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Archive for March, 2017

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So the compliments keep coming…

Thursday, March 23rd, 2017

I keep getting told that “you look good ” “you changed your hair”. No, but thank you! My brows are lifted! I must’ve really needed that laser eye lift!

It was a pleasant surprise to get an update on my review paper of metastatic squamous cell carcinoma which was published 7 years ago. It has been cited by 135 other articles! Ask me how we can prevent this situation. It is not common but unfortunately, there are at least a few people with it every year. It’s very rare that women get them, but last year I did see the second woman of my career that had a SCC spread to her lymph nodes. The first patient I had met was mismanaged by a medical group in town and had her tumor treated numerous times without cure. She couldn’t talk or swallow by the time she met me. It was too late. The second lady had let the tumor grow too long and just had some bad luck.

Typically, the average SCC that spreads to the lymph nodes in my practice is an older white male who has had previous treatment of the lesion with radiation or liquid nitrogen. Size of the tumor, aggressive pathology, a delay of treatment and location on the upper half of the head or back of the hand are higher risk factors in my experience, and is backed up by research.

There are ways of avoiding this situation! Mainly, wear a hat and a zinc oxide-based sunblock such as Verdure. Get frequent exams and examine your own skin by looking and feeling. Talk to me about options for treating precancers that we can’t even see or may be too numerous to treat. And most of all, don’t delay seeking help.

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