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Skin & soft tissue tumor management

Plastic surgery has a pivotal role primarily in cancers of skin and breast and secondarily in reconstructions of head and neck , orthopedic malignancies etc. 

Skin Biopsy

Skin cancer

Skin cancer is a type of cancer that affects the skin, which is the body's largest organ. Skin cancer is the most common type of cancer, and it is caused by the uncontrolled growth of abnormal skin cells. There are three main types of skin cancer: basal cell carcinoma, squamous cell carcinoma, and melanoma.

Basal cell carcinoma: Basal cell carcinoma is the most common type of skin cancer. It typically appears as a small, shiny bump or patch on the skin, and it is usually slow-growing. Basal cell carcinoma is usually found on areas of the skin that are exposed to the sun, such as the face, neck, and hands.

Squamous cell carcinoma: Squamous cell carcinoma is the second most common type of skin cancer. It usually appears as a firm, red bump or patch on the skin, and it can also appear as an open sore that bleeds and crusts over. Squamous cell carcinoma is usually found on areas of the skin that are exposed to the sun, such as the face, ears, neck, and hands.

Melanoma: Melanoma is the most aggressive and dangerous type of skin cancer. It usually appears as a dark, irregularly shaped mole or a patch of skin that is darker than the surrounding skin. Melanoma can spread quickly to other parts of the body if left untreated.

Skin cancer can be treated effectively if it is detected early. It is important to perform regular self-examinations of the skin and to see a healthcare provider if you notice any changes in your skin, such as new moles or growths or changes in the appearance of existing moles. Wearing sunscreen and protective clothing can help to reduce the risk of skin cancer.

Image by philippe spitalier

Breast cancer and reconstruction 

Breast cancer surgery is a procedure that is used to remove breast cancer or to determine if breast cancer is present. There are several different types of breast cancer surgery, including the following:

  • Lumpectomy: A lumpectomy is a surgical procedure that involves the removal of the cancerous tumor and a small amount of surrounding tissue. Lumpectomy may be recommended for women who have small, early-stage breast cancers.

  • Mastectomy: A mastectomy is a surgical procedure that involves the removal of the entire breast. Mastectomy may be recommended for women who have large, advanced breast cancers or for women who are at high risk of developing breast cancer.

  • Sentinel lymph node biopsy: A sentinel lymph node biopsy is a surgical procedure that involves the removal of the first lymph node or nodes to which the cancer is likely to spread. The lymph nodes are then examined to determine if the cancer has spread.

  • Axillary lymph node dissection: An axillary lymph node dissection is a surgical procedure that involves the removal of a larger number of lymph nodes from the armpit. This procedure may be recommended for women who have cancer that has spread to the lymph nodes.

Breast cancer surgery is usually performed under general anesthesia, and the procedure takes several hours to complete. Recovery from breast cancer surgery may take several weeks, and patients may experience swelling, discomfort, and changes in breast sensation.

Malignant Melanoma

Fast growth or rapid change in color could be the sign of conversion to malignancy of a normal mole over skin. Simple removal at early stage is both curative and only required procedure.

Marjolin's Ulcer 

In long standing cases of wounds , it may develop into cancer. removal with covering it with an appropriate tissue is curative.

Hemangioma 

These are common non malignant tumors of blood vessels which may turn into malignant at any stager.

Treatment is essentially localizing and demarcation of tumor followed by its removal. 

Lipoma

These are simple tumors of fat which can be removed by various procedures best is removal thru a small 5mm incision which at a later stage is barely visible 

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