Transformations! Spring 2015 | Skin Lesions

Dr. Adam Terella

At the Visage Center we are often faced with identifying, treating and counseling patients with worrisome skin lesions. These can be benign (not dangerous), pre-cancerous, or skin cancer.

It has been well publicized that skin cancer is on the rise, with more cases diagnosed each year than breast, prostate, lung, and colon cancer cases combined. Not surprisingly the total treatment costs of skin cancer treatment reached an annual average of $8.08 billion between 2007 and 2011. These findings highlight the importance of skin cancer prevention and early detection.

What are the signs of a concerning skin lesion?

The most common warning sign of a skin cancer is a change on the skin, typically a new growth, or a change in an existing growth or mole. Basal cell carcinoma, such as the one shown here, may appear as a small smooth, pearly or waxy bump on the face, neck or ears. Squamous cell carcinoma can appear as a firm, red nodule or rough scaly flat lesion, that itches, bleeds, and then becomes crusty.  Furthermore, be alert to pre-cancerous skin lesions that can develop into skin caner. They appear as a small scaly, tan or red spots, usually on chronically sun exposed skin.

What should I expect at the time of consultation?

For concerning skin lesions, early biopsy for diagnosis is of the utmost importance. This small procedure can be performed in clinic, during your initial consultation, and involves a very small shave technique or punch biopsy. Performed properly, these techniques result in very minimal scarring. Based on the results of this biopsy multiple management approaches can be discussed. We offer the most individualized and comprehensive treatment plan available.

What Can I Do?

Lessening the risk of skin cancer starts with awareness. To reduce the risk of skin cancer, the Center for Disease Control and Prevention recommends wearing a hat, sunglasses and protective clothing, and using sunscreen with an SPF of at least 30. As a general rule, SPF 15 blocks 93% of UVB rays, while SPF 30 blocks 97%, and SPF 50 blocks 98%.  Additionally, be aware that tanning devices increase the risk of skin cancers.

Do you have a lesion that hasn’t resolved and concerns you? Schedule a consultation with Drs. Terella or Winkler by calling 720-848-4300.