Wide local excision Reddit

Anyone have experience with Wide Local Excision procedure? I had a WLE procedure done about 2 months ago and it is finally healed up. The scar is now nice, pink, and a little dry. I want to put some cream on it, but I'm afraid of messing with the location and possibly starting a new flare. Any suggestions on moisturizing creams? 0 comments Wide local excision is a procedure that removes a rim of normal tissues around the lesion. This is called the margin. The size of the margin depends on the Breslow thickness of the melanoma and sometimes the location on the body. This procedure is well-tolerated and typically only requires over the counter pain medications like Tylenol or.

2 | PI20_1325_06 Wide local excision. This leaflet provides information about wide local excision surgery for skin cancer. The advice provided does not replace . the discussion between you and your medical team; it is a guide to be used with what is discussed, and should be read in conjunction with an information leaflet on your skin condition Wide Local Excision (WLE) - 3 - 2. After 48 hours you may remove the outer dressings and shower. • For the first week avoid running water directly on the incision, and pat it dry with a clean towel. • After the first week, you may begin cleansing your incision with soap and water. Keep a clean dressing over the site. 3 Wide local excision is an operation to remove an area in your breast that contains cancer with a small amount of surrounding normal tissue (a margin). This takes between 30 and 60 minutes and is done under general anaesthetic. Following your operatio

Wide-local Excision for Skin Cancer. In wide-local excision, the skin cancer and a small margin of healthy tissue around it is cut out, usually in a football-shaped ellipse. Once the tissue has been removed, the edges of the wound are sutured together. The tissue then is sent for processing and margin evaluation by a pathologist A wide local excision is a surgical procedure that removes the atypical lesion with a small margin of normal, healthy tissue around it (see diagram below.) Since these excisions require removal of healthy skin surrounding the original biopsy site, it results in a larger wound. Once the tissue is removed, the edges of the site are sutured together

Anyone have experience with Wide Local Excision procedure

Wide Local Excision for Early Melanoma Treatment Saint

  1. Local recurrence is one of the major problems in treatment of breast cancer. Approximately 20% of patients who have radical or modified radical mastectomy have a local recurrence. Methods. The records of 98 women with locally recurrent breast cancer treated with wide local excision, in the years 1983-1987, were reviewed
  2. e the choice between simple wide local excision (WLE) and oncoplastic breast surgery (OBS). We reviewed the three‐dimensional interplay between tumour and surgical specimen dimensions in the two cohorts
  3. Previous wide local excision prior to sentinel lymph node biopsy (SLNB) may have the potential to disrupt lymphatic channels, thus incorrectly identifying the sentinel node. The purpose of this study was to investigate: (1) regional recurrence rates of prior wide local excision compared to other biopsy techniques and (2) survival outcomes in.
  4. Reddit; Wechat; Abstract. The appearance of the breast after wide local excision for carcinoma may be unsatisfactory. In 59 patients undergoing wide local excision a silicone prosthesis was inserted into the cavity at the time of primary surgery. Assessment of the cosmetic result was performed after 12 months by questionnaire and clinical.
  5. What is a wide local excision for melanoma? Dr. Joseph Skitzki explains the procedure and why it may be necessary. Presented by Roswell Park's Patient Educat..
  6. Reddit; Wechat; Abstract. Clinically localized carcinoma of the breast in 96 women was treated by wide local excision alone. The locoregional recurrence rate was 35 per cent at a mean follow-up of 47 months. There was no significant effect of recurrence on survival because of the relatively high mortality rate from unrelated conditions in these.
  7. Reddit; Wechat; Abstract. OBJECTIVE. To analyse the clinicopathological characteristics of penoscrotal extramammary Paget's disease (EMPD) and to discuss the outcomes after frozen section-guided wide local excision. PATIENTS AND METHODS. From 1990 to 2005, at our institution, 38 patients with penoscrotal EMPD received wide local excision with.
(PDF) Predictive value of improvement in the immune tumour

