Dr. Raj Nagarkar has performed over 50,000 cancer surgeries with _doctor_2241_years_ of experience, specializing in breast and thoracic surgical oncology. He trained at Tata Memorial Hospital and holds MRCS from the Royal College of Surgeons, Edinburgh. HCG Manavata Cancer Centre is NABH-accredited with 40+ consultant oncologists and 275-bed capacity.
HCG Manavata Cancer Centre is Maharashtra's first NABH-accredited cancer hospital, treating over 75,000 patients yearly. It specializes in cancer care, nuclear medicine, radiotherapy, bone marrow transplant, and pediatric oncology. This integrated center has served 100,000+ patients from around the world.
Dobrobut Medical Network is an ISO-certified private healthcare network in Kyiv, Ukraine. It treats over 330,000 patients annually across 18 medical centers. Its main specialties are oncology, cardiac surgery, and orthopedics.
Dobrobut Medical Network is an ISO-certified private healthcare network in Kyiv, Ukraine. It treats over 330,000 patients annually across 18 medical centers. Its main specialties are oncology, cardiac surgery, and orthopedics.
Prof. Dr. Sedef Şahin reviews melanoma cases at Acibadem Altunizade – a LEED Platinum certified facility in Istanbul. Treatment typically includes surgical excision with pathology review by Prof. Dr. Şahin and consultation with oncologist Prof. Dr. Gülyuz Öztürk. The melanoma surgery package may cost between $200–$1,000, varying based on individual needs.
","text_type":"mt_wow_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":1500,"price_to":3500,"currency":"USD","id":35633},"diagnostic":{"id":146,"name":"Genetic screening","alias":"genetic-screening"}},{"prices":{"price_from":1000,"price_to":2500,"currency":"USD","id":35626},"diagnostic":{"id":39,"name":"Biopsy","alias":"biopsy"}}],"reviews":[],"clinic":{"id":1602,"alias":"acibadem","name":"Acibadem Altunizade Clinic","short_description":"Acıbadem Altunizade Hospital is a multidisciplinary hospital on Istanbul's Asian side. It opened in 2017 and occupies a 98,000 m² facility. Its services include neurology, cardiology, oncology, breast health, ophthalmology, spine care, reproductive medicine, obesity and metabolic surgery, and robotic surgery.
","images":[{"base_url":"clinic/616ec7e35aa11","title":"Modern exterior of Acibadem Altunizade Clinic in Istanbul, illuminated at dusk"},{"base_url":"clinic/616ec8d7ea3c0","title":"Modern exterior of Acibadem Altunizade Clinic in Istanbul, Turkey"},{"base_url":"clinic/616ec8e2885db","title":"Modern operating room at Acibadem Altunizade Clinic with advanced surgical equipment"},{"base_url":"clinic/616ec8ec06bcf","title":"Modern waiting room at Acibadem Altunizade Clinic, Istanbul with comfortable seating"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"Turkey","id":46,"alias":"turkey","iso_code":"TR"},"city":{"name":"Istanbul","id":107,"alias":"istanbul"},"address":"Altunizade, Yurtcan Sokağı No:1, 34662 Üsküdar/İstanbul, Турция"},"rating":{"rating":4.4,"google":4.1,"percent_of_satisfied_clients":71},"statistics":{"number_of_reviews":7,"doctors_number":0,"year_foundation":2017},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db982e01da4b.jpeg","name":"International Organization for Standardization","country_code":"CH"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Joint Commission International ","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d0b4dd6b9a6b.jpeg","name":"LEED Platinum Sertificate for ECO Buildings","country_code":"US"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"Medistanbul Hospital is a private multi-specialty medical center in Istanbul, Turkey, treating around 90,000 patients each year. Its strongest specialties are orthopedics, oncology, urology, and plastic surgery.
Medistanbul Hospital is a private multi-specialty medical center in Istanbul, Turkey, treating around 90,000 patients each year. Its strongest specialties are orthopedics, oncology, urology, and plastic surgery.
Dr. Kristelle Lusby is a dermatology and plastic surgery clinic in San José using Fraxel Dual lasers and CoolSculpting. Specialties include medical and cosmetic dermatology, plus plastic and reconstructive surgery.
