My Symptoms Of Non Hodgkins Lymphoma
I had a stuffy nose for a few weeks before I went to my Dr. He said it was a sinus infection and put me on antibiotics. Nothing changed, so he tried another round of antibiotics before sending me to an Ear, Nose and Throat specialist. Fortunately this Dr. insisted on a nasal endoscopy which detected the lymphoma.
At first I was diagnosed as Stage 1. Then my oncologist asked me about a large bruise on my leg. I said it was from an injury and that I had showed it to my primary Dr.months before, because it just wouldn’t go away. My oncologist insisted on a biopsy of the area and sure enough it was lymphoma. Because of the locations of the 2 sites, I was now diagnosed at Stage 4.
Except for the stuffy nose I felt great and had no typical symptoms.
I went through 6 rounds of aggressive chemotherapy. I carried a portable pump as I was on chemo 5 days a week/24 hours a day. I was very fortunate. I felt great during chemo except for some fatigue. My scans in July showed no signs of cancer. I do have scans coming up in two weeks, so I am feeling a little anxious, yet hopeful.
Staging For Basal Cell Carcinoma And Squamous Cell Carcinoma Of The Skin Depends On Where The Cancer Formed
Staging for basal cell carcinoma and squamous cell carcinoma of the eyelid is different from staging for basal cell carcinoma and squamous cell carcinoma found on other areas of the head or neck. There is no staging system for basal cell carcinoma or squamous cell carcinoma that is not found on the head or neck.
Surgery to remove the primary tumor and abnormal lymph nodes is done so that tissue samples can be studied under a microscope. This is called pathologic staging and the findings are used for staging as described below. If staging is done before surgery to remove the tumor, it is called clinical staging. The clinical stage may be different from the pathologic stage.
How To Do A Skin Self
You dont need x-rays or blood tests to find skin cancer early just your eyes and a mirror. If you have skin cancer, finding it early is the best way to make sure it can be treated successfully.
Although the American Cancer Society does not have guidelines for the early detection of skin cancer, many doctors recommend checking your own skin regularly, typically once a month.
Regular skin self-exams are especially important for people who are at higher risk of skin cancer, such as people with reduced immunity, people who have had skin cancer before, and people with a strong family history of skin cancer. Talk to your doctor about how often you should examine your skin.
A skin self-exam is best done in a well-lit room in front of a full-length mirror. You can use a hand-held mirror to look at areas that are hard to see, such as the backs of your thighs. A spouse, partner, or close friend or family member may be able to help you with these exams, especially for those hard-to-see areas like your back or scalp.
The first time you examine your skin, spend time carefully going over the entire surface. Learn the pattern of moles, blemishes, freckles, and other marks on your skin so that youll notice any changes next time. Be sure to show your doctor any areas that concern you.
Follow these step-by-step instructions to examine your skin:
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Seek A Definitive Diagnosis Early
You should seek a definitive diagnosis early if any of the following changes occur in your skin:
- You have a new growth or a wound that isnt healing
- Theres a spot on your skin that looks different than everything else
- You notice a change in an existing mole or birthmark
- If you discover an area of skin that scales, bleeds, turns red, or changes in any way
Changes In Your Poo Or Pee
Let your doctor know if youve noticed a change in your bowel habits, have problems peeing, or if theres blood in your pee or poo. A change in bowel habits can include constipation, looser poo or pooing more often. Problems peeing might be needing to go more often or urgently, experiencing pain when peeing, or not being able to go when you need to.
These symptoms can all be caused by conditions other than cancer, but its best to get them checked out.
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How Is Melanoma Diagnosed
If you have a mole or other spot that looks suspicious, your doctor may remove it and look at it under the microscope to see if it contains cancer cells. This is called a biopsy.
After your doctor receives the skin biopsy results showing evidence of melanoma cells, the next step is to determine if the melanoma has spread. This is called staging. Once diagnosed, melanoma will be categorized based on several factors, such as how deeply it has spread and its appearance under the microscope. Tumor thickness is the most important characteristic in predicting outcomes.
Melanomas are grouped into the following stages:
- Stage 0 : The melanoma is only in the top layer of skin .
- Stage I: Low-risk primary melanoma with no evidence of spread. This stage is generally curable with surgery.
- Stage II: Features are present that indicate higher risk of recurrence, but there is no evidence of spread.
- Stage III: The melanoma has spread to nearby lymph nodes or nearby skin.
- Stage IV: The melanoma has spread to more distant lymph nodes or skin or has spread to internal organs.
Certain Factors Affect Prognosis And Treatment Options
The prognosis for squamous cell carcinoma of the skin depends mostly on the following:
- Stage of the cancer.
- Whether the patient is immunosuppressed.
