or without sedation and even general, depending on the procedure and the surgical risk of the patient.

Surgical technique:

The surgery consists of the removal (partial or total) of skin lesions (benign or malignant), according to the characteristics of the pathology in question and seeking the best possible aesthetic-functional result.

In the case of minor lesions, surgery may consist of simply removing the lesion and closing the skin as discreetly as possible. In larger lesions, the use of flaps or grafts may be necessary to close the wound generated after resection.

In case of malignant lesions, it is necessary to enlarge the resection margins, guided by the characteristics of the lesion and, possibly, by evaluation of the resected fragments made by a pathologist during surgery. Complements in local surgical treatment may be necessary, such as lymph node biopsy / resection, radiotherapy, chemotherapy, photodynamic therapy, etc.

Length of hospital stay:

The length of stay varies according to the surgery performed and should be discussed beforehand with the doctor.

Postoperative:

After surgery, the operated site will be sensitive, painful and reddish, but the pain usually subsides with common painkillers. Small volume of fluid from the wound or scabbing may also occur.

Avoid physical activities that force the operated area, perform dressing changes as recommended and protect the sun scar for the time determined by the doctor.

Possible complications

In the cutaneous oncology procedure, some possible complications can be observed.

• Occurrence of bruising;

• Sensitivity change;

• poor healing;

• necrosis;

• Partial or total loss of flaps or grafts performed.

The result of cutaneous oncology, as in all cosmetic surgeries, will depend on the reaction of the patient's organism and zeal with pre and postoperative indications.

Preoperative Recommendations

The patient's lifestyle and care before the operation are decisive factors for every surgical outcome. Check out the most important recommendations:

• Fast for at least 8 hours before surgery, including water, avoiding drinks and overeating on the days before the procedure;

• Correctly moisturize the skin in the days before the surgery, since it must be very elastic to receive the procedure better;

• Smoking should be stopped 30 days before surgery;

• Communicate changes in health and medication use on the eve of surgery;

• Do not wear dark colored nail polish on the day of surgery and avoid wearing jewelry and watches;

• Attend surgery with a companion.

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