So the report on the latest skin biopsies was good news. And also weird news. No more melanoma going on, which is Excellent News, indeed.
But one of the little things on my leg turned out to be pre-cancerous for squamous cell carcinoma, the second-most common skin cancer (basal cell is most common, and so far I seem to have missed that one. Not that I’m feeling left out or anything! No! Two out of three is plenty, thank you.)
Once again, we removed it early, it’s gone, everything’s hunky dory. Copacetic.
But here’s a thought: what would you imagine is a really good way to drive someone with, oh, say, anal-retentive tendencies and maybe the tiniest bit of OCD completely fucking nuts? Wanna guess? You know, just in case you know someone like that and find them to be, oh, maybe a total pain in the butt, with all their rigidity and checking and general tight-assed-ness about everything from their computer files to the way they tie their shoelaces.
You tell them, Oh, hey, this is great: you caught these things early! Good job! Now you just have to be reallyreallyreally vigilant for the Rest of Your Life! Check every inch of your skin every single month! Note any changes, any oddities! Keep track of everything! Don’t miss anything!
I don’t know about you people, esp. You Young Whippersnappers who have not yet reached Middle Age, but me? My skin is a veritable Collection of Dermatological Circus Freaks and is changing faster than a chameleon in a kaleidoscope. Bumps, wrinkles, lines, spots—you name it, it’s there.
Oy. Do you know that now they’ve added a new visual test for identifying melanomas? In the past, it was the ABCDE test: you checked for Asymmetry, Borders (poorly defined), Color (not a uniform color), Diameter (bigger than a pencil eraser—some number of millimeters I can’t ever remember—2, maybe?), and Evolving, (something that’s changing).
Now they’ve added The Ugly Duckling Sign, having found that melanomas don’t always follow the rules, above, and sometimes just look different from the other moles around them. Contrary little shits, refusing to go along.
[Sorry: I find the word “mole” disgusting, too. But we have to talk about this.]
So you have the ABCDE test, and the Ugly Duckling Test, and the itching or bleeding test. Scaliness. Rough patches. Raised edges. Go here to find out all you need to know, with links to photos.
Pretty much anything on your skin can be Something To Watch. So you tell someone with OCD that—that they have to watch their skin closely for all these varied things, and you tell them all the possibilities. And then you sit back and watch the fun!
Only: it’s not really bothering me. Oh, sure—it’s no fun to hear that there’s yet another kind of skin cancer I need to watch out for. And there are all these scars on my legs that I see every day when I shave (because of course I shave my legs Every Single Day and have done so since I was 11. But you knew that already.)
But it doesn’t freak me out. I think about what it would have been like 20 years ago, when this stuff would have driven me crazy. Part of it’s that I’ve mellowed A Lot. I mean a WHOLE lot. Part of it is that I’m older. I’ve lost both parents. I’m learning, slowly, to come to terms with the fact that I’m going to die (and coming to terms with that fact is, for an atheist, a whole nother thang, let me tell you. We don’t have a lot of wiggle room, seeing as how we can’t count on heaven or hell or reincarnation or floating for eternity in the glow of the ether or being beamed up by space aliens. Try meditating on the idea that at some point everything will just end. Permanently. Not a lot of laughs there, but I’m working on it).
So, anyway: not freaked out, but really frustrated that the information about sun exposure and skin cancer are not meaning anything to most people. I don’t know about where you live, but here in West Texas, short shorts and a good tan are the requirements for summer, if you’re a) white and 2) a girl. And, oh, honeys, I had both. I had a tan every single year of my life until I was over 45 (the tattoos were the reason I quit: I spent too much time and money getting them to ruin them with sun).
[We won’t talk about the shorts. The EGE found a pair of them in storage and just shook his head sadly.]
But I see all these people with tans and sunburns and hardly any clothes to speak of, all standing out in the sun, and I know they’ve heard the warnings, and I know they’re no more likely to heed them than I was.
The good news for them is that most skin cancers won’t kill you.
