Moles excision, routine treatment

Skinmed Clinic offers you a medical team, specialized in dermosurgery services and a large range of excisional treatments for (removing) the benignant or malignant skin lesions (nevi/moles, basal cell carcinoma, squamous cell carcinoma, malignant melanoma, etc.) in excellent technical conditions, by complying with the asepsis rules and risk limitation.

The work environment is complying with the international rules regarding the asepsis and the surgical techniques are adapted to each patient, depending on the anatomical placement or the individual, tumoral or personal specifics.

The post surgical aesthetic aspect is of concern to us; therefore, we adapt the excision and suture methods for obtaining a barely visible scar.

Each of the skin lesions coming to our attention are initially clinically and dermatoscopically examined, for a definite or suspected diagnosis that further dictates the right therapeutic action to be taken, which can be a biopsy test (shave, punch or excisional biopsy) with histopathological examination or surgical excision, with safety limits and histopathological examination.

chirurgie dermatologica - skinmed

Thus, we can take samples of biopsy material for further histopathological examination, for the purpose of obtaining a clear diagnosis of the patient pathology, thus performing a targeted and efficient treatment. 

It is of major importance to understand how the prevention mechanisms work in the dermatology area, and how important the early detection of the malignant melanoma is and that the surgical excision is curative and life saving. 

Thus, we take down the preconceptions regarding the surgical excision of the skin lesions and we understand the need of such excision for the curative (healing) purpose.

FAQ 

Your dermatologist will recommend surgical removal of a nevus in one of the following cases: upon clinical and dermatoscopic examination the nevus shows signs of risk and should be excised for a precise histopathological diagnosis, but also as a method of treatment; upon the clinical and dermatoscopic examination, the nevus presents itself as potentially dangerous and its excision is requested for avoiding repeated controls; the nevus sticks out as compared to the surrounding skin and is often irritated by clothing or jewelry; the nevus is aesthetically unpleasant and you want to remove it.

After a medical exam and a dermatoscopic examination of the lesion, your doctor may recommend the excision of a nevus. During the procedure, the area will be numbed with a local anesthetic, followed by the excision of the lesion and skin suture. The excised lesion can be sent to a laboratory for a histopathological analysis.

After the excision of a nevus, at the level of the treated area a slight feeling of tension can be felt for a short period of time. Also, for a period of one to two weeks, you will wear a dressing / patch, and you will have to go back to the clinic to change it and remove the suture yarns. After removing them, your doctor will recommend that you avoid sun exposure or that you use a scarring cream.

Clinicians of Skinmed Clinic are specialists with experience in dermatological surgery, who will ensure that the scars left behind are minimal. This depends on several factors, such as cutaneous phototype, location of the lesion, and specific scarring of each patient.

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Moles mapping: the solution for early detection of malignant melanoma

Imagine your skin as a landscape. Total Body Mapping photographs the entire surface of the skin. We use a hi-tech system for creating a map of your moles (“body map”).
The photographs are made systematically – from head to toes in pre-established positions – in a couple of minutes. The purpose of this examination is the prevention of the most fearful skin cancer, the melanoma. The FotoFinder Total Body Mapping examination is indicated, in particular, to the patients at risk of developing skin malignant melanoma. And the question is: Am I a patient at risk?

If your answer is “yes” to any of the following questions, please contact us!

harta dermatologica fotofinder - skinmed
harta dermatologica fotofinder - skinmed

Thanks to the FotoFinder Bodystudio ATBM system a full body map can be made, in a quick, easy and exact manner. 

The camera moves automatically up and down, obtaining perfectly illuminated images using the BodyFlash system. 

The photographed area visible on the screen and the captured images are automatically stored in the patient’s database. 

During a subsequent scanning, the FotoFinder BodyScan system automatically compares the new images with those from the database and identifies the new lesions or any changes occurred on the old ones. 

All the clinical and dermatoscopic images are captured with the FotoFinder Medicam 1000 HD new camera, which presents the dermatoscopic images in a polarized and non-polarized light, depending on the followed-up structures, for a further accurate reevaluation, usually every three months.

harta dermatologica fotofinder - skinmed
This examination represents the golden standard in monitoring the nevi/moles due to the comparison, in identical technical conditions and in detecting the slightest changes, otherwise clinically undetectable, helping the dermatoscopic evaluation to be 100% relevant and beneficial, and the incipient melanoma detection to be possible.

With the help of the FotoFinder Total Body Mapping examination we manage to accomplish:

Play Video

If you notice any change at the skin level, schedule an urgent meeting for the FotoFinder!


2 Alba Iulia Square, Section I, Building I 1, 3rd district, Bucharest (next to Transilvania Bank)

Telephone:
  • (+40) 786.356.361
  • (+21) 313.64.33
  • (+40) 769.996.648
E-mail: office@skinmed.ro

FAQ 

The dermatoscopic map or total body scan is indicated for patients with multiple lesions (over 100 nevi on the whole body or over 11 located on the forearm), lesions that are hardly accessible for self-examination, patients with a history of abnormal lesions, atypical nevi, personal or familial antecedents of melanoma or other skin cancer. 

