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SKIN LESIONS AND SCARS

Skin Cancer Surgery and Reconstruction

The aim of skin cancer surgery is to treat the tumor within appropriate limits and repair the resulting tissue loss. The plan varies depending on the type and extent of cancer.

PATIENT INFORMATIONAbout 3 minutes readingBack to skin & scar topics
Prof. Dr. Koray Coşkunfırat is in his office in his clinical uniform.
Prof. Dr. Koray Coşkunfırat.

Overview

The first step in suspecting skin cancer is to clarify the diagnosis of the lesion and the necessary tissue examination. Basal cell carcinoma, squamous cell carcinoma, and melanoma are not treated with the same treatment plan. Surgical removal margins are determined by location, tumor characteristics, and pathology. Treating cancer in functionally important areas such as the face is considered together with preserving the function of the eyelids, nose or lips. In some patients, Mohs surgery requires specialist guidance or joint planning with other specialties. The wound may be closed directly or tissue transfer may be required. Subsequent follow-up continues after wound healing is complete.

What is evaluated?

  • Biopsy diagnosis, tumor size, location and previous treatments are examined.
  • The plan for surgical margins and additional staging evaluation when necessary is clarified.
  • The impact of possible tissue loss on function and repair options is evaluated.

Approach and options

  • Surgical removal and pathological margin evaluation are performed in appropriate cases.
  • For selected lesions, Mohs surgery or referral to a relevant specialist unit may be considered.
  • Repair can be planned with direct closure, a flap from adjacent tissue, or a skin graft.

Recovery and follow-up

Wound care and movement recommendations depend on the location and type of repair. If there is a graft or flap, tissue viability is monitored with controls. The pathology result may determine the need for additional surgery or other treatment. After recovery, sun protection, recognition of new lesions and personal control program are continued.

Risks and limits

  • Bleeding, infection and wound healing problem
  • Partial or complete tissue loss in the graft or flap
  • Sensory or regional function change
  • Need for additional removal or recurrence of cancer

The headings here do not cover all risks. Possible benefits, alternatives and personal risks should be discussed in detail during the examination.

You can ask in the consultation

  • How do the type of cancer and my pathology report change the treatment plan?
  • How will it be verified that the surgical margins are clear?
  • Which specialists will I see for repair and long-term follow-up?

Resources

Access to sources: September 2026. The content has been prepared for general information purposes.

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PROF. DR. KORAY COŞKUNFIRAT