16 doctors weighed in:
Anyone had skin cancer surgery and end up with a lot more skin removed?
16 doctors weighed in

Dr. Richard Orr
Surgery - Oncology
5 doctors agree
In brief: All the time
If you are diagnosed with melanoma by a small biopsy, you will need more skin removed.

In brief: All the time
If you are diagnosed with melanoma by a small biopsy, you will need more skin removed.
Dr. Richard Orr
Dr. Richard Orr
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Dr. Timothy Mountcastle
Surgery - Plastics
3 doctors agree
In brief: Yes
Some skin cancers have poorly defined borders and thus only show up on a microscope.
Thus more tissue is removed till all cancer is gone even if it wasn't visible to naked eye.

In brief: Yes
Some skin cancers have poorly defined borders and thus only show up on a microscope.
Thus more tissue is removed till all cancer is gone even if it wasn't visible to naked eye.
Dr. Timothy Mountcastle
Dr. Timothy Mountcastle
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Dr. M. Christine Lee
Dermatology
2 doctors agree
In brief: Yes
Standard treatment for melanoma requires taking wide margins determined by the depth of the lesion.
The margins or amount of skin can be quite large depending on the invasiveness of the melanoma determined by breslow or clark's staging and can result in a very large scar.

In brief: Yes
Standard treatment for melanoma requires taking wide margins determined by the depth of the lesion.
The margins or amount of skin can be quite large depending on the invasiveness of the melanoma determined by breslow or clark's staging and can result in a very large scar.
Dr. M. Christine Lee
Dr. M. Christine Lee
Thank
Dr. Tanveer Janjua
Facial Plastic Surgery
1 doctor agrees
In brief: Skin cancer cure
Skin cancer like all other cancers can become deadly.
To ensure complete removal sometimes a lot more skin has to be removed than what you see on the surface. This is done with the help of microscopic examination of the boundaries. So the amount of skin removal is directly related to the amount of skin cancer found under the microscope.

In brief: Skin cancer cure
Skin cancer like all other cancers can become deadly.
To ensure complete removal sometimes a lot more skin has to be removed than what you see on the surface. This is done with the help of microscopic examination of the boundaries. So the amount of skin removal is directly related to the amount of skin cancer found under the microscope.
Dr. Tanveer Janjua
Dr. Tanveer Janjua
Thank
Dr. Mike Bowman
ENT - Head & Neck Surgery
1 doctor agrees
In brief: Yes...
Most skin cancer excisions are done with some means of checking the margins.
...Meaning the surgeon will continue to remove skin until the margins are all clear (and no more cancer remains). Larger tumors, recurrent cancers, and tumors in the central face tend to be the ones which can turn out to require a much bigger resection that one might guess before the surgery starts.

In brief: Yes...
Most skin cancer excisions are done with some means of checking the margins.
...Meaning the surgeon will continue to remove skin until the margins are all clear (and no more cancer remains). Larger tumors, recurrent cancers, and tumors in the central face tend to be the ones which can turn out to require a much bigger resection that one might guess before the surgery starts.
Dr. Mike Bowman
Dr. Mike Bowman
Thank
Dr. Arthur Balin
Dermatology
In brief: Skin cancer
There are different techniques to remove skin cancer.
The technique that has the highest cure rate and that spares the most normal tissue is called mohs micrographic surgery. This method allows the cancer to be traced out under the microscope by examining the entire periphery of the excised tumor. If any roots are seen the excision and microscopic checking continues until tumor free plane obtained.

In brief: Skin cancer
There are different techniques to remove skin cancer.
The technique that has the highest cure rate and that spares the most normal tissue is called mohs micrographic surgery. This method allows the cancer to be traced out under the microscope by examining the entire periphery of the excised tumor. If any roots are seen the excision and microscopic checking continues until tumor free plane obtained.
Dr. Arthur Balin
Dr. Arthur Balin
Thank
Dr. M. Christine Lee
Dermatology
In brief: Yes
It is common to require more skin removed after the initial biopsy.
Often what appears on the surface may only be the "tip of the iceberg" especially if the skin cancer has been present for a long time.

In brief: Yes
It is common to require more skin removed after the initial biopsy.
Often what appears on the surface may only be the "tip of the iceberg" especially if the skin cancer has been present for a long time.
Dr. M. Christine Lee
Dr. M. Christine Lee
Thank
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