Treatment of skin, muscle and bone formations

The centre’s microsurgeons also treat malignant and benign skin, muscle and bone formations. Such formations in the upper layers of the skin can be removed with a laser. Other simpler skin and muscle formations are excised by the microsurgeon so that the scar is as small as possible. If the formation is large, the plastic surgeon will reconstruct the defects after the excision with similar tissues so that the appearance and functions of the affected part of the body suffer as little as possible.

Every human body has dozens of benign formations called birthmarks or nevi. They are located in the upper layers of the skin. There may also be subcutaneous formations, which are usually small and mobile to the touch. It is important to monitor these formations and seek medical advice if changes occur. Particular care should be taken if:

• The birthmark has changed its shape, color, size or began to itch;
• The skin formation has started to bleed or a sore appears;
• The formation increases (>5cm);
• The formation has become immobile at the touch;
• You experience pain during rest or activity;
• You have a sudden fever;
• There is weight loss.

The patient’s examination and treatment tactics differ in the case of benign or malignant formations. Therefore, the analysis of tissue samples or histological examination is very important. During it, a small piece of tissue is taken, which can be used to determine whether the formation is benign or malignant. In the case of malignancies, the patient should have an examination of the entire limb or part of the body to assess the local spread of the tumor. It is also very important to have other parts of the body (such as the brain, soft tissues of the neck, chest and abdomen) examined by computed tomography or magnetic resonance imaging to assess how far the tumor has spread.

The above cases determine the tactics of the surgery, as well as the need for radiation or chemotherapy. In the case of malignant tumors, the patient is treated under the supervision of a multidisciplinary team in the form of councils, which includes oncologists, radiologist-therapist, chemotherapist, surgeons of various specialties, pathologist, radiologist.

The doctors of our center cooperate and participate in medical councils of different tumor profiles.

The scope of malignant skin cancer surgery is much greater than the removal of benign formations. In such cases, the microsurgical method of healthy tissue transplantation is used to restore the patient’s functionality and improve the quality of life.

The Reconstructive Microsurgery Clinic also performs surgical treatment of any other oncological diseases of the organ system, if the removal of tumors results in extensive soft tissue or bone defects, which require microsurgical transplantation of healthy tissue.