skin cancer delray beach florida

Facing a skin cancer diagnosis might feel daunting, but the good news is that you can successfully overcome most types of skin cancer with the proper diagnosis and clinical intervention. At Feinstein Dermatology, we offer you a comprehensive range of care options, including effective skin cancer treatments, right here in Delray Beach, FL.


Types of Skin Cancer

At Feinstein Dermatology, we offer the latest in diagnosis and treatment for a wide range of skin cancers, from the most common to the rarest forms. Here’s a comprehensive overview:

Melanoma

The most dangerous type of skin cancer, Melanoma, develops in melanocytes, the pigment-producing cells. While it accounts for only a small percentage of skin cancers, it’s responsible for the majority of skin cancer deaths.

Key Characteristics:

  • ABCDEs:
    • Asymmetry: One half of the mole or growth does not match the other.
    • Border irregularity: The edges are ragged, notched, or blurred.
    • Color variation: The color is not uniform and may include shades of brown, black, tan, red, white, or blue.
    • Diameter: The size is typically larger than 6 millimeters (about the size of a pencil eraser), although melanomas can be smaller.
    • Evolving: The mole or growth changes in size, shape, or color over time.
  • Risk Factors:
    • Sun exposure and tanning bed use
    • Fair skin, light eyes, and freckles
    • Family history of melanoma
    • Personal history of melanoma or other skin cancers
    • Numerous moles or atypical moles
    • Weakened immune system
Doctor holding magnifies glass with 5 characteristics of skin damage from cancer cell Illustration about diagnosis and classification of melanoma by use ABCDE letter

Basal Cell Carcinoma (BCC)

BCC is the most common type of skin cancer, often appearing as a pearly or waxy bump, a flat, flesh-colored or brown scar-like lesion, or a bleeding or scabbing sore that heals and returns.

Key Characteristics:

  • Pearly or waxy bump
  • Flat, flesh-colored or brown scar-like lesion
  • Sore that bleeds or scabs and heals repeatedly

Risk Factors:

  • Chronic sun exposure
  • Fair skin, light eyes, and freckles
  • Increasing age
  • Previous history of skin cancer

Squamous Cell Carcinoma (SCC)

SCC is the second most common type of skin cancer, typically appearing as a firm, red nodule, a flat lesion with a scaly, crusted surface, or a new sore or raised area on an old scar or ulcer.

Key Characteristics:

  • Firm, red nodule
  • Flat lesion with a scaly, crusted surface
  • New sore or raised area on an old scar or ulcer

Risk Factors:

  • Chronic sun exposure
  • Fair skin, light eyes, and freckles
  • Increasing age
  • Previous history of skin cancer
  • Exposure to certain chemicals or radiation
  • Weakened immune system

Merkel Cell Carcinoma (MCC)

MCC is a rare but aggressive form of skin cancer that typically appears as a flesh-colored or bluish-red nodule.

Key Characteristics:

  • Flesh-colored or bluish-red nodule
  • Rapid growth
  • Firm to the touch

Risk Factors:

  • Sun exposure and tanning bed use
  • Fair skin
  • Weakened immune system
  • Advanced age

By understanding the key characteristics and risk factors for each type of skin cancer, you can be more proactive about detecting any suspicious changes in your skin and seeking prompt medical attention. Our board-certified dermatologists are here to guide you through the diagnosis and treatment process, offering personalized care and support.



Skin Cancer Treatment Options

Following a thorough diagnosis, our team of board-certified dermatologists, board-certified plastic surgeons and board-certified Mohs surgeon will collaborate with you to develop a personalized skin cancer treatment plan that best addresses your specific condition. We offer a range of cutting-edge treatment modalities, each tailored to the unique characteristics of your skin cancer:

Electrodesiccation and Curettage (ED&C)

ED&C is a well-established technique primarily used for superficial or small, low-risk skin cancers. This minimally invasive procedure involves:

  1. Anesthesia: The treatment area is numbed with a local anesthetic to promote your comfort.
  2. Curettage: A sharp, spoon-shaped instrument called a curette is used to carefully scrape away the cancerous tissue.
  3. Electrodesiccation: An electric needle is then applied to destroy any remaining cancer cells and cauterize the wound, minimizing bleeding.

ED&C is often a preferred option for lesions in less cosmetically sensitive areas, as it typically leaves a small white scar.

Excision

Excision is a surgical technique that involves removing the entire tumor along with a margin of healthy surrounding tissue. This margin ensures the complete removal of cancerous cells and reduces the risk of recurrence. Excisions can be performed using various techniques, including:

  • Simple Excision: This involves removing the tumor and a small margin of surrounding tissue.
  • Wide Excision: This removes the tumor and a wider margin of tissue, often used for more aggressive or larger tumors.

Our board-certified dermatologists and board-certified plastic surgeons employ advanced closure techniques to minimize scarring and optimize cosmetic outcomes.