Wide local excision for DCIS: pathology results. After a WLE, the breast tissue that has been removed is sent to the laboratory to be examined under the microscope by a pathologist. The pathologist looks to see whether there is an area of healthy cells all around the cancer - this is known as a clear margin Surgery to remove more tissue (wide local excision) Doctors diagnose melanoma by removing the abnormal mole or area of skin. They send it to the laboratory to check if it's a melanoma and how thick it is. It's likely you'll have a second operation to remove more tissue if you're diagnosed with melanoma. This is called a wide local excision Wide Local Excision. After melanoma is confirmed, the biopsied area should undergo a wide local excision (WLE). The aim of WLE is to improve locoregional control by removing micrometastases. The peripheral margins taken are guided by the Breslow thickness (Table 3) and the deep margins should always be down to the deep fascia

The accuracy rate of frozen section analyses was 100% for the margin status in the wide excision group. Adjuvant radiation was significantly associated with a reduced recurrence in the marginal excision group (0% vs. 60%, p = 0.016). Conclusions: Wide local excision with margins of 1.5-2 cm along with frozen biopsy is recommended for DFSP. Wide Local Excision. The aim of this surgery is to remove an area of healthy tissue from around the site of the melanoma and therefore minimise the risk of the cancer returning to that area. You will already have a scar from where you had your mole/lesion removed, and as we need to take away more skin you will end up with a slightly longer scar Wide Local Excision Post-Operative Instructions. What can I expect after surgery? • This procedure usually requires an overnight hospital stay as an outpatient or a 1-2 day stay as an inpatient. • Patients will be located on the Observation unit or 4B. • Patients may or may not have a Foley catheter depending on the length of the surgery IP overview: Endoscopic mastectomy and endoscopic wide excision for breast cancer Page 4 of 30 The same case series reported local recurrence in 4% (23/551) of patients after a mean follow-up of 38.4 months. A case series of 82 patients with malignant tumours treated by endoscopic mastectomy (video-assisted breas

The wide radical excision of the vulva procedure arose from the move toward individualized treatment for patients with vulvar cancer in the wake of the universal treatment period when all patients underwent en bloc radical vulvectomy with bilateral inguinal lymphadenectomy popularized by Stanley Way in the 1950s and 1960s ().In properly selected patients, radical wide excision has been. Wide local excision for malignant melanoma. I have linked a leaflet from the hospital at Birmingham which explains about a Wide Local Excision. In your case they will remove 0.5cm from around the centre of the scar & also in depth so your scar will be bigger and deeper A wide local excision (WLE) is a surgical procedure to remove a small area of diseased or problematic tissue with a margin of normal tissue. This procedure is commonly performed on the breast and to skin lesions, but can be used on any area of the body. The tissue removed is examined under a microscope to confirm the type of lesion and to grade. A wide local excision is the surgical removal of a tumor, mass or suspicious tissue along with a surrounding margin of normal tissue. Tumors within the breast may be located under image guidance and marked by inserting a wire into the breast tissue with a hook at its tip in the region of the abnormality Wide local excision of the primary tumour situated at left buccal mucosa regio

Procedure Overview. Simple vulvectomy involves the excision of vulvar skin with subcutaneous tissue, without dissection to the deep fascia of the vulva and perineum. 1 This procedure is indicated for extensive in situ or microinvasion carcinoma of the vulva (< 1 mm of invasion), vulvar dystrophy, and Paget disease, where the lesions are not amenable to local excision or other forms of. Wide margin excision in melanoma. The main aim of wide excision of melanoma after a diagnostic excision is to prevent the cancer recurring at the site of origin, and to maximize long-term survival. The functional and cosmetic impact of surgery on an individual patient, are major secondary considerations when planning a further excision

Tongue cancer has a poor prognosis. The treatment for tongue cancer is based on the stage and spread of lesion. Surgery is only option to cure patient of ton.. Wide Local Excision (WLE) of a vulval lesion Introduction This leaflet gives you information about Wide Local Excision (WLE) of a vulval lesion. This is a treatment for pre-cancerous, recurrent and early cancer of the vulva. What is WLE of a vulval lesion? This is removal of the vulval area containing pre-cancerous cell

