Skin cancer surgery is performed in our four well equipped modern consulting and procedural rooms.
A dedicated sterilisation room and a team of fully trained registered nurses ensure that the highest standards in infection control are maintained.
At Drummoyne Dermatology we are fortunate to have a team of outstanding experienced nurses whose role include assisting in all biopsies and skin cancer surgery, dressings, wound care following procedures, sterilisation of all surgical instruments, infection control, patient liaison and care of patients undergoing Phototherapy treatment with UVB phototherapy or Hand and Foot PUVA.
Narrowband UVB phototherapy
Narrowband UVB is now the most common form of phototherapy used to treat skin diseases.
This range of UV radiation has proved to be the most beneficial component of natural sunlight for psoriasis. Narrowband UVB may also be used in the treatment of many other skin conditions including eczema, vitiligo, pruritus, lichen planus, polymorphous light eruption, early cutaneous T-cell lymphoma,pityriasis rosea and dermographism.
The Phototherapy unit is a specially designed cabinet containing fluorescent light tubes.
The patient stands in the centre of the cabinet, undressed except for underwear, and wears protective goggles.
Treatments are normally given two or three times a week, with treatment time being gradually increased from 30sec to up to 10 minutes.
The cost of the phototherapy treatment is bulk-billed.
You can find our more on Phototherapy here
Hand and Foot PUVA Unit
PUVA is a combination treatment which consists of Psoralens (P) and then exposing the skin to UVA (long wave ultraviolet radiation). It has been available in its present form for approximately 35 years.
Psoralens are compounds found in many plants which make the skin temporarily sensitive to UVA.
Those patients requiring treatment to their hands and/or feet may be treated using a Hand and Foot PUVA unit.
The hands and/or feet are soaked in a dilute solution of methoxsalen for 30 minutes, then immediately exposed to UVA.
Treatments are normally given two or three times a week.
The cost of the PUVA treatment is bulk-billed.
You can find our more on Phototherapy
Melanoma Surveillance Imaging arranged
Total Body Photography Medical Photography will be arranged if you are considered to be at risk of melanoma. You will then have a complete medical record of your skin surface in an A4 sized folder (and CD if requested), which you will keep and can use to check your own moles, as well as have your GP check your moles. You should also bring them with you at each consultation with your dermatologist.
Photodynamic therapy (PDT) arranged
Photodynamic therapy (PDT) is treatment used mainly for superficial types of skin cancer. PDT is effective in treating solar keratoses, squamous cell carcinoma in situ (Bowen’s disease) and superficial basal cell carcinomas. It has a cure rate of approximately 80%.
PDT or photodynamic therapy is the application of a cream (which contains a chemical that is more selectively absorbed by abnormal cells in comparison to normal tissue) to the lesion to be treated. The chemical in the cream is then activated by exposure to a specific wavelength of light which destroys the abnormal cells leaving normal tissue unaffected.
At present, PDT is recommended for lesions that are unsuitable for other available therapies due to possible complications and/or poor cosmetic outcome.
Other non-surgical skin cancer treatments (Aldara and Efudix) are equally as effective as PDT.
The advantage of PDT, compared to Aldara and Efudix, is that the red crusted stage is of shorter duration, one to three weeks, rather than three to six weeks. Also PDT occasionally has a better cosmetic outcome.
The disadvantage of PDT is the expense, approximately $600 (compared to $30-$50) and the treatment itself may be painful.
You can find our more on PDT or photodynamic therapy