Dr. Kristelle Lusby is a dermatology and plastic surgery clinic in San José using Fraxel Dual lasers and CoolSculpting. Specialties include medical and cosmetic dermatology, plus plastic and reconstructive surgery.
Uniqacare Clinic is a private multi-specialty medical center in Istanbul, serving 433,000 patients every year. Its main specialties are neurosurgery, cardiology, oncology, and transplantology. The clinic treats both adults and children and is accredited by the Turkish Medical Association.
Uniqacare Clinic is a private multi-specialty medical center in Istanbul, serving 433,000 patients every year. Its main specialties are neurosurgery, cardiology, oncology, and transplantology. The clinic treats both adults and children and is accredited by the Turkish Medical Association.
Dr. Mehmet Simsek is a board-certified dermatologist specializing in dermatologic surgery, including melanoma treatment. He has advanced training in dermatopathology and skin tumor management. The clinic offers comprehensive dermatological care with a focus on skin cancer procedures.
Private Medicabil Hospital is a JCI-accredited multi-specialty hospital in Bursa. It specializes in orthopedics, neurosurgery, weight loss surgery, and medical check-ups. The hospital is affiliated with Ranawat Orthopaedics Center and is an AOSpine Europe education center.
Agapit Medical Center is a multidisciplinary clinic in Kyiv, Ukraine. It treats adults and children across 30 medical specialties. Key areas include plastic surgery, vascular surgery, and physical rehabilitation. Pediatric care covers cardiology, dermatology, and general pediatrics. Patients can visit two branches, in the Darnytsia and Pozniaky neighborhoods.
Founded in 2014, the center works under a Ministry of Health license. A team of 11 doctors provides care across the network. Lead specialists have 20 to 40 years of medical experience. Many physicians trained at Bogomolets National Medical University. Since 2016, the clinic has used a centralized contact center.
Diagnostics include ultrasound, ECG, and computed tomography. Surgeons focus on one-day operations. They perform mammaplasty, rhinoplasty, and hernia repairs. For hemorrhoids, proctologists offer laser ablation and latex ring ligation. Rehabilitation specialists provide kinesiotaping and manual therapy. International patients can book paid online consultations via Telegram or Viber.
","text_type":"short_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"reviews":[],"clinic":{"id":4846,"alias":"agapit-medical-center","name":"Agapit Medical Center","short_description":"Agapit Medical Center is a multidisciplinary clinic in Kyiv, Ukraine. It treats adults and children across 30 medical specialties. Key areas include plastic surgery, vascular surgery, and physical rehabilitation. Pediatric care covers cardiology, dermatology, and general pediatrics. Patients can visit two branches, in the Darnytsia and Pozniaky neighborhoods.
Founded in 2014, the center works under a Ministry of Health license. A team of 11 doctors provides care across the network. Lead specialists have 20 to 40 years of medical experience. Many physicians trained at Bogomolets National Medical University. Since 2016, the clinic has used a centralized contact center.
Diagnostics include ultrasound, ECG, and computed tomography. Surgeons focus on one-day operations. They perform mammaplasty, rhinoplasty, and hernia repairs. For hemorrhoids, proctologists offer laser ablation and latex ring ligation. Rehabilitation specialists provide kinesiotaping and manual therapy. International patients can book paid online consultations via Telegram or Viber.
","images":[{"base_url":"clinic/6a72a6aff2bdd","title":"Reception area at Agapit Medical Center with modern decor and green seating"},{"base_url":"clinic/6a72a6b1a7404","title":"Reception area at Agapit Medical Center with modern seating and decor"},{"base_url":"clinic/6a72a6b33e238","title":"Operating room at Agapit Medical Center with modern surgical equipment"},{"base_url":"clinic/6a72a6b5430f0","title":"Consultation room at Agapit Medical Center with modern furniture and large window"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"Ukraine","id":47,"alias":"ukraine","iso_code":"UA"},"city":{"name":"Kyiv","id":109,"alias":"kiev"},"address":"Kyiv, Darnytsia: Budivelnykiv St, 30; Pozniaky: Oleksandra Mishuhy St, 2"},"rating":{"rating":0,"google":4.9,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":11,"year_foundation":2014},"accreditations":[],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"Shefaa Al Orman International Oncology Hospitals is an ESMO-accredited center with separate hospitals for adults and children. It specializes in oncology diagnostics, treatment, and pediatric oncology. Treats about 6,000 patients yearly.
