Showing posts with label Skin Cancer. Show all posts
Showing posts with label Skin Cancer. Show all posts

Tuesday, July 31, 2012

Hot Fun In the Summertime

When I was young we didn’t have sun screen or sun block. We had sun tan lotion, but that was meant only to minimize burns and help develop tans. It almost never worked to do either. The SPF was probably somewhere in the low single digits. We also didn’t have computers or computer games or video games or social media. For that matter we didn’t even have TV. There were only three TV stations and all they broadcasted during the days were soap operas. So I spent a great deal of my youth, especially through the summers, outdoors: playing baseball, playing golf, swimming, fishing in farm ponds with no shade. And I burned easily and often, my skin pale, my eyes blue. And I’m paying for it now.

For the past 20+ years I’ve been seeing a dermatologist regularly for actinic keratosis, small precancerous skin lesions that need to be burned off with liquid nitrogen before they grow into full-blown cancer. About 10 years ago, my doctor discovered a basal cell carcinoma, the most common non-melanoma cancer, on my upper arm and had to cut it out, cauterize it, and stitch it up. Today, he had to do the same for a squamous cell carcinoma, the second most common skin cancer, that had grown from an undetected actinic keratosis on my cheek. It’s minor surgery, done in-office, and the only pain is the needle injecting the local anesthesia (though the sizzle and smell of my burning flesh during the cauterizing of the wound is a tad disconcerting).

I’m one of those old farts who drive around during the summer feeling nostalgic and sad to see parks and playgrounds devoid of kids out playing baseball, soccer, basketball, kickball – anything. I’m pleased when I see pictures of my young grandkids out in the park on swings and slides or at the zoo or at the pool. But I also know now – as I hope they do – that there are dangers in that wonderful, warming sun, dangers that take years and decades to appear, and then more years and decades to play out.

Sunday, January 15, 2012

Actinic Keratosis

One of the several old man ailments I suffer is actinic keratosis, a small, scaly deformation of the skin, usually the face, arms, or hands that may develop into skin cancer over time. It is caused by having fair skin; long-term, daily sun exposure; multiple severe sunburns when young; and old age – all conditions I can lay claim to. For the past 20-plus years I’ve gone to my dermatologist, Dr. Tom, at least once a year, sometimes twice, to have him search my skin for lesions and burn off those he finds with liquid nitrogen. There’s no pain, a little discomfort, and Dr. Tom and I have a nice chat, he asking me about what I’m teaching (or now how I’m enjoying my retirement) and me asking him how his kids are doing (he has a son in med school who he hopes will take over his practice in a few years). He’s a scuba diver and an amateur underwater photographer, and we’ve talked about the barrier reef off Belize. It’s become a friendly professional relationship. About a dozen years ago Dr. Tom found something more troublesome on my upper right arm than an actinic keratosis – a basal cell carcinoma, the most common form of skin cancer. He was able to dig it out in his office – the thing I recall most vividly was the smell of my burning flesh as he cauterized the wound – and there wasn’t any spread of the cancer found in the biopsy. The only real problem with my actinic keratosis is cosmetic. For a week or so after treatment (burning off with liquid nitrogen), my face sports three or four red scars that resemble war wounds, and people who meet me stop cold and stare as if I have leprosy, asking what in the world has happened. I explain the horror easily enough. It’s just a history of being Irish and fair-skinned, playing baseball shirtless through the summer in the sun when I was young, and growing old.