Skin cancer

Treatment depends on the type of tumor, its location, extent, histologic characteristics and each patient's clinical condition.

Surgical field with sterile drapes, gloved hands and scalpel during excision of a skin lesion

A suspicious lesion needs to be examined in person. Dermoscopy helps assess the lesion's pattern, but the definitive diagnosis often depends on biopsy and histopathologic examination.

When to seek evaluation

Sores that do not heal, lesions that grow, bleed, ulcerate or change in appearance deserve dermatologic evaluation. Moles with asymmetry, irregular borders, color variation or noticeable evolution should also be examined.

GrowthProgressive enlargement or recent change.
BleedingSpontaneous or recurrent bleeding.
UlcerationPersistent sore or repeated crusting.
ChangeAlteration in color, shape, texture or symptoms.

How the diagnosis is made

The workup may include clinical examination, dermoscopy, photographic documentation and biopsy. Histopathologic examination identifies the tumor type and features that influence management.

Main treatment possibilities

Surgical excision, margin control techniques and other modalities may be considered. The choice depends on the diagnosis, the tumor's risk, its location and the patient's overall condition.

It is not possible to define the ideal technique from a photograph or the diagnosis name alone. The histopathology report and the in person examination are essential for safe planning.

Follow up after treatment

Follow up may include scar review, evaluation of new lesions, guidance on sun protection and an exam schedule according to individual risk.

This content does not replace medical evaluation. Lesions that bleed, ulcerate, grow or change should be examined in person.

Further reading by Dr. Diego on the Clínica QARA blog (in Portuguese): skin cancer warning signs.