- Whether the patient uses tobacco.
- The patient’s general health.
Treatment options for basal cell carcinoma and squamous cell carcinoma of the skin depend on the following:
- The type of cancer.
- The stage of the cancer, for squamous cell carcinoma.
- The size of the tumor and what part of the body it affects.
- The patients general health.
What Are The Symptoms Of Skin Cancer Of The Head And Neck
Skin cancers usually present as an abnormal growth on the skin. The growth may have the appearance of a wart, crusty spot, ulcer, mole or sore. It may or may not bleed and can be painful. If you have a preexisting mole, any change in the characteristics of this spot – such as a raised or an irregular border, irregular shape, change in color, increase in size, itching or bleeding – are warning signs of melanoma. Sometimes the first sign of melanoma or squamous cell cancer is an enlarged lymph node.
Johns Hopkins Head and Neck Cancer Surgery Specialists
Our head and neck surgeons and speech language pathologists take a proactive approach to cancer treatment. Meet the Johns Hopkins specialists who will work closely with you during your journey.
How Are Tumors Excised From Complex Areas
Excision of tumors on some parts of the body can be tricky. Tricky areas include the face, ear, scalp, sole of the foot, fingers, and toes. If tumors are excised from these areas, it may not be possible to stretch the skin over the site to close it. Special repairs may be needed.1 Examples of repair procedures are skin grafts or flaps. Margins in these areas may be smaller.3
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Tips For Screening Moles For Cancer
Examine your skin on a regular basis. A common location for melanoma in men is on the back, and in women, the lower leg. But check your entire body for moles or suspicious spots once a month. Start at your head and work your way down. Check the “hidden” areas: between fingers and toes, the groin, soles of the feet, the backs of the knees. Check your scalp and neck for moles. Use a handheld mirror or ask a family member to help you look at these areas. Be especially suspicious of a new mole. Take a photo of moles and date it to help you monitor them for change. Pay special attention to moles if you’re a teen, pregnant, or going through menopause, times when your hormones may be surging.
Skin Cancer Is Easy To Self
One in five Americans is expected to develop skin cancer in their lifetime. Anyone can get it, regardless of skin color, age or gender.
Fortunately, skin cancer is one of the easiest of all cancers to diagnose. Further, if it is found early, it is relatively easy to treat. Because they are almost always visible on the skin, if the person is looking for changes, they are likely to find a skin cancer early.
The moral of the story: do self-examinations of your skin monthly.
Skin cancer can occur anywhere on the body, so be thorough. Check the nails, between the toes, and inside your mouth. Use a hand mirror to check hard to see areas, including your back and private places. When shampooing, feel around the scalp and glimpse through the hair.
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How To Check Your Skin
- Make sure you check your entire body, as skin cancers can sometimes occur on parts of the body that are not exposed to the sun, such as the soles of the feet, between fingers and toes and under nails.
- Undress completely and make sure you have good light.
- Use a mirror to check hard to see spots, like your back and scalp, or get a family member, partner or friend to check for you.
Seek Comprehensive Care If Your Skin Cancer Is Complicated To Treat
Complicated skin cancer may require the expertise of multiple specialists. Plastic surgeons may get involved when the cosmetic challenges are significant. An ocular surgeon or an oculoplastic specialist may be needed if you have an especially difficult-to-treat skin cancer close to the eye. A head and neck surgeon may join your care team if there is nerve involvement or if the cancer is too extensive for local anesthesia.
The beauty of a comprehensive cancer center like MSK is that the expertise is all here, says Dr. Lee. We have a multidisciplinary program especially for people with complex skin cancer. You can usually see all of your doctors on the same day and in the same location. The dermatology team works with you to coordinate your appointments with your schedule.
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Less Common Skin Cancers
Uncommon types of skin cancer include Kaposi’s sarcoma, mainly seen in people with weakened immune systems sebaceous gland carcinoma, an aggressive cancer originating in the oil glands in the skin and Merkel cell carcinoma, which is usually found on sun-exposed areas on the head, neck, arms, and legs but often spreads to other parts of the body.
Melanoma Can Be Tricky
Identifying a potential skin cancer is not easy, and not all melanomas follow the rules. Melanomas come in many forms and may display none of the typical warning signs.
Its also important to note that about 20 to 30 percent of melanomas develop in existing moles, while 70 to 80 percent arise on seemingly normal skin.
Amelanotic melanomas are missing the dark pigment melanin that gives most moles their color. Amelanotic melanomas may be pinkish, reddish, white, the color of your skin or even clear and colorless, making them difficult to recognize.
Acral lentiginous melanoma, the most common form of melanoma found in people of color, often appears in hard-to-spot places, including under the fingernails or toenails, on the palms of the hands or soles of the feet.