Mohs Micrographic Surgery

Mohs surgery is the gold standard for treating many types of skin cancer, particularly those that are large, aggressive, recurrent, or located in cosmetically sensitive areas. This highly specialized procedure involves:

  1. Stage 1: Removal of Visible Tumor: The visible tumor is removed under local anesthesia, along with a thin layer of surrounding tissue.
  2. Stage 2: Microscopic Examination: The removed tissue is immediately frozen, sectioned, and examined under a microscope by our Mohs surgeon.
  3. Stage 3: Mapping and Removal of Remaining Cancer: If any remaining cancer cells are found, the surgeon precisely maps their location and removes another thin layer of tissue from that specific area.
  4. Repetition: Stages 2 and 3 are repeated until no further cancer cells are found, ensuring complete removal while sparing healthy tissue.
  5. Reconstruction: The resulting wound is then carefully repaired using advanced reconstructive techniques to minimize scarring and optimize cosmetic results.

Mohs surgery offers the highest cure rates for skin cancer and is particularly effective for:

  • Basal cell carcinoma
  • Squamous cell carcinoma
  • Some types of melanoma
  • Tumors in cosmetically sensitive areas (face, ears, neck, hands, feet, genitals)
  • Large or aggressive tumors
  • Recurrent tumors

Our team is proud to offer this advanced procedure, led by Dr. Brian Feinstein, a board-certified Mohs surgeon that has performed over 10,000 Mohs surgeries.


How Can I Reduce My Risk Of Developing Skin Cancer?

Protecting your skin from the sun is the most crucial step in preventing skin cancer. Here are some effective strategies:

  • Seek shade: Avoid direct sun exposure, especially during peak hours (10 a.m. to 4 p.m.) when UV rays are strongest.
  • Wear protective clothing: Cover your skin with lightweight, long-sleeved shirts, pants, wide-brimmed hats, and sunglasses that block UVA and UVB rays. Consider clothing with a UPF (Ultraviolet Protection Factor) rating.
  • Use sunscreen: Apply a broad-spectrum sunscreen with an SPF of 30 or higher to all exposed skin daily, even on cloudy days. Reapply every two hours, or more often if swimming or sweating. Don’t forget your lips, ears, and the tops of your feet.
  • Avoid tanning beds: Tanning beds emit harmful UV radiation that significantly increases your risk of skin cancer.
  • Perform regular skin self-exams: Get to know your skin and look for any new or changing moles, growths, or other unusual marks.
  • Schedule professional skin exams: See a board-certified dermatologist for a comprehensive skin check at least once a year, or more often if you’re at high risk.
  • Choose sunless tanning options: If you desire a tan, consider using self-tanning products or spray tans. These options offer a safer alternative to sunbathing or tanning beds.
  • Educate yourself: Learn about the different types of skin cancer, their risk factors, and early warning signs.

By adopting these sun-safe habits and being proactive about your skin health, you can significantly reduce your risk of developing skin cancer and ensure a lifetime of healthy, beautiful skin.


Recovery

Depending on the type of treatment you receive, recovery from skin cancer treatment may take anywhere from several days to a few weeks. Our medical assistants will provide full aftercare instructions to ensure you heal properly and provide maximum comfort following your procedure.


Skin Cancer Treatment FAQs

Vigilance is key when it comes to detecting skin cancer early. Regularly examining your skin for changes and knowing the warning signs can make a significant difference in successful treatment outcomes. Here’s what to look for:

ABCDEs of Melanoma

The ABCDE rule is a useful guide for identifying potential melanomas:

  • Asymmetry: One half of the mole or growth does not match the other.
  • Border irregularity: The edges are ragged, notched, or blurred.
  • Color variation: The color is not uniform and may include shades of brown, black, tan, red, white, or blue.
  • Diameter: The size is typically larger than 6 millimeters (about the size of a pencil eraser), although melanomas can be smaller.
  • Evolving: The mole or growth changes in size, shape, or color over time.

Other Warning Signs for All Skin Cancers

  • New growths: Be aware of any new moles, bumps, or other spots on your skin.
  • Changing moles: Existing moles that change in size, shape, color, or texture should be evaluated.
  • Sores that don’t heal: A sore that doesn’t heal within a few weeks or keeps returning could be a sign of skin cancer.
  • Unusual bleeding or oozing: Any bleeding, oozing, or crusting from a mole or growth should be checked by a dermatologist.
  • Itching or pain: While most skin cancers are painless, some may cause itching, tenderness, or pain.
  • Scaly patches: Rough, scaly patches that don’t go away could be actinic keratoses, a precancerous condition.

Remember: Not all skin cancers will exhibit these signs, and some may have unique characteristics. If you notice anything unusual or concerning on your skin, it’s crucial to consult a board-certified dermatologist for a professional evaluation.

Additional Tips for Skin Self-Exams

  • Examine your entire body, including your scalp, palms, soles, and areas between your toes.
  • Use a full-length mirror and a hand mirror to see hard-to-reach areas.
  • Take photos of your moles to track any changes over time.
  • Perform self-exams monthly and see your dermatologist for a professional skin check at least once a year.

By being proactive and vigilant about your skin health, you can empower yourself to detect skin cancer early when treatment is most effective.