For patients with no lesions at risk, body scanning should be performed annually to be an effective screening test. If during the dermatoscopy your doctor determines that some lesions are at high risk, he or she will decide to dermatoscopically re-evaluate you in shorter periods of time (3-6 months), depending on the history of the lesions and the history of each patient.

At Skinmed Clinic, you will be examined by a specialist dermatologist with training and experience in the field of dermatoscopy using top-of-the-range ATBM (Automated Total Body Mapping). Full body scanning will be done after a medical exam with your dermatologist, who will determine whether it is appropriate for you, will answer your questions and any concerns you may have, and then determine the frequency of re-evaluations, as well as the steps to take in the case of any suspect lesions.

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Dermoscopy – accurate diagnostic for an efficient treatment

The dermoscopy represents a simple and non-invasive technique involving the examination of skin lesions by using a specialized instrument called dermatoscope.

The dermatoscope is based on the principle of skin light refraction optics and can be performed with polarized or non-polarized light depending on how shallow or deep the examined skin lesions are.

Thus, we manage to reveal the dermatoscopic features of actinic keratoses or seborrheic verrucas, sometimes difficult to differentiate from benign melanoma lesions, nevi (moles) or malign lesions (melanoma maligna).

The dermatologist places the instrument over the skin lesion and examines the morphological details that cannot be described by simply looking at it, thus facilitating the diagnosis.

dermatoscopia - skinmed

The utility of dermatoscopic examination consists in the possibility of identifying malignant skin lesions, such as melanoma or carcinoma, or of establishing the follow-up interval of such lesions, usually 3 months, for identifying any likely microscopic changes.

Further to dermatoscopic examination, the physician can decide on the benign nature of the lesion (keratoses, seborrheic verrucas, warts, angiomas, etc.) or on the malign nature, such as melanoma maligna or carcinoma, basal cell carcinoma, squamous carcinoma and in most cases, the action to be taken is the surgical excision with histopathological examination; sometimes, initially, the expert decides on performing a biopsy (shave, punch or excisional biopsy) with histopathological examination for a definite diagnostic prior to final surgical excision.
dermatoscopia - skinmed
The specialist can also decide on the dermatoscopic reevaluation every 3 months for the microscopic monitoring of the lesions; any notified changes shall require one of the above-described actions, pleading for the malignancy features, incipient malignant melanoma, and the lack of the same shall orient on the benignant nature of the lesion.

The dermoscopy is a highly valuable technique for the diagnostic of incipient malignant melanoma, malignant melanoma in situ, thus offering the prevention for this skin malignant pathology.

dermatoscopia - skinmed

FAQ 

Most of the times, nevi are harmless lesions; however, sometimes they can cause discomfort, be it esthetic, or functional (they cling to clothes, jewelries). There are also atypical nevi, or malignant lesions. Dermatoscopic examination is recommended for any new lesion or any lesion that changed its characteristics (color, size, shape, appearance of pruritus).

The most effective way for the patient to monitor the nevi is to use the ABCDE rule regularly. At the onset of any of the following signs, you should take a dermatoscopic exam at the specialist doctor!

 A-Asymmetry: lesion halves are not symmetrical

 B-Border-Margins: Check the margins, the contour of the lesion; in case of a suspect lesion, they may be irregular, may have the contour erased or there may be pigment (coloration) that extends to the surrounding skin

 C-Color: an irregular color, different shades within the same lesion (black, dark or light brown, gray, red, pink or blue)

 D-Diameter: In general, it is recommended to examine lesions larger than 6 mm, but also those that have increased in size

 E-Evolution: Any evolution (size, color, shape), but also the lesions that are different from the rest.

Most nevi are benign lesions that will not develop into risk-posing lesion or malignant lesions. Most patients have nevi that will remain unchanged throughout life, but if any of the above changes occurs, dermatological control and dermatoscopy are recommended to correctly differentiate harmless lesions from atypical, suspect, or skin malignant lesions (melanoma, basal cell carcinoma, spinocellular carcinoma).

Generally, any new lesion or a lesion with rapid growth, changes in shape or color should be examined dermatoscopically. Melanoma may appear as a nevus-like lesion, but it will often have more than one color on the surface (dark brown,  brown, black, white-gray, red, pink or blue), irregular margins, dimensions larger than other body lesions and an abnormal evolution (growth, shape changes). Melanoma may also appear as a fast growing nodule, colored in brown, black, or sometimes pink.

At SkinMed Clinic we have a team of dermatologists experienced in dermatoscopy, as well as a high-performance ATBM (Automated Total Body Mapping) system, which allows for a rapid and high-quality diagnosis of skin lesions.

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