The takeaway: Be watchful for any new mole or freckle that arises on your skin, a sore or spot that does not heal, any existing mole that starts changing or any spot, mole or lesion that looks unusual.
Acral lentiginous melanoma is the most common melanoma found in people of color.
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There Are Three Ways That Cancer Spreads In The Body
- Tissue. The cancer spreads from where it began by growing into nearby areas.
- Lymph system. The cancer spreads from where it began by getting into the lymph system. The cancer travels through the lymph vessels to other parts of the body.
- Blood. The cancer spreads from where it began by getting into the blood. The cancer travels through the blood vessels to other parts of the body.
How Is Elliptical Excision Performed
Elliptical excision is the most common way to excise a tumor.1 Your dermatologist will draw the margin around the tumor. For a low-risk non-melanoma skin cancer, the margin may be as narrow as 4 millimeters . For a thick melanoma, the margin may be as wide as 2 centimeters .2,3 If you had an excisional biopsy, your doctor will mark the margins from the biopsy scar.1
Your dermatologist will cut an elliptical shape around the margin. An elliptical cut removes more skin than a circle would but results in a better-looking scar.4 Your doctor will close the incision with stitches. The scar will look like a thin, flat line.4
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How Is Skin Cancer Of The Head And Neck Diagnosed
Diagnosis is made by clinical exam and a biopsy. Basal cell and squamous cell cancers are staged by size and extent of growth. Basal cell cancers rarely metastasize to lymph nodes, but they can grow quite large and invade local structures. Squamous cell cancers have a much higher incidence of lymph node involvement in the neck and parotid gland and can spread along nerves.
Melanoma is staged, based not on size but on how deeply it invades the skin layers. Therefore, a superficial or shave biopsy will not provide accurate staging information used to guide treatment. Melanomas can have a very unpredictable course and may spread to distant organs. Melanomas with intermediate thickness often require sentinel node biopsy, a surgical procedure performed by a head and neck surgeon, to determine if microscopic spreading to lymph nodes has occurred.
What Happens During Mohs Surgery
Youre fully awake during the surgery and we explain the procedure and the involved steps in detail, Dr. Knackstedt says.
First the site of the cancer is numbed, then the doctor quickly removes the cancerous tissue and a bit of the surrounding tissue. The area is mapped, and the tissues and margins examined microscopically by the doctor for cancer, all while you wait in the doctors office.
During the tissue examination, theres lots of downtime during which you can relax, Dr. Knackstedt says. He recommends that patients bring a book or electronic device to pass the time.
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What Is My Skin Type
Skin types that are more sensitive to ultraviolet radiation burn more quickly and are at a greater risk of skin cancer.
All skin types can be damaged by too much UV radiation. Skin types that are more sensitive to UV radiation burn more quickly and are at a greater risk of skin cancer.
People with naturally very dark skin still need to take care in the sun even though they may rarely, if ever, get sunburnt. The larger amount of melanin in very dark skin provides natural protection from UV radiation. This means the risk of skin cancer is lower.
Eye damage can occur regardless of skin type. High levels of UV radiation have also been linked to harmful effects on the immune system.
Vitamin D deficiency may be a greater health concern for people with naturally very dark skin, as it is more difficult for people with this skin type to make vitamin D.
When Is A Mole A Problem
A mole is a benign growth of melanocytes, cells that gives skin its color. Although very few moles become cancer, abnormal or atypical moles can develop into melanoma over time. “Normal” moles can appear flat or raised or may begin flat and become raised over time. The surface is typically smooth. Moles that may have changed into skin cancer are often irregularly shaped, contain many colors, and are larger than the size of a pencil eraser. Most moles develop in youth or young adulthood. It’s unusual to acquire a mole in the adult years.
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How Do You Know If A Spot Is Skin Cancer
You can also read our guide on how to check your skin regularly, if you want to learn more about how to form a skin checking routine for yourself.
What Should I Look For
Not all skin cancers look the same. In fact, skin cancers can show up in many shapes and sizes. Sometimes they might even look like other skin conditions. Many skin cancers are more common on parts of the body that tend to get more sun, such as the face, head, neck, and arms. But skin cancers can occur anywhere on the body.
Some of the more common ways in which skin cancers can appear include:
- A new, expanding, or changing growth, spot, or bump on the skin
- A sore that bleeds and/or doesnt heal after several weeks
- A rough or scaly red patch, which might crust or bleed
- A wart-like growth
- A mole thats new or changing in size, shape, or color
- A mole with an odd shape, irregular borders, or areas of different colors
But its important to understand that these are not the only ways skin cancer can appear. To learn more about what skin cancer might look like, see:
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