Shefaa Al Orman International Oncology Hospitals is an ESMO-accredited center with separate hospitals for adults and children. It specializes in oncology diagnostics, treatment, and pediatric oncology. Treats about 6,000 patients yearly.
Prof. Dr. Markus Heuser specializes in prostate conditions with 25 years of urological experience. The TURP package may cost around $15,880 – typically covering the procedure, 2-3 days hospital stay, preoperative testing, anesthesia, and postoperative care. The Academic Teaching Hospital of the University of Cologne operates under German Trauma Center and Cancer Society certifications, offering transparent pricing under GOÄ/DRG standards.
","text_type":"mt_wow_description","best_texts":{"techniques":"Transurethral resection of the prostate (TURP)","good_fit_for":"Patients requiring prostate surgery","why_its_ranked":"Academic Hospital affiliated with the University of Cologne, certified by the German Cancer Society, and offering comprehensive urology services. Prof. Dr. Markus Heuser specializes in urological surgeries and has published over 40 scientific articles."},"additional_data":{"advertising_id":"268:illness_kind:10"},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":13000,"price_to":15600,"currency":"USD","id":28081},"operation":{"id":269,"name":"Transurethral resection of the prostate (TURP)","alias":"transurethral-resection-of-the-prostate-turp"}},{"prices":{"price_from":800,"price_to":1000,"currency":"USD","id":28143},"diagnostic":{"id":190,"name":"Whole-body MRI","alias":"whole-body-mri"}},{"prices":{"price_from":60,"price_to":200,"currency":"USD","id":28112},"diagnostic":{"id":507,"name":"Thyroid function tests (including T3, T4, TSH)","alias":"thyroid-function-tests-including-t3-t4-tsh"}}],"reviews":[],"clinic":{"id":268,"alias":"medical-center-in-solingen","name":"Medical Center in Solingen","short_description":"Medical Center in Solingen is an Academic Hospital of the University of Cologne. It ranks among Germany's top clinics by Focus magazine. Core specialties include neurosurgery, gastroenterology and cancer, and the breast center.
Liv Bona Dea Hospital Baku is a JCI-accredited hospital with 100% compliance. It is part of the Turkish Liv Hospital brand. The hospital specializes in heart surgery, plastic surgery, transplantology, and medical check-ups.
Liv Bona Dea Hospital Baku is a JCI-accredited hospital with 100% compliance. It is part of the Turkish Liv Hospital brand. The hospital specializes in heart surgery, plastic surgery, transplantology, and medical check-ups.
Dr. Raj has performed over 50,000 cancer surgeries – including advanced melanoma cases – with an emphasis on improving patients' quality of life.
Dr. Raj Nagarkar has performed over 50,000 cancer surgeries at HCG Manavata Cancer Centre. He specializes in breast and thoracic surgical oncology. Dr. Nagarkar trained at the prestigious Tata Memorial Hospital in Mumbai. He is a Member of the Royal College of Surgeons in Edinburgh.
HCG Manavata Cancer Centre is Maharashtra's first NABH-accredited cancer hospital, treating over 75,000 patients yearly. It specializes in cancer care, nuclear medicine, radiotherapy, bone marrow transplant, and pediatric oncology. This integrated center has served 100,000+ patients from around the world.
Dr. Chaitainya Borde has handled over 30,000 PET scans and 1,000 thyroid cancer patients at HCG Manavata Cancer Centre.
The doctor is an experienced nuclear medicine specialist at HCG Manavata Cancer Centre with 12 years in the field. The doctor specializes in various nuclear scans, PET-CT scans, and nuclear cardiology services, demonstrating proficiency in radioiodine and Lu-177 RN therapies. Over the course of their career, the doctor has managed more than 30,000 PET scans and treated over 1,000 thyroid cancer patients. Additionally, the doctor has contributed to the field through published papers in various medical journals.