The purpose of melanoma wide local excision (WLE) is to obtain local control by removing the primary tumor as well as the local at-risk subcutaneous lymphatics. The margin is measured circumferentially at the level of the skin from either residual gross tumor and/or the previous biopsy scar. The recommended WLE margin for melanoma in situ (MIS. Pre-operative Assessment - Information for patients having Wide Local E xcision (WLE), January 2020 2 . Information for patients having Wide Local Excision (WLE) • Bruising. • Redness and swelling. • Some patients experience pain, discomfort or altered sensations in or around the wound during or after the healing process

Wide local excision is the best option for both malignant and benign spiradenomas. Since the benign lesion may recur or have foci of malignant transformation, it is important that the spiradenoma is completely excised. For malignant spiradenoma, some authors have recommended 1-cm margins and excision depth down to the fascia Wide local excision (WLE) for vaginal intraepithelial neoplasia (VAIN) Danny Cheng , From the Department of Obstetrics and Gynecology, The University of Hong Kong, Queen Mary Hospital, Hongkong, Peoples' Republic of Chin

Cancer Vulva: Cancer of the Vulva is the least common malignancies affecting the Women. It typically manifests in the post-menopausal age group of women. It'.. Wide Local Excision. Wide local excision is the primary treatment for cutaneous melanoma. Several studies have looked at what constitutes an adequate margin. For in situ melanoma, a margin of 0.5 cm is indicated, although wider margins may be necessary to achieve histologic clearance of larger melanomas in situ of the lentigo maligna type Reddit; Wechat; Abstract. BACKGROUND. Sentinel lymph node (SLN) status is the most important prognostic factor with respect to the survival of patients with primary cutaneous melanoma. However, lymphatic mapping and SLN biopsies (LM/SLNBs) performed in patients who have had a wide local excision (WLE) may not accurately reflect the pathologic. The most common operation is called a wide local excision, more rarely some women need an operation called a skinning vulvectomy. Wide local excision. A wide local excision is when the surgeon removes the area of skin affected by VIN and a border of healthy tissue around it. This is called a margin

Current wide local excision margin recommendations are 0.5cm for in situ lesions, 1cm for lesions 1.0mm thick, 1-2cm for lesions 1.01-2.0mm thick, and 2cmforlesions 2.01mmthick.Theserecommendationsarethesame for head and neck melanomas and those located in other locations [2]. The practicalityof large wide local excision margins varies with th In wide-local excision, the skin cancer and a small margin of healthy tissue around it is cut out, usually in a football-shaped ellipse. Once the tissue has been removed, the edges of the wound are sutured together. The tissue then is sent for processing and margin evaluation by a pathologist Evidence before this study. Guidelines concerning local excision of primary cutaneous melanoma vary worldwide. Randomised controlled trials have addressed appropriate margins for localised melanoma thicker than 2 mm and meta-analyses have concluded that more evidence is needed on the minimum safe width of the excision margin (ie, the smallest excision margin that can be used without. Hi! I am 45, from Brisbane, Australia and had a wide local excision of the vulva (VIN 3) of the lower opening to the vagina and of the perineum on June 20th 2018, and the possibility of a Flap reconstruction which wasn't necessary in the end, thankfully. Great to find this site Reddit; Wechat; Abstract. Background. Simulation enables safe practice and facilitates objective assessment of technical skills. However, simulation training in breast surgery is rare and assessment remains subjective. The primary aim was to evaluate the construct validity of technical skills assessments in wide local excision (WLE)

