melanoma excision on the forehead

Parkwood skin clinic

Skin Cancer diagnosis

At Parkwood Skin Clinic, we know that concerns about skin cancer can feel daunting, but you don’t have to face them alone. Our team is here to provide not just cutting edge care, but a warm and supportive environment where your wellbeing is our priority. During your skin cancer diagnosis journey, we take the time to listen, understand your concerns, and explain every step of the process clearly. With Dr. Gilles Laur and our dedicated team, you’ll receive thorough, compassionate care that is focused on your health and peace of mind. Together, we’ll ensure that you feel supported and confident, every step of the way.

Your diagnostic Journey

Patients often face unexpected skin cancer diagnoses. They receive thorough evaluations using advanced diagnostic tools, ensuring accurate diagnoses. After confirmation, they explain the type of skin cancer and treatment options, aiming to provide informed and supportive care from the start.

After a skin cancer diagnosis, the treatment plan is determined, ranging from surgical excision to non-invasive options like cryotherapy. Parkwood Skin Clinic prioritizes patient comfort and long-term health, providing expert care and guiding patients through their journey to ensure the best possible outcomes.

Parkwood Skin Clinic prioritises ongoing care for patients with skin cancer, offering regular follow-ups and routine skin checks to prevent recurrence. Trusted for their expertise in skin cancer medicine, they provide peace of mind and support for years to come.

dermoscopy examination

Your comprehensive Skin check

At Parkwood Skin Clinic, we understand that concerns about skin cancer can be overwhelming, and we are here to provide you with the utmost care and reassurance. Dr. Gilles Laur is dedicated to offering thorough skin examinations with precision and compassion, ensuring every detail is carefully assessed. Using advanced dermoscopy techniques, Dr. Laur takes the time to identify any irregularities and explain his findings in a way that is clear and comforting. Our goal is to empower you with knowledge and guide you through the process, so you feel confident and supported every step of the way. Your health and peace of mind are our top priorities. Learn more here

Precise Skin Diagnostic Methods

Accurate diagnosis is crucial in managing skin conditions, and at Parkwood Skin Clinic, we employ advanced investigative techniques to ensure precise results. Two commonly used diagnostic methods are punch biopsy and shave biopsy, each tailored to specific needs and skin concerns.

Punch Biopsy

A punch biopsy is a minimally invasive procedure where a small, cylindrical tool is used to extract a full-thickness sample of the skin, including the epidermis, dermis, and sometimes the subcutaneous tissue. This technique is particularly useful for diagnosing deeper or more complex skin conditions, as it provides a comprehensive tissue sample for analysis. The procedure is quick, performed under local anaesthesia, and typically results in a small, easily managed wound.

shave biopsy

A shave biopsy involves removing the upper layers of the skin, including the epidermis and part of the dermis, using a sharp blade. This technique is ideal for diagnosing superficial skin lesions such as moles, warts, or early-stage skin cancers. It is less invasive than a punch biopsy and often requires little to no stitches, with rapid healing and minimal scarring. The procedure is done under local anesthesia and offers a convenient option for assessing surface-level concerns.

Skin cancers do not discriminate

Our Treatments

Following a confirmed diagnosis, we offer a range of treatment modalities tailored to the specific type and stage of skin cancer:

We offer surgical excision as one of our primary treatment methods for skin cancer, especially for basal cell carcinoma, squamous cell carcinoma, and melanoma. Surgical excision involves the careful removal of the cancerous tissue along with a small margin of surrounding healthy skin to ensure complete removal. This method is highly effective, offering a high cure rate, and is often used for tumors that are larger or in more advanced stages. Our skilled team ensures that the procedure is performed with precision, prioritizing not only the removal of the cancer but also minimizing cosmetic impact, particularly in delicate areas such as the face or neck.

For larger or more complex excisions, flaps and grafts may be necessary to close the wound and restore the skin’s appearance. Skin flaps involve moving nearby healthy tissue to cover the area where the cancer was removed, while skin grafts involve taking skin from another part of the body to cover the excision site. These techniques are often used in cases where large areas of skin are affected, and preserving function and aesthetics is important. Our experienced team ensures that these reconstructive procedures are performed seamlessly, allowing the skin to heal effectively and maintain a natural appearance.

Curettage and cryotherapy are less invasive methods used for treating smaller or superficial skin cancers, such as early-stage basal cell carcinoma or precancerous lesions like actinic keratosis. Curettage involves scraping away the cancerous tissue with a special tool, followed by the application of cryotherapy, which uses liquid nitrogen to freeze and destroy any remaining abnormal cells. This combination is highly effective for superficial cancers and allows for a quick recovery. Cryotherapy can also be used on its own for certain precancerous conditions, offering a simple yet effective treatment with minimal downtime.