","specialities":[{"id":"onc.001","name":"Clinical oncologist","illness_kind_id":10},{"id":"onc.005","name":"Radiation oncologist","illness_kind_id":10}],"statistics":{"review_count":0,"review_score":0,"operations_performed_count":0,"awards_count":0}},"clinic":{"id":1249,"alias":"hcg-manavata-cancer-centre","name":"HCG Manavata Cancer Centre","short_description":"HCG Manavata Cancer Centre is Maharashtra's first NABH-accredited cancer hospital, treating over 75,000 patients yearly. It specializes in cancer care, nuclear medicine, radiotherapy, bone marrow transplant, and pediatric oncology. This integrated center has served 100,000+ patients from around the world.
Dr. Shruti Kate specializes in melanoma surgery with expertise in immunotherapy and metronomic therapy for advanced cancers. She trained at Tata Memorial Hospital – one of India's leading cancer centers.
Dr. Shruti Kate is a medical oncologist at HCG Manavata Cancer Centre in Nashik. She previously worked as a consultant at the Tata Memorial Hospital in Mumbai. Dr. Kate focuses on immunotherapy and metronomic therapy for treating solid and pediatric tumors. She was the sole recipient from India of the 2018 World Conference on Lung Cancer award.
HCG Manavata Cancer Centre is Maharashtra's first NABH-accredited cancer hospital, treating over 75,000 patients yearly. It specializes in cancer care, nuclear medicine, radiotherapy, bone marrow transplant, and pediatric oncology. This integrated center has served 100,000+ patients from around the world.
Dr. Mehmet Simsek is a board-certified dermatologist at Private Medicabil Hospital in Bursa. He specializes in treating acne, allergic skin diseases, and skin tumors. Dr. Simsek earned his medical degree from Istanbul University. He completed his specialty training at Istanbul Medeniyet University. His expertise includes complex cases of psoriasis, atopic dermatitis, and sexually transmitted diseases.
Private Medicabil Hospital is a JCI-accredited multi-specialty hospital in Bursa. It specializes in orthopedics, neurosurgery, weight loss surgery, and medical check-ups. The hospital is affiliated with Ranawat Orthopaedics Center and is an AOSpine Europe education center.
This procedure removes skin cancer, ensuring complete disease control and improved recovery.
"},"361":{"operation":{"name":"Topical therapy of melanoma","alias":"topical-therapy-of-melanoma","use_for_listing":true},"country_price":{"US":{"amount":4500,"max_amount":9000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":1800,"max_amount":3400,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":1800,"max_amount":3200,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":1800,"max_amount":4800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":5000,"max_amount":8500,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":false,"TH":false,"AT":false,"ES":true},"description":"This therapy applies medicine directly onto skin cancer to halt its growth and spread, offering lesser side effects.
"},"363":{"operation":{"name":"Mohs microsurgery","alias":"mohs-surgery","use_for_listing":true},"country_price":{"US":{"amount":1800,"max_amount":4500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":6500,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"tariff","scope":"country"},"TH":{"amount":1900,"max_amount":2600,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":1500,"max_amount":3500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":7200,"max_amount":10500,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"AT":false,"ES":true},"description":"This therapy removes skin cancer layer by layer, checking each for cancer cells, ensuring minimal tissue loss.
"},"364":{"operation":{"name":"Wide excision of melanoma","alias":"wide-excision-of-melanoma","use_for_listing":true},"country_price":{"US":{"amount":6500,"max_amount":12500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":6300,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"tariff","scope":"country"},"TH":{"amount":2800,"max_amount":4200,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":2600,"max_amount":4300,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":5000,"max_amount":10000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"AT":false,"ES":true},"description":"This treatment involves surgically removing skin cancer, specifically ensuring a clean, cancer-free margin around it.