Wide Local Excision. Master. Media Component. Content. Surgery to remove (excise) melanoma removes the cancer and a border of healthy tissue. In the Area of excision picture: The inner circle represents the melanoma and healthy tissue that are excised. An eye-shaped incision (cut) is often done so that the surgical site can be neatly closed WIDE LOCAL EXCISION Risks Bleeding Infection Pain Temporary swelling Tenderness • Formation of hard scar tissue at the surgical site Numbness, particularly under the arm due to lymph node removal Change in the shape of the breast Note: The final histology of the lumpectomy specimen is available within 7-1 Wide local excision was done large right gluteal region lesion removed 15 cm × 15 cm excision involvement fascia, and part of the muscle with excision of 3cm margin from each side of tumour stalk and specimen sent for histopathology (Figure 1). Abuzarifa NS, et al. OPEN ACCESS Freely available onlin The biopsy of the primary tumor is normally followed by a wide excision which removes a margin of healthy or normal tissue around the tumor, so look for two procedures. Code the subsequent wide excision based on the surgical margin measurements: Use the margin measurement from the PATHOLOGY report

Wide-local Excision - ASD

  1. <p>A wide local excision is the surgical removal of a tumor, mass or suspicious tissue along with a surrounding margin of normal tissue. It may be performed to remove a lump or mass from the breast and is referred to as a lumpectomy. Wide local excision is performed to remove a lump in the breast. The excised tissues are carefully analyzed in the laboratory for the presence and extent of.
  2. Excision is the removal of a skin cancer along with some of the healthy skin tissue around it (margin). For this procedure, a local anesthetic is used to numb the area. After the cancerous area is removed, the incision is closed with stitches. If the incision is large, sometimes a skin graft or flap is required
  3. The current mainstay therapy for MIS is wide local excision (WLE) -- i.e., removal of the tumor along with a margin of normal skin of 0.5 to 1.0 cm -- but this form of surgery has been challenging

Wide local excision: A surgical procedure [...] to remove some of the normal tissue surrounding the area where melanoma was found, to check for cancer cells. familycancernetwork.or Introduction. Cutaneous squamous cell carcinoma (SCC) is a malignant tumour of keratinocytes, arising from the epidermal layer of the skin. SCC is the second most common form of skin cancer, after basal cell carcinoma, accounting for 20% of all cutaneous malignancies, and has an incidence of 10,000 per year in the UK.. Most SCC arise from cumulative prolonged exposure to ultraviolet (UV. Beginning to panic! (Mole excision) 7 Feb 2019 10:52. hi all, first time posting for me today. I went to the gp with a mole that had grown from the size of a pinhead to around 7mm in 5-6 months (It's on my chest). I went for a biopsy and was told it was an atypical mole, more specifically a Dysplastic Nevus and it would be removed as a. wide local excision breast cancer. A 43-year-old female asked: what are the chances of local recurrence for stage 1a breast cancer? is it more difficult to treat? Dr. John Berryman answered. 54 years experience Obstetrics and Gynecology. Stage 1A breast ca Anorectal melanoma is a rare condition and its surgical management is controversial. Seventeen large case series from over the past 10 years were reviewed. The survival of patients treated by either abdominoperineal resection (APR) or wide local excision (WLE) was analysed according to the stage of the disease. Comparison of the survival of patients who underwent APR with those who underwent.


reported using the excision of benign lesion codes 11400-11446. An ambiguous, but moderate to high suspicion lesion would be excised with moderate to wide surrounding grossly normal skin/soft tissue margins, as for a malignant lesion. This type of excision would be most appropriately reported using the excision of malignan Local recurrence is defined (albeit somewhat arbitrarily) as tumor regrowth within 2 cm of the surgical scar following definitive excision of a primary melanoma with appropriate surgical margins in order to standardize treatment endpoints in clinical trials [ 1,2 ]. Recurrences that are more than 2 cm from the primary lesion but are not beyond.

