Diagnosing Disease Early
Suspicious lesions or growths on the skin may indicate a pathological process. When diagnosed early, many skin cancers are successfully treated, which is why it is important to have any dermal abnormalities evaluated by your dermatologist or Dr. Mountcastle as soon as possible. By performing diagnostic biopsies, Dr. Mountcastle can recognize and treat melanoma and other types of skin cancer before it spreads. With the assistance of his attentive staff, Dr. Mountcastle is committed to performing skin cancer treatments with expertise and compassion. Contact our Ashburn or Reston practice to learn more, or schedule a consultation.
In order to diagnose skin cancer, a biopsy of the suspicious tissue often needs to be performed. In order to gain a sample of the tissue, or to remove surface abnormalities, Dr. Mountcastle will shave the top layers of skin with a surgical blade so that they may be examined in a laboratory under a microscope. In certain cases a punch biopsy may be performed, removing a cylindrical sample from the core of a lesion. If the skin cancer has spread to a deeper level, additional skin cancer treatments, such as excision of the tumor or Mohs surgery, will likely be necessary.
An advanced procedure sometimes referred to as chemosurgery, the Mohs technique allows for the complete removal of skin tumors without damage to the surrounding tissue. Not only does the microscopic accuracy of Mohs surgery precisely and effectively remove areas affected by skin cancer, but it also minimizes the chances of cancerous re-growth, and reduces the risk of post-procedural scarring. With an extremely high success rate, the precision of Mohs surgery makes it ideal for treating cancers of the face and other sensitive areas. Occasionally, Mohs surgery leaves defects that cannot be treated by the local Mohs surgeon. These patients may be best treated with a combination of Mohs surgery, performed by the dermatologist, and reconstructive surgery performed by the plastic surgeon.
The typical treatment for melanoma is known as wide local excision, which means that more than just the melanoma is removed. Anywhere from ¼ inch to a full inch of surrounding tissue is removed outside the melanoma, due to the high rate of local spread. The amount of skin requiring removal depends on the extent of the melanoma, and underlying tissue and fat beneath the cancerous region may require excision as well. Small excisions are easily sutured shut, while large removals of skin may necessitate a grafting or flap procedure.
When carcinoma and melanoma are excised in our office surgery suites, any necessary surgery to reconstruct the treated area can often be performed during the same appointment. Dr. Mountcastle also collaborates with many local dermatologists and Mohs surgeons to provide the best possible cosmetic and reconstructive outcomes, including scar revision, when dealing with all types of skin cancers.
"I have been coming here for several years now. I come here primarily because I trust the people who work here. In the past I tried to save money by trying places that I found on Groupon or Living Social. I had some bad experiences with estheticians who were more concerned with selling services than delivering results. It is different here. I have never felt any sales pressure to purchase unneeded treatments. Instead Amy and Maria take the time to truly assess what treatment will produce the best results. They take the time to get to know you and your individual needs. Many times Amy or Maria have told me not to get a particular treatment that I inquired about because they didn't think that I needed it, or it wasn't right for my skin type. My skin is ultra sensitive and doesn't always respond well to treatments that other people can tolerate. If you are a regular here they will follow up with you to make sure that you get the best possible result. The bottom line is trust. It's your skin, your face, your body, your don't want to trust it to just anyone. I admit that I am very picky and I want to look my best. A lot of getting good results, especially in middle age, is regular treatment, not waiting until there is a big problem to address the issue. I like coming here because they understand that approach. I come every couple of months for tweak here or there and you can't argue with results. I frequently get compliments that my skin looks young for my age."- A.J. / Yelp / Sep 27, 2018
"The people were very kind ,intelligent and thoriugh .The office was clean and very inviting ."- H.B. / Google / Sep 05, 2018
"Amazing Staff very friendly, clean and always on point. Dr Mountcatle was able to remove my keyloid sucessfully"- J.P. / Yelp / Sep 04, 2018
"I sought the services of Dr. Mountcastle's Office for laser liposuction, cellulaze, and the removal of a lipoma. I can honestly say I am extremely happy with the results! As someone who eats well and exercises regularly, it was frustrating to have significant cellulite and areas on my legs that weren't responsive to a healthy lifestyle. My legs now look smooth, toned, and the way I've always wanted them to look. The office is extremely easy to work with and very professional. I would go back for additional procedures in the future."- J.S. / Yelp / Aug 10, 2018
"Great and amazing experience with Dr. Mountcastle and his staff. Professional and friendly in a clean upscale clinic. I did a Lipoma surgery with Dr. Mountcastle 3 weeks ago, the area is healing nicely and the scar is barely showing and after 3 weeks only!"- D.A. / Yelp / Jul 19, 2018
Types of Skin Cancers
If you are suffering from any of the following conditions, skin cancer treatments at Dr. Mountcastle’s Ashburn, Leesburg, and Reston offices may be able to stop the progression of disease, and potentially eliminate it altogether.
