In this blog, I will be discussing and comparing all the mole removal methods (already discussed in the previous blogs) while taking into accounts the pros and cons of each of them. The mole removal methods under comparison include –
a) Cryotherapy (Freezing)
c) Diathermy (Cauterization)
d) Surgical Excision
And the categories are –
b) Histological examination
c) Aesthetic Results
That was the initial preparation; let’s start the comparison.
a) Method – Liquid nitrogen (-196oC) is sprayed with a hand device on the mole makes crystals of ice in the skin cells, thus killing the skin cells. The procedure does not require any kind of anesthetics.
b) Histological examination- There is no histological examination (it is difficult to have one). So, it becomes impossible to know the nature of the mole (benign or malignant?).
c) Aesthetic Results – The method works best for superficial viral warts, but in case of moles there are chances of scar formation (since freezing has to go deep down the skin to remove the root of the mole).
d) Risks – Risks are there, in light of the fact that the nature of the mole is not known. It may be a tumor. Besides, it is difficult to figure out if the mole was completely removed or not. The formation of scar is normal with this procedure.
e) Recommendations – Mostly for the skin conditions like – removal of superficial lesions or growths of viral origin.
a) Method – Under local anesthetics, a laser beam is pointed towards the mole area, and the tissue is burned, evaporated with extreme heat.
b) Histological examination – Histological examination is led just if the doctor collects a specimen of the lesion before going ahead with the laser surgery. At exactly that point it can be resolved whether the mole malignant or benign.
c) Aesthetic Results – The results are excellent with completely scar-less removal.
d) Risks – On the off chance that histological examination is not led there are risks (malignant or benign), also, it is difficult to figure out if the mole is completely removed or not.
e) Recommendations –The procedure is recommended for mole removal, skin lesions of viral origin, treatment of superficial lesions, etc.
a) Method – Under local anesthetics, the mole is burned away using an electric discharge from a Diathermic device.
b) Histological examination – Histological examination is directed just if the doctor collects a specimen of the skin cells before going ahead with the diathermy. It is important to understand that the nature of the mole can only be determined before the procedure and not during or after the procedure.
c) Aesthetic Results – The results are excellent for small moles, for moles with deep roots superficial scar formation is normal, which might fade away with time and proper medication.
d) Risks – Besides, the risk with the nature of the mole there are chances that the mole is partially removed, which might lead to its re-growth. Scar formation can also happen.
e) Recommendations – Basically for the skin lesion removal that are superficial.
a) Method – The specialist performs an oval excision keeping a tight safety margin. Then the mole is removed and the wound is stitched. The procedure is done under local anesthetics.
b) Histological examination – The Histological examination is done for two reasons – to determine the nature of the mole and to determine the range of the safety margins.
c) Aesthetic Results – The results depends upon the caliber of the surgeon, the choice of the suturing method, the mole location and last but not the least on the way the patient deals with the operated area.
d) Risks – The procedure might lead to the inflammation or/and formation of pathological scar, yet these are exceptionally uncommon. Also, the histological report determines the risk of having a malignant mole.
e) Recommendations – The Surgical excision is the only medically recommended procedure for mole (benign or malignant) removal.