Moles, those small, pigmented spots on our skin, are a common occurrence. While most moles are harmless, some may raise concerns due to their size, shape, or changes in appearance. In such cases, an excision biopsy for moles is a standard and safe procedure used for both diagnosis and removal.
What is an Excision Biopsy?
An excision biopsy is a minor surgical procedure where a specialist removes an entire mole or growth, along with a small margin of surrounding healthy skin. This is often the preferred method for removing suspicious moles, such as an atypical mole, to allow for a thorough examination. An excision biopsy procedure is typically done in day surgery and is claimable under your hospitalization insurance.
This differs from other types of skin biopsies, such as shave biopsies or punch biopsies, where only a portion of the mole is removed. These partial biopsies might be used for less concerning moles identified during routine skin cancer screening.
Your doctor might recommend an excision biopsy for a mole if it:
- Exhibits suspicious features like asymmetry, irregular borders, or colour variation (the ABCDEs of melanoma).
- Has changed in size, shape, or colour.
- Has the potential to be melanoma, a serious form of skin cancer.
During the procedure, local anaesthesia is administered to numb the area. The mole and a small border of surrounding skin are then carefully removed using a scalpel. Stitches are typically used to close the wound.
While it might sound daunting, excisional biopsies are generally straightforward and well-tolerated. It is also one of the essential steps for early detection of possible skin cancer.
When is an Excision Biopsy Necessary?
Several factors may warrant an excision biopsy. The “ABCDEs of melanoma” are a helpful guide for assessing moles:
- A – Asymmetry: One half of the mole doesn’t match the other.
- B – Border: The edges are irregular, ragged, notched, or blurred.
- C – Colour: The mole has uneven colour or varying shades.
- D – Diameter: The mole is larger than 6 millimetres in diameter.
- E – Evolving: The mole changes in size, shape, or colour.
However, there are also other warning signs that you should take note of. This includes:
- A mole that is itchy, painful, or bleeding.
- A mole that appears different from other moles on your body.
- Any new or changing skin lesion.
How Long Does it Take for an Excision Biopsy to Heal?
Generally, it takes about 1 to 3 weeks for the wound to heal completely. However, the healing time after an excisional biopsy can vary based on several factors, including:
- The size and location of the mole
- Your overall health
- How well you follow aftercare instructions
During this time, your doctor will provide specific instructions on wound care, including keeping the area clean and dry and when to return for suture removal.
Addressing Pain After Excision Biopsy
It’s normal to experience some discomfort or pain after an excision biopsy. You can usually manage this with:
- Over-the-counter pain relievers, as recommended by your doctor
- Cold compresses to reduce swelling and discomfort
- Keeping the area clean and dry to prevent infection
However, it is important to note that if you experience severe or persistent pain or notice any signs of infection, you must contact your healthcare provider promptly.
Choosing the Right Healthcare Provider
Prioritising your skin health is essential. An excision biopsy is usually performed as a day surgery procedure and can be covered by your hospitalization insurance. It is essential to schedule regular mole screening appointments with a qualified skin cancer specialist who can help detect potential issues early on.
When choosing a healthcare provider for screenings or excisional biopsies, you should consider their qualifications, experience, and patient care approach. A skilled and compassionate provider should be able to ensure your comfort and provide the best possible care throughout the process.