What Is a Wide Local Excision? (with pictures

Source: Raiker R, et al. Short term complications of Mohs surgery vs wide local excision in patients with melanoma in-situ. Presented at: AAD VMX 2021; April 23-25, 2021 (virtual meeting) Some of the most common diseases treated with SONOPET include VIN 2 (41.79%) and VAIN 2 (40.62%) (Henzi, 2019). Patient's can have complete excision of the lesion with the benefit of less disfiguration and scarring compared to traditional wide local excision (WLE), with the most commonly reported complication being post-operative pain

How long does a wide excision take to heal

BACKGROUNDThere are limited published data comparing wide local excision (WLE) with Mohs micrographic surgery (MMS) for the treatment of melanoma.OBJECTIVETo describe a novel treatment algorithm for the surgical management of head and neck melanoma and compare rates of local recurrence for tumors treated with either MMS using immunohistochemistry or WLE.MATERIALS AND METHODSA 10-year. From 1990 to 2005, at our institution, 38 patients with penoscrotal EMPD received wide local excision with intraoperative frozen-section analysis. Their medical records were reviewed for patient demographics, lesion characteristics, surgical margin status, and clinical outcome Lauren O. Roussel and Rachel R. Sullivan Case 47 Perineal Reconstruction Case 47 A 72-year-old woman with vulvar cancer underwent wide local excision of tumor and now requires perineal reconstruction. 47.1 Description Wide resection of perineal contents including mons pubis, vulva, and clitoris Resection area extends to urethral and vaginal orifices 47.2 Work-Up 47.2.1 Histor

Wide local excision - Wikipedi

Re: mastectomy or wide local excision. Sorry to add another idea to consider, but some people who have a lump that would leave a very mis-shapen breast if removed straight away had chemo first to shrink the lump, and then WLE and rads, so the breast is conserved. That MIGHT be an option for you, but your surgeon might say that because of the. Re: Wide local excision scar. Hi Frances, I would have thought that it would be due to the site of the lump, so needing the nipple excision to ensure they get it all. Mine was a similar size @ 7mms, but not near the nipple, but was in the outer upper quadrant of the breast, so I only have a 2 inch scar at near the top Wide local excision leaves a cavity in the breast where the tissue was removed from. This cavity, if left is usually obvious and often leads to a permanent change to the shape and feel of the remaining breast. Radiotherapy treatment may also make these changes worse. In general, the larger the amount of tissue removed and the smaller the breast.

Wide Local Excisio

Wide Local Excision Blaine over 1 year ago hi I had the needle biopsy first which confirm cancer has spread to my lymph node and they wanted to remove my lymph node and other nodes as a preventive under general anesthetic but because of the corona virus they will now do a wide local excision under local which isn't what they would normally like. A wide local excision operation involves the removal of a breast lump together with an area of normal surrounding breast tissue. Reasons for this surgery Your breast surgeon will have discussed with you the reasons for surgery and any other available treatment. The aim of th • A wide local excision is a surgery that removes a 1 to 2 centimetre area of skin around the melanoma or other skin cancer. No muscle is removed with the surgery. • The purpose of this procedure is to lower the chance of the skin cancer coming back in that spot where it was first found

Wide local excision for breast lump/ Lumpectomy/ Lump

Wide excision removes the tumor as well as some of the surrounding skin (usually ½ to 1 inch) to make sure there is no cancer left. Wide Excision Surgery Your doctor will draw a shape around the. Excision of a melanoma is a type of surgery to remove, or excise, a melanoma from your skin. Melanoma is a form of skin cancer in which abnormal skin cells grow out of control. You may have stitches until the surgical wound heals. This may cause a scar that should fade with time. How quickly your wound heals depends on its size The recommendations for definitive wide local excision of primary cutaneous melanoma in the new guidelines are: Melanoma in situ: 5-10 mm margins. Invasive melanoma (pT1) ≤ 1.0 mm thick: 1 cm margins. Invasive melanoma (pT2) 1.01 mm-2.00 mm thick: 1-2 cm margins. Invasive melanoma (pT3) 2.01 mm-4.00 mm thick: 1-2 cm margins