The most serious form of skin cancer, melanoma begins in skin cells known as melanocytes. Responsible for producing melanin, which gives color to the skin, melanocytes can grow abnormally and become cancerous when exposed to extensive ultraviolet light. Although easily treatable when diagnosed early, melanoma that is left untreated can lead to serious, life-threatening cancer. Typical treatment of melanoma includes excision of the tumor and surrounding tissue. Sentinel lymph nodes are also performed in many situations as well. If lymph nodes are removed this is always performed in the hospital. If necessary, Dr. Mountcastle may perform a skin graft or flap to replace lost skin.
A malignancy that grows rapidly over the period of several weeks or months, keratoacanthoma can occasionally develop into invasive or metastatic carcinoma. In order to correctly diagnose the disease, Dr. Mountcastle will perform a biopsy. While it is uncommon, keratoacanthoma’s potential to become life-threatening often necessitates surgical treatment.
Merkel Cell Carcinoma
The uncontrollable growth of skin’s Merkel cells results in a rare form of skin cancer known as Merkel Cell Carcinoma. The cancer typically develops on skin that has experienced significant sun exposure, such as the head, neck and arms. Although painless, Merkel Cell Carcinoma can potentially be fatal, which means it requires prompt and aggressive treatment. If you notice a firm bump that is flesh-colored, red, or blue in color, it is important to have the abnormality biopsied by Dr. Mountcastle.
Most commonly appearing on the skin of the nipple, symptoms of Paget’s disease include redness and crusting, as well as tingling, itching and a burning sensation. After a biopsy has definitively diagnosed the skin cancer, surgical removal of the cancer is often the next step. Using a skin graft or flap, Dr. Mountcastle can perform a nipple reconstruction to restore the appearance of the breast.
Although rare, when the condition affects the skin of the genital and perianal region, it is known as Extramammary Paget’s Disease (EMPD).
Basal Cell Carcinoma
The most common form of skin cancer in the United States, basal cell carcinoma is slow-growing, painless, and begins in the top layer of skin. Patients with basal cell carcinoma often have skin growths that bleed easily or do not heal properly. When these abnormalities are diagnosed through a biopsy, they are typically treated with excision, Mohs surgery or cryosurgery.
Squamous Cell Carcinoma
When skin has endured prolonged exposure to harmful UV rays found in sunlight, tanning beds, and lamps, squamous cell carcinoma can develop. In order to properly diagnose the condition, a biopsy is necessary. Fortunately, when detected early, squamous cell carcinoma often responds favorably to treatment.
About Skin Cancer Treatments
While skin cancer has the potential to be lethal, it is almost always effectively treated when recognized early. Contact Dr. Mountcastle to learn more about receiving skin cancer treatments at his Ashburn, Leesburg or Reston offices, and stop the progression of melanoma or carcinoma before it spreads.
Plan Your Procedure
- Average Cost
- $1,250 - $2,000