Skin LesionsSkin and subcutaneous lesions
Most people have one or more abnormal lumps and bumps of the skin or of the underlying tissues. Most of these are entirely harmless and can be left alone, but for their cosmetic appearance. Others are more sinister, and may include tumours arising in the skin or spread from elsewhere. Lumps which arise in the tissues immediately beneath the skin are known as subcutaneous lumps.
Troublesome benign skin lesions which may need removal include sebaceous cysts, warts, papillomas, and skin tags. Benign subcutaneous lumps include lipomas, fibromas, gangia and lymph nodes.
Skin which has been exposed to sunlight over many years is particularly susceptible to developing basal cell and squamous cell tumours, These lesions are usually curable by surgical excision,
These are tumours of the melanotic, pigment bearing skin. They often present as irregular, dark or black lesions.
Surgical excision is the primary treatment for melanomas. However, they sometimes exhibit more sinister and aggressive behaviour.
Surgical strategies for skin lesions
Most small and simple skin lesions are suitable for excision under local anaesthetic, subject to an accurate initial assessment. Most lesions are suitable for day case surgery.
Suture techniques vary according to the site of the lesion. Some skin closures can be achieved with dissolvable, subcutaneous sutures. Others require removable sutures. Larger lesions may benefit from simple skin grafting and tissue transfer techniques.
In any cases of doubt about the tissue diagnosis, samples are sent to the pathology laboratory for histological analysis.
NHS Day case surgery for skin lesions
Your operation may be arranged as a direct access case, without a prior hospital outpatient consultation, for convenience and speed of treatment. In these circumstances, your surgeon will review your diagnosis and make a final recommendation on the most appropriate treatment when you attend the day surgical unit.
Text provided by Mr David Rew, Copyright 2003