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Skin Lesion Removal

Definition

Removal of an abnormal growth on the skin, called a lesion, for medical or cosmetic reasons. Skin lesions include warts , moles , and skin tags.

Melanoma Excision

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Parts of the Body Involved

Skin surface

Reasons for Procedure

  • Lesion is precancerous or cancerous.
  • Lesion has created a chronic skin irritation.
  • Cosmetic preference

Risk Factors for Complications During the Procedure

  • Immunosuppression, bleeding disorders, or circulatory problems (such as diabetes ), which can lead to healing problems
  • Heart valve conditions, which increase the risk for inflammation of the heart's inner lining after surgery.

What to Expect

Prior to Procedure

Follow instructions given by your doctor. Generally, no special preparation is required.

During Procedure

Anesthesia

Anesthesia

Local

Description of the Procedure

The area will be cleaned, and the skin surrounding the lesion will be numbed by a local anesthetic. Techniques for skin lesion removal vary depending on the reason for removal and lesion location. Common techniques include:

  • Removal with scalpel—use of a surgical knife to cut away the lesion
  • Laser surgery—use of a high-energy beam to destroy skin tissue
  • Electrosurgery—use of an electrical current to selectively destroy skin tissue
  • Cryosurgery—use of a cold liquid or instrument to freeze and remove the lesion
  • Curettage—scraping of the skin with a circular cutting loop instrument
  • Mohs' micrographic surgery—used to examine suspected cancerous lesions. Small disks of tissue are successively removed and then viewed microscopically for signs of cancer .

After Procedure

You may need to wait for a short period of time after the procedure. However, in most cases, patients can leave and resume normal activities.

How Long Will It Take?

This depends on which procedure is used. Most are completed within 5-20 minutes.

Will It Hurt?

Anesthesia prevents pain during the procedure.

Possible Complications

  • In very rare cases, allergic reaction caused by the anesthesia
  • Ridged or spread scar replaces the lesion
  • Bleeding below the skin (hematoma)
  • Temporary or permanent nerve damage
  • Recurrence of the lesion if it was a precancerous or cancerous growth
  • Infection at the procedure site

Average Hospital Stay

None

Postoperative Care

Keep lesion area clean and dry.

Outcome

The skin surface should be healed within a few weeks.

Call Your Doctor If Any of the Following Occurs

  • Signs of infection, including fever and chills
  • Redness, swelling, increasing pain, excessive bleeding, or discharge from the incision site

RESOURCES:

American Academy of Dermatology
http://www.aad.org

American Osteopathic College of Dermatology
http://www.aocd.org/index.html

CANADIAN RESOURCES:

BC Cancer Agency
http://www.bccancer.bc.ca/default.htm

Canadian Dermatology Association
http://www.dermatology.ca/english/

References:

American Academy of Dermatology website. Available at: http://www.aad.org .



Last reviewed October 2007 by Ross Zeltser, MD

Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.

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