So yesterday was surgery #1 for the cancer on my back. After a long discussion with my doctor I chose one of three removal options. The options were by excision, through Immunotherapy drugs, or by Curettage and Electrodessication.
Since it is a larger basal cell, with an excision he would have had to cut about ten inches in length and go pretty deep for clear margins plus I would have quite a few stitches to contend with and the pain that accompanies it. The second option was Immunotherapy via Imiquimod used to treat advanced basal cell carcinomas. The drug uses your own body’s immune system to kill off the tumor but the regimen would require daily topical application for six straight weeks with pain and discomfort accompanied by flu-like symptoms. The third (which I chose) was the Curettage and Electrodessication method. It would not require a large incision or stitches nor the yucky chemo side effects. He used a sharp curette (a spoon-shaped instrument) to scrape and scoop the tumor out then used a machine with an electric current to burn away any excess cancer cells surrounding the tumor spot. So now I have a semi-deep, open spot on my back that simply requires cleaning, application of ointment and bandaging for the next several weeks. It stung quite a bit after the local wore off but I slept well last night after taking an Extra Strength Tylenol and today I only feel it a tiny bit along with a headache.
Although it does not have as high of a success rate as the Imiquimod, I decided the C&E method would be the best choice since I will have to also deal with the healing process, discomfort, etc. of the upcoming surgeries on my face which will be more involved and require stitches.
I also had another pre-cancer (Actinic Keratosis #20) frozen off my forehead right before the surgery. We discussed moving my topical chemo regimen forward to the end of October following my Mohs instead of waiting any longer since I have so many “spots” of concern on my face. So I have five weeks of possible Hell to look forward to after all this surgery. The level of that particular Hell will depend on how many sub-dermal spots turn up when I use the Fluorouracil. Common side effects of this topical chemotherapy may include: skin irritation, burning, redness, dryness, pain, swelling, tenderness, or changes in skin color at the site of application. Eye irritation (e.g., stinging, watering), trouble sleeping, irritability, temporary hair loss, or abnormal taste in the mouth may also occur. Oh goody!
So the lesson in this is WEAR YOUR SUNSCREEN and those big, sexy hats. It’s not “just skin cancer” that can be cut away and forgotten about. It is real, it costs time and money, and it wreaks havoc on one’s psyche.
That is all for now…