"}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":2,"days_in_country":7,"rehabilitation_days":14,"satisfied_percent":78,"treatment_duration_hours":3},"illness_kind_details":{"requests_processed":46119}},"responsibleDoctor":{"id":290,"alias":"yesim-yildirim","name":"Yesim Yildirim","photo":"doctor/699da18e34fa6","advisory_text":"20 years of experience\nMedical oncologist, ESMO certified","linkedin":"","specialities":[{"id":"onc.001","name":"Clinical oncologist","illness_kind_id":10}]},"direction":{"id":10,"name":"Oncology","alias":"oncology"},"illness_kind":{"id":10,"name":{"en":"Oncology"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["local"],"back_to_work_days":{"min":1,"max":7,"unit":"days","qualifier":"Simple-closure excision, desk work. Longer for manual work, reconstruction, or leg, foot, joint sites; nodal surgery excluded."},"complication_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Wound complications (infection, hematoma, dehiscence, delayed healing) after excision alone; higher on lower limb; serious ones rare."},"contraindications":["Unmanaged bleeding disorder or anticoagulation (relative)","Active infection at surgical site (usually deferred)","Severe comorbidity or frailty making surgery unsafe (relative)","Life expectancy too limited to benefit from excision"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Outpatient under local anesthesia. Extensive reconstruction or sentinel node biopsy may need a day-case or overnight stay; not included."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":2,"max":4,"unit":"weeks","qualifier":"Simple closure; avoid wound-stretching strenuous activity until healing confirmed. Longer on trunk, back, joints, or after reconstruction."},"final_result_months":{"min":6,"max":12,"unit":"months","qualifier":"Time for scar maturation after wide local excision; oncologic outcome is determined by pathology and surveillance, not by this timeframe."},"fly_home_after_days":{"min":7,"max":14,"unit":"days","qualifier":"After simple closure once suture removal and wound check are done; later after graft or flap."},"follow_up_visits":[{"purpose":"suture_removal","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"Typically 7-14 days; longer over joints or on the lower limb."}},{"purpose":"result_review","requirement":"routine","after":{"min":7,"max":21,"unit":"days","qualifier":"Review of excision margin pathology and discussion of staging and further management."}},{"purpose":"assessment","requirement":"routine","after":{"min":90,"max":180,"unit":"days","qualifier":"First surveillance skin and lymph node examination; subsequent schedule depends on stage."}}],"indications":["Biopsy-proven primary melanoma needing wide excision with Breslow-based margins","Re-excision after diagnostic excisional biopsy with positive or inadequate margins"],"main_risks":["Bleeding or hematoma","Wound infection","Wound dehiscence or delayed healing, especially on the lower limb","Visible, widened or hypertrophic scar","Numbness or sensory nerve injury","Incomplete excision requiring re-excision"],"pain":"Local anesthetic injection causes brief stinging; afterwards mild to moderate soreness for a few days, usually managed with simple analgesics.","preparation":["Review of biopsy pathology and clinical staging as indicated","Marking of the biopsy scar and planned excision margins","Medical history review including bleeding tendency and allergies","Perioperative medication instructions given by the surgical team","Arrange wound care; companion if walking or driving affected"],"recovery_timeline":[{"phase":"Day 0-3","description":"Dressing in place; mild pain and swelling. Rest and elevate the area if on a limb.","restrictions":["Keep dressing dry","Avoid strenuous activity and stretching the wound"]},{"phase":"Days 7-14","description":"Suture removal or wound check; pathology review of margins.","restrictions":["Avoid heavy lifting or strain on the wound until cleared"]},{"phase":"Weeks 2-4","description":"Wound healing; gradual return to normal activity and exercise.","restrictions":["Avoid vigorous activity involving the area until healed"]},{"phase":"Months 3-12","description":"Scar maturation with sun protection and ongoing skin surveillance.","restrictions":["Protect scar from sun exposure"]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Functional recovery after simple-closure excision; longer after graft, flap or lower-limb surgery. Nodal surgery excluded."},"result_longevity":"The excision scar is permanent once matured. Cure depends on tumor stage, not time; lifelong skin surveillance is advised because of recurrence and new melanoma risk.","revision_rate_pct":{"min":2,"max":8,"unit":"percent","qualifier":"Re-excision for positive margins or later scar revision, or return to theatre for wound complications."},"scars":"Linear scar from elliptical excision, about three times as long as wide; size depends on tumor thickness and margin. Grafts or flaps leave larger scars. Scars mature over 6-12 months.