For patients with non-invasive or early-stage skin cancers, we also offer topical treatments and photodynamic therapy (PDT). Topical treatments involve the use of prescription creams that activate the body’s immune response to target and destroy cancerous cells over time. This method is ideal for patients seeking non-surgical options and is often used for precancerous lesions and superficial basal cell carcinoma. Photodynamic therapy (PDT) is another non-invasive option that combines a light-activated drug with a specific wavelength of light to destroy cancerous cells. PDT is effective for both sun-damaged skin and early-stage skin cancers, with minimal impact on surrounding healthy tissue. These methods offer a gentle yet effective way to treat skin cancer without the need for surgery.

Our Step-By-Step Process

Treating skin cancers begins with a thorough evaluation and diagnosis. Our doctor will perform a detailed skin examination, often using dermoscopy to assess suspicious moles or lesions. If necessary, a biopsy will be taken to confirm whether the lesion is cancerous, and the type and stage of the skin cancer will be determined. Based on the findings, our team will work with you to develop a personalised treatment plan tailored to the specific characteristics of the cancer, ensuring the best outcome for both health and cosmetic considerations.

Once the treatment plan is confirmed, the removal procedure begins. For surgical excision, the affected area is carefully marked, and the cancerous tissue is removed along with a margin of healthy tissue to ensure complete removal. If more extensive removal is required, techniques like flaps and grafts may be used to close the wound and restore the skin. For smaller or superficial cancers, curettage and cryotherapy may be employed, scraping away the cancerous cells and freezing the remaining tissue to ensure all abnormal cells are destroyed. Throughout the procedure, our specialists take great care to minimize discomfort and preserve the surrounding healthy tissue.

After the cancer has been successfully removed, aftercare and follow-up are critical to ensure proper healing and prevent recurrence. Depending on the procedure used, post-treatment care may involve regular dressing changes, applying healing ointments. Our team will schedule follow-up appointments to monitor your progress, ensuring the skin heals well and checking for any signs of new or recurring lesions. We also provide education on preventive measures, such as sun protection and regular skin checks, to reduce the risk of future skin cancers.

We Will Help You Every Step Of The Way

over 15 years of medical experience

the key to success

type of skin cancer

Skin cancer is not just one disease, but actually four distinct types. Basal cell carcinoma can be found anywhere on the skin and originates in cells located in the lower layer of epidermis. Squamous cell carcinomas most often come from too much sun exposure, while Merkel Cell cancers has a more aggressive nature usually occurring around head and neck regions. Lastly, Melanomas are caused by an accumulation of melanin pigment-producing cells close to where dermis meets epidermis layers.

Basal cell carcinoma
70%
squamous cell carcinoma
25%
Melanoma
4.9%
uncommon skin cancer
0.1%
A Parkwood Skin Clinic doctor doing a skin check on the patient

Skin cancer is alarmingly prevalent in Australia; it’s estimated that 1 in 3 Australians will develop skin cancer at some point through their life. It can affect all colors and races, so everyone should be vigilant about checking for signs of the disease. Fortunately, with timely diagnosis and treatment there are high success rates: around 95 percent for BCC (Basal Cell Carcinoma) & SCC (Squamous Cell Carcinoma), although a melanoma detected before spreading has an especially good prognosis. A yearly examination by a specialist plus self-examinations using advanced tools to check beyond what we can see ourselves are important steps toward catching suspicious abnormalities early on.

What exactly is it?

The most prevalent form of skin cancer and the one that responds best to treatment is called basal cell carcinoma. Due to the slow rate at which basal cell carcinoma spreads, it most commonly affects adults. It is responsible for sixty percent of the total number of cases of skin cancer in Australia.

BCCs are typically painless and have a slow, steady growth rate that can take months or even years. It is possible that basal cell carcinoma will go unnoticed, or it may appear as a persistent change to an area of skin that is red, itchy, or scar-like. Changes take place over the course of several months, and the BCC will erupt, then heal; it might also bleed occasionally or ulcerate.

They almost never spread to other organs or regions of the body. Nearly half of all basal cell carcinomas (BCCs) develop on the head and neck in people over the age of 40 who have fair skin.

Because basal cell carcinomas can appear on skin that has never been exposed to the sun, it is possible that sun exposure is not the only factor that causes them.

What does it look like?

There are many subtypes of basal cell carcinoma, and each one can have a distinctive appearance on the skin.

On the face, neck, or ears, BCC can manifest as a pearly white or waxy bump, and it often has blood vessels that are visible through its surface.

It is also possible for BCC to manifest as a flat, scaly, flesh-colored or pink patch on the back or chest, or even, although this is much less common, a white waxy scar.

How do you treat it?

The earlier a basal cell carcinoma (BCC) is diagnosed, the simpler the treatment will be. If it is not treated, the condition can spread deeper into the skin and damage the tissue that is nearby, which makes treatment more difficult.

Surgical excision is the preferred method of treatment for a good number of basal cell carcinomas.
Non-surgical treatments include Aldara, PDT, and cryotherapy.

What about the years to come?

