Wednesday, September 14, 2016

I have 2 holes in my head -Skin Cancer Surgery and update Update

I had a spot on my scalp that changed how it looked and grew a bit. So in August I had a biopsy and the result was positive for the second most common skin cancer.  I was diagnosed with "Squamous cell carcinoma (SCC) is an uncontrolled growth of abnormal cells arising in the squamous cells, which compose most of the skin’s upper layers . SCC is mainly caused by cumulative ultraviolet (UV) exposure over the course of a lifetime; daily year-round exposure to the sun’s UV light, intense exposure in the summer months, and the UV produced by tanning beds all add to the damage that can lead to SCC. (skincancer.org)"

SO I was scheduled for Mohs Surgery on Sept 12th. That went pretty well.  It has a 98 % success rate. "The reason for the technique's success is its simple elegance. Mohs differs from other techniques in that microscopic examination of all excised tissues occurs during rather than after the surgery, thereby eliminating the need to "estimate" how far out or deep the roots of the skin cancer go. This allows the Mohs surgeon to remove all of the cancer cells while sparing as much normal tissue as possible. The procedure entails removing one thin layer of tissue at a time; as each layer is removed, its margins are studied under a microscope for the presence of cancer cells. If the margins are cancer-free, the surgery is ended. If not, more tissue is removed from the margin where the cancer cells were found, and the procedure is repeated until all the margins of the final tissue sample examined are clear of cancer. In this way, Mohs surgery eliminates the guesswork in skin cancer removal, producing the best therapeutic and cosmetic results.(skincancer.org) "

SO the DR and staff were so helpful and showed concern and caring throughout the procedure. Each time you have tissue removed and then you go to a recovery area, just like a waiting room with tv coffee drinks and snacks for patients and their companion. The only thing is all the patients are sitting with gauze and bandages on different parts of their body. I had two areas  done and the I had to have the procedure 3 times to get all the cancer cells out. Then I spent about an hour with a PA and two nurses to do the reconstruction. Since the holes were large it was deemed I needed to have them closed to heal properly.
SO they cut snipped separated skin from skull pulled the skin together and placed many tight stitches under to hold tissue together and then a few on top to close.  For my Cryolife friends using 3.0 absorbable and 4.0 Non-absorbable on top.
After I have had some pain and bruising of course tightness on the scalp where they pulled it together. Ice and OXY have been my friends. LOL,  I am very dizzy and I am not to bend over for 6 days and treat the area with vinegar and water 2 x a day. Keeping it covered with vaseline and bandages. I return in 15 days to have the stitches out.

I wanted to post here so if any wanted to see the pic without   posting them to FB.




2 comments:

Lynn Hubbard said...

Very nice post op report. Healing thoughts and prayers. Let me know if you need anything. Hugs!

Lynn Hubbard said...

Very nice post op report. Healing thoughts and prayers. Let me know if you need anything. Hugs!