Dermatology

We take care of children’s skin, from day one. Children’s skin is not simply a miniature version of adult skin: it is delicate, unique and constantly evolving. That is why our Paediatric Dermatology service offers specialised, personalised care for patients ranging from newborns to teenagers.

We have highly trained professionals in the diagnosis and treatment of childhood skin diseases, such as atopic dermatitis, skin infections, juvenile acne, birthmarks, genetic diseases and many other conditions that require a personalised and up-to-date approach.

Because every skin tells a story, and your children’s skin deserves to be cared for with knowledge, sensitivity and experience.

Precise technology to control and monitor your skin.

Digital dermoscopy is a non-invasive and highly effective technique that allows us to observe skin structures that are not visible to the naked eye, thanks to an advanced optical system that makes the outermost layer translucent. When combined with full-body photography, we obtain high-quality clinical and dermoscopic images, allowing us to assess changes in lesions over time and detect the appearance of new abnormalities.

It is particularly useful for monitoring pigmented lesions in patients at higher risk of developing melanoma or with multiple skin marks that require constant detailed evaluation.

A modern tool designed for safer, more accurate and personalised dermatological monitoring.

Basal cell carcinoma (BCC) is the most common type of skin cancer and, fortunately, also the least aggressive. It originates in the basal cells of the epidermis and usually appears in areas exposed to the sun, such as the face, neck, and hands.

Characteristics of BCC:

• Slow growth and locally invasive.
• Appearance of a pearly, ulcerated lump or one with visible blood vessels.
• Low probability of metastasis, but can cause significant tissue damage if left untreated, ulcerated, or with visible blood vessels.

Treatment of choice: Mohs surgery

Mohs surgery is the best option for treating basal cell carcinoma, especially in delicate areas such as the face. This procedure allows the tumour to be removed as precisely as possible, minimising the loss of healthy tissue and reducing the risk of recurrence.

Squamous Cell Carcinoma (SCC) is the second most common skin cancer and has a greater capacity for local invasion and metastasis than BCC. It originates in the squamous cells of the epidermis and usually develops in areas exposed to the sun or on skin with chronic damage.

Characteristics of SCC:

• Scaly, scabby, or ulcerated lesions that do not heal.
• May develop on actinic keratoses or chronic scars.
• More aggressive than BCC, with risk of metastasis to lymph nodes.

Treatment of choice: Mohs surgery

In the case of SCC, Mohs surgery is the best option for tumours located in critical areas or in high-risk cases. This procedure ensures complete removal of the cancer while preserving as much healthy skin as possible.

Dermatofibrosarcoma protuberans (DFSP) is a rare skin tumour, but one with a high potential for local recurrence. Although it rarely metastasises, its infiltrative growth makes precise surgical treatment essential.

Characteristics of DFSP:

• Slow growth but invasive, affecting deep layers of the skin.
• May present as a brown or purple indurated plaque or nodule.
• High recurrence rate if not removed with adequate margins.

Treatment of choice: Mohs surgery

Mohs surgery is the best option for treating DFSP, as it allows for complete removal of the tumour with microscopic control of the edges, reducing the possibility of recurrence and preserving as much tissue as possible.

Melanoma is the most aggressive type of skin cancer, with a high capacity for invasion and metastasis if not detected early. It originates in melanocytes, the cells responsible for producing melanin.

Monitoring of moles and early detection

Given that melanoma can develop from a pre-existing mole or, more commonly, as a new pigmented lesion, it is essential to have regular check-ups for early detection. We recommend monitoring moles using the ABCDE method:

• Asymmetry: one half of the mole does not match the other half.
• Borders irregular or poorly defined.
• Colour is not uniform or has multiple shades.
• Diameter larger than 6 mm.
• Evolving: changes in size, shape or colour.

Regular dermatological check-ups with dermoscopy enable the identification of melanomas in their early stages, which significantly improves the prognosis.

Melanoma surgery

The main treatment for melanoma is surgery, which involves the complete excision of the tumour with adequate margins. In advanced cases, sentinel node biopsy and complementary treatments such as immunotherapy or targeted therapy may be necessary.