My Skin Cancer Journey and Some Ideas to Navigate Yours
Are you worried about an unusual spot, or have you been struggling with skin cancer for a while? The first thing I would tell you is to go in to see your dermatologist on a regular basis whether you have suspicious spots or not. Better safe than sorry is an appropriate expression when it comes to checking for skin issues.
Let me quickly tell you about my skin cancer journey and then I will share what I have learned in the hope it will help you. The first time I went to a dermatologist I had a large, ugly looking mole on my side. The dermatologist took one look at it and looked at me and said, “This doesn’t look good. I think it might be melanoma.” I translated that into I was going to die. He took a biopsy and I went out and climbed into my car, told my husband and began sobbing. The biopsy came back as only a mole, but the dermatologist recommended I start coming in once a year. After that experience, I learned to wait to hear the result of a biopsy before working myself into a stress ball, and whatever the diagnosis is keep a positive attitude and keep moving forward.
The next thing I learned was even if you begin protective sun care which of course you should, the skin cancer that starts popping up is from earlier sun exposure. Please don’t put off seeing a dermatologist because you are afraid. Staying a step ahead of skin cancer is manageable, but your attitude is key.
In the last twenty years, I have had many Mohs surgeries, frequent visits to the dermatologist, many freezings with liquid nitrogen, and blue light therapies, so let me explain the treatments available to you that I know about. When you make your first appointment with a dermatologist, ask for a full body exam. If the dermatologist finds precancerous cells, he or she will use liquid nitrogen to freeze off the cells. If there is something more serious, the dermatologist will probably do a biopsy where a sample of the spot is taken and sent to the lab. If it comes back as more serious, the dermatologist might do a scrape and burn or suggest Mohs surgery where a surgeon cuts out the cancerous spot. There is also blue light therapy where you are exposed to an intense light that leaves you looking as if you have a bad sunburn. The top skin and the pre-cancerous cells will peel off during the next week. There is also laser therapy and chemo cream treatment. There are probably other treatments, but those are the ones I know about. Let me tell you how to navigate the ones I have experienced.
Liquid nitrogen freezing
This is only my experience, but this never hurts me unless it is on my face, so don’t be nervous about this. When you go home, you can put Vaseline on them or Polysporin. Keep your hands away and watch for infection. They usually form small blisters.
Biopsy
The dermatologist will numb the area then take a sample and send it to the lab. You need to keep the spot dry and bandaged for 24 hours.
Scrape and burn
The dermatologist will numb the area, scrape the spot and burn the area. It doesn’t hurt and I have never had discomfort after the procedure.
Mohs surgery
A Mohs surgeon will make a cut, take it to the lab and see if he has removed all the cancer. You usually wait an hour then the nurse will tell you if you are all clear or if another cut is necessary. Once you are clear, the dermatologist will stitch you up. My record which I hope to never replicate is five cuts. Bring snacks. The recovery for this is more intense. You will need to rest, and I believe you are not supposed to do exercise for a week. My dermatologist gave me a strong antibacterial ointment to treat the area. I have had several on my face which caused two black eyes and bruising on my nose. The nurse told me that eating pineapple helped with bruising and there is bruise cream.
Blue light therapy
With this therapy an acid is applied to your face then you wait for an hour and a half while the acid sets then you sit in front an intense light for 16 minutes. After that, you have to stay inside for 48 hours and for the next week you should wear sunscreen and a hat. There are certain creams to put on and you treat the area as if you have a bad sunburn.
Find a good dermatologist
I’m leaving you with the most important advice I can give you. It took me a while to find the right dermatologist. Having someone who is thorough, who listens to me and who I trust relieves my stress. Don’t be afraid to walk away from someone who is not a good fit.
I hope you do not have a skin cancer journey, but if you do I hope sharing mine has helped a bit.