Melanoma is a malignant tumor that is most often localized on the skin, but sometimes develops in other parts of the body: the nails, eyeballs, in the oral cavity. Cancer cells can spread rapidly in the body and can affect almost any organ. Melanoma has a high probability of recurrence and frequently metastasizes.

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Surgery - the main method of treating a disease in tumors that are at an early or intermediate stage of development, and in some cases - and late. Choosing the type of operation in Israel melanoma depends on the volume of diseased tissue, the presence and localization of metastases, the patient's age and health condition.

For the treatment of thin melanomas are often limited only applies surgery. In that case, if the tumor has spread to nearby lymph nodes, made their removal and excision of tumors. Sometimes it requires re-treatment after surgery (melanoma can return), and then carried out secondary surgery, but it is seldom used to remove a tumor that has metastasized to other parts of the body.

Surgical operations melanoma at an early or intermediate stage

melanoma after surgery  In most cases, surgery is performed under local anesthesia (with thin melanoma). After surgery, stitches are not removed about 1-2 weeks, and patients advised to avoid strenuous exercise for some time. Areas that have changed in the course of surgical intervention, may be hidden specially designed cosmetics. If you have deleted a large amount of tissue damaged areas restored with the help of skin flaps derived from areas near the tumor, or transplants, the material for which was taken from other parts of the patient's body.

Simple excision represents a small surgical procedure, which is performed in the presence of premalignant or malignant melanoma tumors of small size. During the procedure, the surgeon removes the tumor along with a small amount of healthy tissue surrounding it, and then sutured the wound.

Wide excision - melanoma operation, during which the tumor is removed and the surrounding tissue. Surgery is performed under local anesthesia, although sometimes there is a need in the general anesthesia - if the doctor is going to spend an additional biopsy of the lymph nodes. The amount of tissue that must be removed with a wide excision, depends on:

  • depth germination of cancer cells in the body;
  • neoplasms location;
  • influence operation melanoma on motor activity of the patient (if the tumor is located near joints).

If the thickness of the neoplasm is at least 1 mm, the surgeon will most likely remove about 1 cm to surrounding tissue around the perimeter when the depth of the tumor varies from 1 to 2 mm - is produced excision of 1-2 cm and a thickness of 2 to 4 mm removal subject 2 -3 cm nearby tissues. When tumors greater than 4 mm depth, deviation from its edges should be at least 3 cm.

Melanoma of the external ear is usually performed wedge resection, and if the tumor is located on the finger or toe, is likely to be carried out by its amputation. When localization melanoma is carried on the face of wide excision, but removed about 1 cm tissue surrounding tumors (and / or radiotherapy is carried out).

MOS operation is the most effective treatment for skin cancer, including melanoma. It is to remove the tumor tissue layer by layer and simultaneously it under a microscope to study until the tumor is completely eliminated from the body. Application of this method in Israel provides full removal of malignant cells with a minimum of surrounding healthy tissue.

Treatment of melanoma: surgery to remove the lymph nodes

Dissection or lymphadenectomy usually performed to reduce the risk of spread of malignant cells to regional lymph nodes and is used to treat patients with high risk of development of nodal metastasis. type of operation and the time of its implementation depends on where the primary melanoma was seen. Usually performed after sentinel node biopsy or fine needle aspiration biopsy.

There are several large groups of lymph nodes (inguinal, axillary, cervical, and others), which can spread cancer cells, and depending on the localization of the disease outbreak removed certain organs of the lymphatic system. For example, if the location of melanoma is on the leg, the surgeon can perform an operation to excision lymph nodes in the groin area on the same side. When the tumor is localized on the scalp, it will be held on the removal of lymph nodes.

A patient diagnosed with melanoma following lymphadenectomy surgery may face a number of side effects:

  1. Postoperative pain, decreasing as wound healing.
  2. Shoulder stiffness (observed after excision of lymph nodes under the arm).
  3. Swelling of the hands or feet on the other side, where the lymph node dissection (removed inguinal and axillary lymph nodes) was carried out. Such a condition is called lymphedema and its treatment is to wear special elastic stockings on the affected limbs, performing certain physical exercises and regular massage.

Operations in melanoma metastases

When skin cancer has spread to other body organs (lungs or brain), surgery is performed very rarely. Even if the doctor will give preference to the surgical treatment of melanoma after surgery is resolved. Operative intervention is necessary to alleviate the symptoms and prolong the patient's life.

Risks melanoma after surgery

Possible side effects that you should immediately inform your doctor:

  • Signs of infection, including fever and chills.
  • Redness and swelling, increasing pain, excessive bleeding, or discharge from the incision.
  • Receiving analgesic medications did not reduce pain.
  • The appearance of new tumors or changes in skin color in a particular area.
  • Itching and bleeding on an existing mole, in the operative field or other area of ​​the body.

Treatment of melanoma after surgery

To prevent the recurrence of skin cancer after surgery adjuvant therapy can be carried out:

  1. chemotherapy;
  2. immunotherapy;
  3. radiation therapy.

Depending on the stage of melanoma varies the degree of surgical intervention. But no matter what phase of the disease is extremely important professional surgeons and the availability of the necessary medical equipment. Oncological Surgery in Israel reached a very high level. Here sometimes operate on tumors that were previously considered inoperable. Through our medical service you can sign up for Dr. Jacob Schechter - one of the best oncologists in Israel.

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