Wide local excision of recurrent breast cancer in the

Wide Local Excision of the Breast DUD080 Going Home After a Wide Local Excision of the Breast Information for Patients no 25 2012. This booklet is designed to provide you with some basic information following your operation. It also provides you with contact numbers if you need some help or advice.. Wide local excision specimens are often x-rayed to check that they contain the lesion. This x-ray may be supplied to the pathologist. Sometimes it is necessary to x-ray the slices of a wide local excision or a mastectomy in order to locate the lesion(s) and allow only the relevant slices to be embedded, as opposed to embedding a much greater. Answer - A wide local excision treats the cancer just as well as a mastectomy if 3 criteria are fulfilled: 1. The wide margin of tissue that is removed around the cancer is normal under the microscope, 2. Radiotherapy is given to the rest of the breast, and 3. A satisfactory cosmetic result is achieved. Thus, women who are suitable for wide.

Achieving margin clearance following oncoplastic breast

Minsky noted that with local excision and postoperative RT, local failure was 3 % for T1, 10 % for T2, and 24 % for T3. Fortunato et al. [ 142 ] reported less favorable outcome in 21 patients (mostly T2 lesions) with 19 % LR that occurred up to 48 months following resection and 19 % of patients developing distant metastasis; the 5-year DFS was. wide local excision of the breast and a sentinel lymph node biopsy Breast Care Unit Patient Information Leaflet . 2 Introduction This booklet is designed to provide you with some information about what you need to do after your operation. It also provides you wit A wide local excision (lumpectomy) is breast conserving surgery where the abnormal area within your breast is removed with a surrounding area of normal tissue. If we cannot clearly feel your tumour then the technique of 'localisation' will guide us to the exact area of breast tissue to remove. The radiologists will inject a small amoun CONCLUSIONS: Wide local excision and circumferential split-thickness skin grafting achieves adequate cosmetic and functional results without the need for diverting colostomy. However, there is a considerable recurrence rate after surgery, which warrants very close follow-up to rule out recurrent disease or underlying adenocarcinoma

Wide local excision prior to sentinel lymph node biopsy

1. Determine appropriate surgical margins for wide local excision of melanoma 2. Make surgical incision with tension to avoid skiving 3. Explain when to use cut vs coag when using electrocautery 4. Provide tension and counter tension to allow resecting the skin lesion without charring 5. Demonstrate aesthetic skin closure using vertica Scar excision is a surgery in which a scar is either removed or modified to improve cosmetic appearance. Damage from injuries, wounds, or surgeries sometimes alter skin appearance and interfere with the function of certain parts of the body. There are various kinds of scar excision. These surgical procedures can be done when the patient is. Wide local excision/ lumpectomy. Breast conservation treatment is defined as the excision of the primary breast tumour and adjacent breast tissue (breast-conserving surgery), usually followed by radiotherapy. A pathologist will analyse the breast tissue that has been removed. If the tumour extends near to the edge of this removed tissue, you. Unlike traditional excision, the process of Mohs surgery involves a series of stages. During the first stage, your doctor will mark the area of tumor. S/he will then numb the area with a local anesthetic and uses a scalpel to remove a thin layer of the cancerous tissue. The tissue sample is then evaluated in an on-site lab

The fusiform excision is designed with a 3 to 1 length-to-width ratio, oriented in the direction of the lines of least skin tension (Figures 1 and 2).The excision lines can be marked on the skin. The operation to remove the tumour is termed a wide local excision (or 'lumpectomy'). It is undertaken under a general anaesthetic. This entails an incision in the skin of the breast, which in general is either sited over the tumour itself or at the margin of the areola. The surgeon then dissects underneath the skin to above where the tumour. Source Reference: Demer AM, et al Association of Mohs micrographic surgery vs wide local excision with overall survival outcomes for patients with melanoma of the trunk and extremities JAMA. A wide local excision involves removing an extra safety margin of healthy skin surrounding the original melanoma site to ensure that any remaining scattered melanoma tumour cells are removed that may have been left behind after the first initial biopsy/surgery. Outcome Measures