The bad news is that some of them will.
So. Go buy some sunscreen. Find a nice, cool, long-sleeved white shirt (yes: I actually own a white shirt. Linen, and—of course--from a garage sale.) Dig out your umbrella and call it a parasol.
This is mine: isn’t it fabulous?
When you twirl it, it goes through the whole rainbow. So get you one of those ($19.99 at Target) and use it, and don’t be foolish about the sun, and you’ll be safe. Pale and pasty, maybe, but that’s OK.
And don’t think this is only for You White People. It’s for You Thank-God-I’m Not Pasty People, too. I had The EGE have his GP check a mole on his back—it was irregular and scaly—and she had him go have it removed. Better to be safe. And being Not White does not mean you don’t need to
--check your skin
--stay out of the sun
Go. Twirl that parasol.
Damn it: anyone want to make up A Parasol Song? ‘Coz I’ve got the tune to “Pussycat, Pussycat, I Love You!” going on in my head.
Want me to come to your office and sing it to you?
I thought not.









16 comments:
I had a mole removed last year with malignant melanoma. Had to have the surgery, but no radiation or chemo, thankfully. I recently heard a young girl say that the risk of melanoma from tanning was less than the benefits of vitamin D from the sun. Ugh! I've also heard people say that they would rather look good than worry about skin cancer. I would rather live till I am 90. I had not heard about the "ugly duckling" moles- so am here to say thank you for the info. I am obsessive about checking my skin each month- usually more than once a month- so I probably would have been at the dermatologist if I found one anyway- but the more informed a person is the better---so thank you! I would love it if you sang the parasol song at my office. I would probably make you teach it to me!
here you go... http://www.weblo.com/music/song/Parasol/video/13/2/
off to get my pasty self some SPRAY tan... and a kooky parasol!
happy monday!
xoxo
jul
Thanks for the post - it was just the encouragement I needed to make a dermatologist appointment. My dermatologist retired a few years ago, and I am overdue on my skin check.
Most dermatologists on my health plan seem to be more into Botox and dermabrasion than moles and skin tags. I want a good, old-fashioned Dr. not a spa.
I was a sun-worshipper for many years (and lived on Maui for 11 of them, so there was plenty to worship!).
I'll admit that I am not a person who uses much sunscreen (they make me itch and break out in rashes).
I'm not entirely convinced that smearing chemicals from head to toe over our largest organ (our skin)is much healthier than absorbing some ultraviolet rays...but I do believe in keeping a watchful eye on my skin, and getting it checked regularly.
Thanks again for a timely post that caused me to pick up the phone and make an appointment.
Thank you for this post. I have to remember my mom had skin cancer too, along with other things and I am pretty fair like her (except without the red hair) and I check everything! I am unfortunate enough to have inherited these red "moles" (I don't like this word either) that come up everywhere. I can't remember the name the derm called them, but they are annoying but not caused by sun damage (thank goodness for that!) but I have some of those removed also because they also come up on my face!
I'll get my skin checked and I'm looking for a parasol and some clothing with an spf as well!
So this is timely. I'm sitting here trying not to scratch where the stitches itch from the removal of my latest ugly duckling. I've taken a sort of resigned attitude. There were no sunscreens growing up here in Texas or in Florida. I was not a sun worshipper because I have classic Irish skin, but we lived in the sun in both places and burned regularly. Tan doesn't really happen on my skin and my one attempt to do it (in my foolish 20's) pretty much proved that. So I know that the spots will show up and I figure it's my job to find them and have them off before they turn into cancer.
And what do they mean by atypical mole versus precancerous?
I've been having pre-cancerous little spots removed for years. Had a squamous cell place on my upper lip about 15 years ago (can't believe it was that long ago!) that was removed.
