This is where you will find information and advice on Ear Nose and Throat problems (Otolaryngology-Head & Neck Surgery) . The blog is administered by Northland (NZ) ENT specialists. We teach GPs, Registrars and House Surgeons and it is a pity not to have that information available for all who are interested. Hope our readers find it helpful!

Tuesday, June 26, 2012

Skin cancer surgery

The incidence of skin cancer continues to rise with the baby boomers reaching older age and the lack of sun protection when young.

In Northland we have limited Dermatology services so if the lesion is too large for a GP to remove, referral can be made to General surgery, ENT and occasionally Ophthalmology services, depending on the site.
Ideally all patients should have a photo and punch biopsy of the lesion before referral. The real importance for this is for those patients with a SCC and patients who are immunocompromised can be triaged for urgent treatment. I shall be posting a video on how to do a punch biopsy  shortly. Just a reminder that it is best not to punch biopsy a suspected melanoma. All melanomas should be sent to General surgery.

The ENT service has recently produced an Audit on the last 6 months of head and neck skin cancer cases. ---102(91%) cases with clear margins and 10(8.0%) with positive margins.(requiring a second procedure). These results are satisfactory compared with international series.



At a meeting today between the General Surgery and ENT departments it appears that at present waiting times are not too bad.  We shall keep an eye on this. Another area of concern is those patients having multiple lesions removed, require input from someone with knowledge and interest in preventative skin care. Cytotoxic creams and lotions are showing very good results in skin cancer prevention. Management are looking into this for us.


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