Surgical removal of the cancerous tissue is frequently the primary treatment for skin cancer. However, in some cases, especially for certain types of skin cancer and at early stages, alternative treatments may be considered. These can vary based on the type and stage of the skin cancer. It’s important to note that the term “cure” in the context of cancer means the complete removal of cancer cells, preventing their recurrence.

Skin cancer treatment costs depend on various factors such as the type of treatment, the extent of the cancer, and the doctor’s skill and experience. We recommend scheduling a consultation to better understand the potential costs and coverage options associated with skin cancer treatment.

Several factors can put you at risk of developing skin cancer, including having:

  • Fair skin and freckles
  • Light hair and eyes
  • A tendency to sunburn easily
  • A family history of skin cancer

Both biopsies and excisions are procedures used to remove skin tissue, but they serve different purposes and involve varying techniques:

Biopsy

  • Purpose: A biopsy is primarily a diagnostic tool. It involves removing a small sample of tissue from a suspicious lesion to examine it under a microscope. This allows dermatologists to determine whether the lesion is cancerous or benign and, if cancerous, identify the type and stage of skin cancer.
  • Types of biopsies: There are several types of biopsies, including shave biopsies (removing the top layer of skin), punch biopsies (removing a cylindrical core of tissue), and incisional biopsies (removing a portion of the lesion).
  • Procedure: Biopsies are typically performed under local anesthesia in the office setting and usually require minimal recovery time.

Excision

  • Purpose: Excision is both a diagnostic and therapeutic procedure. It involves removing the entire tumor along with a margin of healthy tissue surrounding it. The goal is to completely remove the cancerous cells and minimize the risk of recurrence.
  • Procedure: Excisions are usually performed under local anesthesia, but depending on the size and location of the tumor, they may require deeper sedation or even general anesthesia. The procedure typically involves closing the wound with stitches.
  • Recovery: Recovery time for excisions depends on the size and location of the wound, but most patients can resume normal activities within a few days to a week.

Choosing The Right Procedure

Your board-certified dermatologist will determine whether a biopsy or excision is appropriate based on several factors, including:

  • Size and appearance of the lesion: Smaller, less suspicious lesions may only require a biopsy for diagnosis, while larger or more concerning lesions may necessitate excision for both diagnosis and treatment.
  • Type of skin cancer suspected: Certain types of skin cancer, like melanoma, are more likely to require excision due to their higher risk of spread.
  • Location of the lesion: Lesions in cosmetically sensitive areas like the face may be better suited for a biopsy to minimize scarring, while lesions in less visible areas may be more amenable to excision.

Your dermatologist will discuss the risks and benefits of each procedure with you and help you make an informed decision about the best course of action for your individual case.

The long-term effects of skin cancer treatment vary depending on the type and stage of cancer, the treatment used, and individual factors. Most skin cancer treatments are well-tolerated, and many patients experience no lasting side effects. However, some potential long-term effects include:

  • Scarring: Surgical procedures like excision and Mohs surgery may leave scars, but our skilled surgeons use advanced techniques to minimize their appearance.
  • Changes in skin pigmentation: Some treatments, like cryosurgery or radiation therapy, can cause changes in skin color, such as lightening or darkening. These changes may be temporary or permanent.
  • Numbness or tingling: Nerves may be affected during surgery, leading to temporary or permanent numbness or tingling in the treated area.
  • Pain or discomfort: Some patients may experience mild pain or discomfort in the treatment area, which usually subsides with time.

It’s important to discuss the potential long-term effects of your specific treatment plan with your dermatologist. They can provide personalized guidance and recommendations for managing any side effects.


Meet Our Board-Certified Dermatology Team

At Feinstein Dermatology in Delray Beach, FL, our commitment is patient satisfaction and loyalty. We are defining the new standard in customer experience and outcomes, striving to lead by example for others to follow. With a dedicated patient base of over thirty-five thousand (35,000) individuals who have entrusted us with their dermatological and cosmetic needs, we have earned our reputation as a leading provider in the field.

Our team comprises dedicated professionals, including board-certified dermatologists, a board-certified Mohs surgeon, and a board-certified plastic and reconstructive surgeon. We invite you to experience the exceptional care and dedication that defines Feinstein Dermatology.


LEADERS IN DERMATOLOGY & COSMETICS

Meet Your Providers

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Brian Feinstein, D.O., FAAD

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Thomas Cahn, M.D., FAAD

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Lawrence Enisman, M.D., FACS

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Meredith Hancock, M.D., FAAD

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Richard Levine, M.D., FAAD

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Robb Wilentz, M.D.

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Nathalie Allison-Fecteau, PA-C

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Nicole Fernandez

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Feel Good About Your Skin

At Feinstein Dermatology & Cosmetic Surgery, we understand that your skin is more than just an organ; it reflects your well-being and confidence. Our dedicated team of board-certified dermatologists and skincare specialists is committed to guiding you on a transformative journey toward feeling fantastic in your own skin. With a personalized approach to dermatological and cosmetic care, we aspire to be your trusted partners for a lifetime of radiant, healthy skin. Take the next step towards embracing your confidence with advanced skincare solutions, cosmetic treatments, or skin cancer care in Delray Beach, FL. Schedule a consultation for skin cancer treatment today at (561) 498-4407.