Also.... I have an uncle that had some kind of cancer on his nose and every time the doc would remove it, it kept coming back. Finally... are you ready?... he had to have his NOSE removed and get a fake one. A prosthetic (sp?) nose. Yep, they can do that now. He lives in that area of the country, in West Texas.
congrats on getting the blog up and running, jo--but it won't let me post a hello note--
Oh my goodness...as a red head with Irish and Scottish ancestors I can tell you horror stories about sunburn. My mother knew I would have trouble very early on when I got sunburnt through a long sleeve shirt. In New Zealand it is normal not to want a tan. We live under the hole in the ozone layer.(and that's a rant all by itself) In summer we get told the Burn time average on the weather report during the news. The plus side of having the highest skin cancer rate anywhere (except maybe Aussie) is that we can go to the Doctor and get a mole map done. This is a photographic map of your skin, it get done every year so any change is noticed immediately, even if you haven't noticed a change yourself. The young people today still want to be tanned, but it is possible to get a tan without getting burnt. (keep your skin exposure under the burn time) and we don't see quite as many bikinis around as we once did...I even saw some people wearing what looked a lot like those old fashioned swim suits that kept you covered from neck to knees, only now days it's called a racing suit and costs a zillion dollars to own one. I don't enjoy wearing sunscreen much, hence I'm always wearing jeans and a long sleeved shirt, but I think I could take up the parasol fashion. You can get the real fancy parasols over here...lots in Australia too all covered with lace and bling. There you go, a new stitching project for you.
as far as i can tell, chris, it's just the level of weirdness of the cells. if they're kind of wonky, they call them abnormal. if they're a little wonkier and look like they might, someday, have turned into cancer, they're precancerous. if they look cancerous but are confined to the skin, that's in situ (the kind of melanoma i had). at least that's the way i understand it.
kim, it's a wonder you didn't slap that young girl for being such a fool. jesus. maybe the numbers support what she's saying, but it's still a stupid argument: you can take vitamin D supplements, but you can't take a supplement that makes melanoma go away. there're numbers. there's logic. and then there's relative risk assessment.
idiot child.
Okay okay...
You think I would learn?
I LOVE BEING IN THE SUN.
I LOVE THE RIVER IN THE SUMMER.
I have the last 2 years decided that sunscreen is my friend. A coverup? I am working on it.
I will try
I will try
I will try..
If I click my heels three times,and wish good things,think I will be okay?
Thanks again for reminder. I really dont care about the tan, its the rays and warmth that move me. (and the fresh air, and river!)
;)
i know, erin--i still get some sun sometimes, very early in the morning or late in the afternoon, just briefly. or through a window--i can't resist, but since i have the tattoos, and since sun wrecks those (turns them green eventually), they're kind of my constant reminder. i've loved the sun all my life.
I like pale. Probably a good thing since I don't much tan, I mostly do the just boiled lobster thing. So much as I like summer I tend to go for the shade.
As for dying, funny I was talking to a friend about that just the other day, I was saying it must be much easier to contemplate if you believe in something. Because even if there we atheists are right, at least you hope there'll be something else.
Good news. My friend who keeps up on such things says they are working on a melanoma vaccine. I am sure going to ask about that when I go in to get my stitches out.
I've had numerous little spots removed and twice had Mohs surgery for carcinoma. You can bet I don't go out in the sun without covering up pretty well.
Coincidentally I just saw my Dermatologist yesterday. See her every 6 months. She's great.
Darla
Thank you for the info about the"ugly duckling moles". About 4 yrs ago I also had the in situ melanoma on my leg ;and eeewww,the size of the hole in my leg they made to make sure they had all of it!! Even though since then I've been back for ckups every 4 mo's, I get crazy watching these other people purposely frying their bodies without a seeming care in the world...With all the slices I've had off me for testing, I've jokingly (& disgustedly) said many times I'M becoming way too hol-y!
I never even got burned or sunned as much as you've done. At 40 now, I too hope I make it to 90 being pale/pasty white> Being pale skin/blonde/etc what could I ever expect anyway??? Bronzed?? Never happened anyway- People, get out your parasols/sunscrns and move your butts to the shade!!! You'll still have a Happy summer, and a healthier skin life! Ciao!
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