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single excision visit; follow-up not counted. Sentinel node biopsy is additional, outside base scope."},"stages":[{"code":"wide_local_excision","label":"Wide local excision of the primary melanoma site with closure","after":{"min":14,"max":56,"unit":"days","qualifier":"Usually 2-8 weeks after diagnostic biopsy."}}],"qualifier":"Excision-only base protocol; reconstruction and nodal surgery are not included."},"success":{"metric":"Local recurrence-free after wide local excision","value":97,"unit":"percent","horizon":"5 years","population":"Adults with primary localized cutaneous melanoma (in situ or thin to intermediate thickness)","evidence_status":"limited"},"techniques":[{"name":"Wide local excision with primary closure","suits_whom":"Most primary melanomas, with margins set by Breslow thickness (generally 0.5-2 cm).","recovery":"Sutures removed in about 1-2 weeks; return to light activity in days."},{"name":"Wide local excision with skin graft or local flap reconstruction","suits_whom":"Larger defects or sites (face, acral, lower limb) where direct closure is not feasible.","recovery":"Longer healing and activity restriction; may require a longer stay."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.5,"max":1.5,"unit":"hours","qualifier":"Primary closure under local anesthesia. Sentinel biopsy, reconstruction and nodal surgery excluded and take longer."},"initial_assessment_documents":["Biopsy histopathology report with Breslow thickness","Dermoscopy or clinical photos of the lesion site","Pathology slides or digital slide scan (if available)","Ultrasound or CT reports (if available)","Previous skin cancer or melanoma treatment records"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"Single excision; stay 10-14 days covers suture removal and margin pathology review. Second trip only for surveillance or further staging."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check that the surgeon has experience treating melanoma","scope":"procedure","source":{"url":"https://www.aad.org/public/diseases/skin-cancer/types/common/melanoma/after-diagnosed","host":"aad.org","quote":"The surgeon who performs this surgery is usually a surgical oncologist who has experience treating melanoma.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Check that the clinic provides pathology examination of removed tissue","scope":"procedure","source":{"url":"https://www.aad.org/public/diseases/skin-cancer/types/common/melanoma/diagnose-treat","host":"aad.org","quote":"The tissue that your dermatologist removes will be sent to a lab, where a doctor, such as a dermatopathologist, will examine it under a high-powered microscope.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Check that sentinel lymph nodes can be tested when indicated to determine whether cancer has spread nearby","scope":"procedure","source":{"url":"https://www.aad.org/public/diseases/skin-cancer/types/common/melanoma/node-biopsy","host":"aad.org","quote":"Having a sentinel lymph node biopsy (SLNB) can tell whether cancer cells have spread to a nearby lymph node.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Check that the clinic can assess surgical margins for remaining cancer cells","scope":"procedure","source":{"url":"https://www.aad.org/public/diseases/skin-cancer/types/common/melanoma/after-diagnosed","host":"aad.org","quote":"The removed tissue will be checked to make sure that there are no remaining melanoma cells along the edges.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C5","text":"Ask for certification information and the name of the body that certified the surgical setting","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Ask for certification information and the name of the certifying body when assessing a surgical setting.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably is.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Incision site opens up","urgency":"contact_clinic","general":false,"source":{"url":"https://melanomasurgery.ucsf.edu/sites/default/files/2023-09/ucsf-melanoma-and-skin-cancer-surgery-handout.pdf","host":"melanomasurgery.ucsf.edu","quote":"Your incision site opens up","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"W2","text":"Excessive drainage from the incision","urgency":"contact_clinic","general":false,"source":{"url":"https://melanomasurgery.ucsf.edu/sites/default/files/2023-09/ucsf-melanoma-and-skin-cancer-surgery-handout.pdf","host":"melanomasurgery.ucsf.edu","quote":"There is excessive drainage from the incision.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"W3","text":"Pain medication does not control pain","urgency":"contact_clinic","general":false,"source":{"url":"https://melanomasurgery.ucsf.edu/sites/default/files/2023-09/ucsf-melanoma-and-skin-cancer-surgery-handout.pdf","host":"melanomasurgery.ucsf.edu","quote":"The pain medication 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copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up 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