SKIN CANCERS

Skin cancer is the most common cancer in the whole world. However, their survival is higher than other cancers because they are easily noticed and their treatment is usually completely surgically possible. The most common malignant skin cancers are Basal Cell Carcinoma, Flat (squamous) Cell Carcinoma, Malignant Melanoma. In addition, many types of skin cancer are present, but these other types are rarely observed. Sun exposure is an important factor in almost all skin cancers. In addition, factors such as the ethnicity of individuals, some genetic diseases and some toxins may play a role. The preliminary diagnosis of skin cancers can usually be made only by examination by dermatology and plastic surgery physicians, but the most accurate diagnosis is made as a result of the examination of the samples taken by pathologists. Masses or wounds that are thought to be skin cancer should be biopsied appropriately first and the diagnosis should be confirmed. The biopsy method may not be the same in all types and sizes of cancers. At this stage, your plastic surgeon will guide you. After biopsy, if you have been diagnosed with malignant skin cancer, it may be necessary to clean the same area in accordance with your pathology result. This removal process is also the process of removing some intact skin from the cancer in that area, in accordance with the type of cancer.
Depending on the type of cancer, it may be necessary to remove the skin in narrow or very large areas. At this stage, your doctor will inform you and inform you about how to repair this removed area. Some types of cancer may also spread to remote areas. In such cases, radiological examinations such as ultrasonography, computed tomography, magnetic resonance imaging may be required considering the possibility of its spread. According to the results obtained, in addition to your treatment, regional lymph node dissection or sentinel lymph node sampling surgeries may be required. Most early-stage skin cancers do not require any oncological treatment other than surgical treatment. However, it will also be recommended to be examined by an oncologist in some types of cancer and in advanced stages. Since most diseases are usually treated in the early stages of skin cancers, it is not necessary to use radiotherapy or chemotherapy treatments.

WHAT IS A SENTINEL LYMPH NODE SAMPLING?

Sentinel lymph node sampling is a diagnostic method especially applied in MALGN MELANOMA, which evaluates whether the cancer is spreading (METASTASIS). There is a possibility that the cancer may spread to the lymph nodes, i.e. glands, after a certain stage. Since the cancer has the possibility of going to the lymph nodes (gland) closest to it and settling, it is the process of removing these glands in risky situations and sending them for pathological examination. If the cancer has not ostensibly spread to the glands and there is a possibility, sentinel lymph nodes are found and removed and sent to a pathology department for examination. Because this is the only way to tell if some cancers are metastasized. The nuclear medicine department is assisted to determine which lymph node is closest to a cancer. By performing lymphosintiography by the nuclear medicine physician, it is determined which lymph nodes should be removed from which area before the surgery and these lymph nodes are removed during the surgery. If the cancer cell is not detected in the lymph nodes removed, the patient is followed up clinically at certain intervals without performing any other surgery. However, if it is found that the cancer has spread to these lymph nodes, it is recommended to remove all lymph nodes in that area by surgery. This surgery is called "Regional Lymph Node Dissection".

IS REGIONAL LYMPH NODE DYSEXION PERFORMED IN HANGAR AREAS?

Our lymph nodes are found concentrated in certain areas of our body. These areas are the neck, armpits, groin, intra-abdominal area and, in some people, knee and elbow areas. In skin cancers, these areas may need to be surgically cleaned as there may be a splash in the lymph nodes in the neck, armpits and groin areas. In these surgeries, it is usually performed to remove the entire lymph nodes by preserving vital or some important functions. Plastic surgery physicians have been trained to carry out the cleaning of all these areas. Therefore, they will give you the appropriate information about this subject.
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