Die beste Therapie für die Behandlung von Hauttumoren ist die chirurgische Entfernung der bösartigen Hautstelle. Die Exzision mit anschließender Untersuchung des Gewebes im Labor gilt als Standardtherapie. Der Tumor wird mit einem gewissen Sicherheitsabstand vom gesunden Gewebe entfernt, mit dem Ziel, so viele Krebszellen wie möglich zu entfernen. Nachdem der Hauttumor vollständig entfernt wurde, kümmert sich unser Team um die Rekonstruktion des betroffenen Bereichs. Die Rekonstruktion kann mit Hauttransplantaten, lokalen Lappen oder freien Lappen erfolgen. Oft ist mehr als eine Operation erforderlich.
Narkose: Der Eingriff kann unter Lokalanästhesie oder Vollnarkose erfolgen.
Dauer der Operation: unterschiedlich, je nach Fall.
Aufenthalt im Spital: unterschiedlich, je nach Fall.
Nachbehandlung
Arbeitsunfähigkeit: unterschiedlich, je nach Fall.
Körperliche Aktivität und Sport: Wiederaufnahme der normalen körperlichen Aktivität nach ca. 2 Wochen, aber Verzicht auf intensiven Sport für 6 Wochen.
Postoperative Nachkontrollen: 1 Woche nach der Entlassung aus dem Spital. Danach nach 2 Wochen, 6 Wochen, 6 Monaten.
Risiken, Alternativen
Allgemeine Komplikationen:
Postoperative Schmerzen
Blutungen/Nachblutungen
Thrombosen/Embolien
Allergien
Wundinfektionen
Verletzungen von Nerven und Blutgefäßen
Narbenwucherungen (Keloide)
Zusätzliche Komplikationen:
Unbefriedigende ästhetische Ergebnisse.
Kosten/NPFL
Die Kosten werden von Ihrer Krankenkasse übernommen.
Das maligne Melanom entspricht dem schwarzen Hautkrebs und ist agressiver als der weisse Hautkrebs. Jedes 5. Melanom entsteht aus einem Muttermal. Normalerweise zeigt sich eine dunkle bis schwärzliche, häufig uneinheitliche Färbung. Selten kann das Melanom von heller Farbe sein, man spricht dann von einem amelanotischen Melanom. Dieses ist nicht weniger gefährlich, aber aufgrund der atypischen Farbe schwieriger für die Diagnosestellung.
Die Prognose ist hauptsächlich von der Dicke des Tumors abhängig. Bei Melanomen, welche mindestens ein Millimeter dick sind, muss zusätzlich der Wächterlymphknoten (Sentinellymphknoten) entfernt werden. Bei einem Ableger im Lymphknoten (Lymphknotenmetastase) muss die ganze Lymphknotenstation ausgeräumt werden (Lymphadenektomie). Die Hand- und Plastsiche Chirurgie ist Kooperationspartner des Hautkrebszentrums am KSA.
Weichteiltumoren
Weichteilsarkome sind seltene Erkrankungen. Unabhängig von der Lokalisation ist die Operation die wichtigste Behandlungsmethode für diese Krankheit. Neben der radikalen Entfernung von Weichteiltumoren befasst sich unser Team mit den verschiedenen rekonstruktiven Möglichkeiten, mit möglicher Deckung des Defekts durch freien mikrovaskulären Gewebetransfer oder bei Knochentumoren durch freien mikrovaskulären Knochentransfer.
Unser Team arbeitet mit den verschiedenen medizinischen Fachrichtungen zusammen, um die Abklärung und Behandlung von Patienten mit Knochen- und Weichteiltumoren des muskuloskeletalen Systems zu organisieren und zu koordinieren.
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