Having a history of basal cell carcinoma (BCC) raises the likelihood of developing another. It is not impossible to have more than one BCC on the body at the same time, even if they are located in different areas. After the basal cell carcinoma has been treated, there is a possibility that it will come back. You run the risk of developing additional basal cell carcinomas as well as other forms of skin cancer.

It is recommended to get a complete skin exam once a year.

What exactly is it?

In Australia, squamous cell carcinoma accounts for approximately 30 percent of all cases of skin cancer. This makes it the second most common type of skin cancer.

SCCs typically form in areas of the skin that have been previously damaged by UV rays from the sun. They are most commonly found on the scalp, face, ears, lower lips, forehead, arms, hands, and lower legs. They can also be found on the face, ears, lower lips, and forehead.

Because the most common cause of SCC is cumulative, long-term exposure to UV light from the sun over the course of one’s lifetime, skin cancer of the head and neck is more common as people age.

SCCs have a propensity to grow rapidly over the course of several weeks or months. If treatment is not received, SCCs have the potential to spread to other areas of the body. Because SCC on the lips and ears is more likely to spread, it is important to get checked out as soon as possible by a medical professional.

What does it look like?

Squamous cell carcinomas typically manifest as scaly red patches, crusted spots, or rapidly growing lumps on the skin. They may form a crust or bleed, become inflamed, and be particularly sensitive to the touch. The skin on which SCCs develop frequently reveals telltale signs of sun damage such as freckling and dryness.

How do you treat it?

If caught early and treated, SCC can be cured. In the event that SCC progresses to an advanced stage, treatment will be determined by the stage.

What exactly is it?

Melanoma incidence and mortality rates in Australia are among the highest in the world. Melanoma is the third most common type of cancer in both men and women and is the third most deadly. Before the age of 85, melanoma will be diagnosed in one out of every 13 men and one out of every 22 women.

Melanoma is one of the less common forms of skin cancer, but it is also the type of skin cancer that is considered to be the most serious. This is due to the fact that melanomas are more likely to spread to other parts of the body, particularly if they are not discovered at an early stage. Melanoma is not particularly difficult to diagnose, and the earlier it is detected, the higher the likelihood that treatment will be successful.

Melanoma develops more rapidly than other forms of skin cancer, and it has the potential to spread to other parts of the body, including the bones and the brain, in addition to the skin. The condition is then extremely difficult to treat and cannot be cured.

What does it look like?

There are many subtypes of melanoma, and the appearance of the disease can change drastically from patient to patient.

Melanoma typically stands out and appears distinctively different from other moles on the skin of individuals who have a large number of moles.

  • New mole:

The first sign is frequently the appearance of a new mole or a change in the appearance of an existing mole.

The size of the spot could either change or become more obvious.

  • Colour:

The mole may become more blotchy over time, exhibiting a range of tonalities and intensities of colour (brown, black, blue, red, white, light grey, pink or skin-coloured).

  • Form or border 

The spot may become taller, become scaly, have an irregular edge (scalloped or notched), or lack symmetry. Other possible characteristics include asymmetry (the halves look different).

  • Itching or bleeding 

The mole may, at various times, cause itching or bleeding.

  • Raising mole

The elevation of the spot can begin as a raised nodule or develop into a raised area. These elevated areas are typically reddish or brown with reddish undertones.

It is possible for new moles to appear at any time during childhood, as well as throughout one’s 30s, 40s, and even while pregnant.

Adults, on the other hand, should make an appointment with their primary care physician to have any new moles examined, particularly if the new mole stands out from other moles in some way or is raised, firm, and expanding.

Even if you have had a mole checked in the past and it was determined to be harmless, it is still important to perform routine checks on your skin to look for any changes in the way the mole looks in terms of its size, shape, or colour. Have an immediate conversation with your skin cancer doctor about any changes.

Rare forms of skin cancer include the following:

  • Dermatofibrosarcoma protuberans (DFSP)

  • Kaposi’s sarcoma

  • Microcystic adnexal carcinoma (MAC)

  • Merkel cell carcinoma (MCC) (MCC)

  • Sebaceous carcinoma

  • Undifferentiated pleomorphic sarcoma

  • Paget’s disease of the extramammary glands (EMPD)

Cancers, like Merkel cell carcinoma, are typically found in sun-exposed areas of the head and neck, such as the scalp and face. It typically develops rapidly and can quickly spread to other areas of the body.
Sebaceous gland carcinoma is a type of cancer that begins in the oil gland and is very aggressive.
This uncommon but aggressive form of skin cancer begins in Merkel cells, which, along with nerve endings, are responsible for the sense of touch that we have in our skin. Cancers of the Merkel cell type may be more prevalent in areas of the skin that are frequently subjected to the sun, such as the scalp and face. Those who are over the age of 50 and have an immune system that is not functioning properly have an increased likelihood of developing this form of skin cancer. There is a possibility that Merkel cell carcinomas will spread to the brain, bones, liver, or lungs.

We Will Help You Every Step Of The Way

over 15 years of medical experience