Skin tumours

Neoplasms affecting skin form statistically the highest frequency group of all tumours, including:

* Tumours like lesions– skin nevi (birthmarks) and cycts
* Benign skin tumours
* Precancerous and malignant skin tumours

In terms of etiology the formation of tumours is mainly caused by the ionizing effect of ultraviolet radiation followed by a chemical, biological and hereditary factors.
The birthmarks are the most frequent skin neoplasms found on the skin, with the predilection occurence on the face, neck and back. The birthmarks are continually being formed and changed during the whole of a man`s life. They are either stationary or can progressively transform into dysplasias or a skin tumour. It is convenient to take precautions in terms of all lesions observed on the skin. In case of suspicion of malignity it is good to remove them and test for histology.

Benign skin tumours are usually stationary and grow very slowly. They are well circumscribed and do not metastazise. Precancerosis is a benign tumour which usually transforms into a benign tumour after some time. Malign tumours have the tendency to exhibit a verrucoid appearance, bleed and they metastazise into other tissues.

Surgery lasts approximately 15-20 minutes
It is done under local or general anaesthesia depending on the age and patient`s wish It is possible to leave the Sanatorium shortly after the surgery The scar is discreet because it is made to become a part of the natural line of skin cleavage postoperative difficulties are usually minimal stitches are usually removed between the 5.-10. days after the surgery.

Correction of a hypertrophic and keloid scar by application of a corticosteroid
In spite of maximal efforts of a surgeon, the scar is not always healed according to the patient`s wish. The healing and maturation of the scar is a long process and its last stage may continue from 14 days to 18 months.Under certain conditions the wound is healed by a hypertrophied or a keloid scar. It is just only a variation of the normal healing of a scar. The production of collagen continually increases and therefore its bread down in a scar decreases during this process. A hypertrophied scar is above the level of the surrounding skin . It is usually bulged, wide, red but it doesn`t exceed its boundaries. Keloid is a scar which continually grows even after it exceeds its boundaries and it behaves as a false tumour. It is not possible to differenciate between them. The clinical and biochemical criteria is the objective method of distinction. The occurrence of a normal, hypertrophied or even keloid scar in the same person is dependent on some of the following factors: atraumatic surgery, right dirrection of the cut, anatomic area of the scar, infection, presence of a foreign substance, race. Although the maturation of scars is a long process it can be affected by postoperative scar care:

Massages of the scar are recommended using an ointment several times a day
Silicon plaster could be applied on a scar
Local application of a corticosteroid strictly into the wound

Removal of an ingrown nail through the plastic surgery of its nail bed
The nail margin is sometimes irritated by a perionychium, which in combintion with the presence of bacteria in this region often results in inflammation. Frequent, unhealed and painfull inflammation often makes the patient to visit a surgeon after he has undergone different kinds of therapy which has brought very little or no relief. In such cases it is necessary to surgically remove a part of a nail plate and its nail bed and eventually to cut off an enomorous perionychium through plastic surgery.

* Surgery lasts approximately 15-20 minutes
* It is done under local anaesthesia
* It is possible to leave the Sanatorium shortly after the surgery
* Generally the partial ablation of a nail is sufficient, however sometimes it demands the reduction of a perionychium
* We apply antibiotics localy in form of an ointment and recommend 5 days idle regime after the operation
* The patient can usually go back to normal life in 2 weeks time