Wide local excision

Wide local excision is a surgical procedure often used in the treatment of skin cancer, including melanoma and non-melanoma skin cancers. It involves the removal of the cancerous lesion along with a margin of healthy tissue surrounding it, to ensure that all cancer cells have been removed and to reduce the risk of recurrence.

Procedure

The procedure is typically performed under local anesthesia. The surgeon uses a scalpel to remove the cancerous lesion and a margin of healthy tissue around it. The size of the margin depends on the type and stage of the cancer. The wound is then closed with stitches. If the excised area is large, a skin graft or skin flap may be needed to cover the wound.

Indications

Wide local excision is indicated for the treatment of skin cancers that have not spread to other parts of the body. It is commonly used for the treatment of melanoma, basal cell carcinoma, and squamous cell carcinoma. The procedure may also be used for the treatment of other types of skin cancer, depending on the size, location, and stage of the cancer.

Risks and Complications

As with any surgical procedure, wide local excision carries some risks, including infection, bleeding, and scarring. There is also a risk that not all cancer cells will be removed, which could lead to a recurrence of the cancer.

Follow-up

After the procedure, patients are usually advised to regularly check the area for any signs of recurrence and to protect the area from sun exposure. Regular follow-up appointments with the doctor are also important to monitor for any signs of recurrence or new skin cancers.

See Also

• Mohs surgery
• Cryosurgery
• Radiation therapy
• Chemotherapy