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Old 02-02-2009, 05:50 AM   #1
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Squamous cell cancer on my face

I had what I thought was a pimple on my face but it wouldn't go away and actually at my age I dont get them often. It grew fairly fast so I had it removed. They thought it was a basal cell but it came back as squamous cell and the margins aren't clean. I was shocked.

So tomorrow I see a dermatologist. I am worried because just taking out the first growth caused me a lot of facial nerve pain because it was on my temple. What can I expect next? I realize they will have to cut out more but how much. It is on my face! Also I have about 3 other areas that are suspicious and they aren't close to each other, is that bad. Any information will be appreciated. I am nervous.

 
Old 02-02-2009, 06:34 AM   #2
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Re: Squamous cell cancer on my face

How long has it been there? Please let us know what your derm says.

I also am seeing a Derm tomorrow for a Squamous cell Carcinoma...I have have been reading and reading about it. Mine is genital and also related to Bowen's disease. I understand I will have a thorough skin search and CT scan tomorrow. If you want to go to my Post and read some responses it is called Bowen's Disease. Mine was a flat lavender spot, did not hurt, itch or bother me in anyway. Just noticed a discoloration.

I am 55. Melanoma and Bowen's disease are in my family. My dad and brother both had melanoma. My Dad also had Bowen's. Plus I grew up on the beach in So California so I had way too much sun until I was in my 30's. I also have an autoimmune disease Hashimoto's thyroid disease with thyroid nodules. Just mentioning this incase there is a connection.

Mine was on the inside of labia. Most information on that type is connected to HPV virus which I am negative for. Needless to say I have learned alot. I

They do not mention the margins in my report which really worries me. Hello? I hope the Pathologist knew what he was doing....they took a quarter sized area out.

Good luck tomorrow....Oleander

 
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Old 02-02-2009, 08:14 AM   #3
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Re: Squamous cell cancer on my face

I had the sore about 3 weeks. It was 6mm when I had it removed. I felt silly going to the doc's and expected it to be nothing, wrong. The report said poorly differentiated with the margins not clean. I know enough to be concerned. And although I am not a beauty queen the though of them taking a huge hunk out of my face doesn't thrill me. I work with the public after all. I am trying to stay calm and wait until I see the doc but it does keep invading your thoughts. Especially since I had wrist surgery on Wed. for something unrelated and they found a mass in my muscle they thought looked weird so they took it out and sent it to be biopsied. Well find out more tomorrow

Last edited by Mod-S4; 05-23-2010 at 12:33 PM.

 
Old 02-02-2009, 08:45 AM   #4
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Re: Squamous cell cancer on my face

You and I have much in common. Let me know what they Doctor says tomorrow. After my biopsy my lymphnodes swelled in my groin, underarm and necks......I also started coughing so my mind ran wild.

Aquaphor ointment does wonders for scars..I used it after a serious car accident. The PS that stitched up my face told me to use it.

My appt is late afternoon

The best of luck to you....

Oleander

 
Old 02-02-2009, 09:27 AM   #5
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Re: Squamous cell cancer on my face

I had a melanoma not squamous cell, but I do understand that with squamous cell there can be quite a bit of skin removed - just as with melanoma. And I realize that when one's face is involved it can be quite traumatizing! (beauty queen or no!) I've talked to people who had squamous and basal cell cancers on their faces and had quite a bit of their facial skin removed - including noses - and the reconstructive surgery is simply amazing. Typically, your surgeon will work closely with a plastic surgeon to reduce scarring and/or reconstruct facial tissue. I would suggest if you have any questions or fears regarding this, to talk to your doctor. Don't be fearful of thinking your vain! This is huge for a lot of people! Yes, you are certainly concerned about your life, who isn't? But doctors are also sensitive when it comes to patient's faces.

 
Old 02-02-2009, 12:03 PM   #6
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Re: Squamous cell cancer on my face

Thank you. I had heard that some insurances don't pay for plastic surgery as it is considered cosmetic. Anyone have any problems with that. I couldn't pay out of pocket if it was a large amount.

 
Old 02-02-2009, 03:26 PM   #7
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Re: Squamous cell cancer on my face

I believe the old thought process was: Be thankful you're still alive - who really cares if you look like Quasimoto?? However, any more the attitude seems to be that this is not cosmetic surgery, but reconstructive surgery - there is a difference. Engaging the services of a plastic surgeon to perform facial reconstruction to alleviate disfiguring scarring or surgically restoring such an item parts of a nose, is not on the same level as a woman who wishes to have breast augmentation because, well, she wants to fill out a sweater. Every insurance is different, and you would need to check with yours, but I really doubt they would consider facial reconstruction the same as a cosmetic tummy tuck.

As an example, my mother was diagnosed with breast cancer 7 years ago in her late 60s. She opted for a bi-lateral mastectomy. Breast reconstruction was assumed, although she could have opted out of it, had she wished to do so. So, it is now more the norm than the exception, and insurance companies have come to realize this.

 
Old 02-03-2009, 01:59 PM   #8
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Re: Squamous cell cancer on my face

I just got back from the dermatologist. He read the report and it said "well differentiated squamous cell carcinoma, keratoacanthoma variant. The margin that wasn't clean was at the bottom which is bad because where it is at on my temple the nerves are so close and he would have to go deeper into the fat. The problem is it can spread to my nerves and since I am having some nerve issues like pain and numbness on my cheek and some sharp occasional stabbing pain on my head it might have already spread along the nerve pathway.

So, he is sending me to a plastic surgeon to have her do the Mohr surgery. I looked it up the way it was worded and that doesn't sound to bad but obviously the spreading doesn't sound good. And since I am already off for a different surgery I am hoping it will be soon. He says as fast as it grows it hopefully will be. And maybe she will be alittle easier on the old face.

Does anyone else on the boards have anything like this? I still am having a hard time not believing this isn't just a bad dream, that I will wake up any day. In the mean time it is still in there growing away.

 
Old 02-03-2009, 05:23 PM   #9
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Re: Squamous cell cancer on my face

I am so sorry. It sounds like you have a plan......I wish I could make you feel better. See my post from today. Oleander

 
Old 02-08-2009, 10:59 AM   #10
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Re: Squamous cell cancer on my face

I am still waiting to see the plastic surgeon. I couldn't get in until Wed. and then it isn't for surgery, it is just to see me. I am hoping she isn't scheduled for months and I can just get this thing cut out. If she can't get me in soon I will go to the doc out of town. It is more out of pocket but he can get it out sooner.

My scar on my face seems to be growing a new area on it already and I am having some crawling sensation on my cheek and my eye keeps twitching. I feel like I need to get this out rapidly especially considering how fast it grew originally. You feel like your at the mercy of the docs and insurance company and your life is at stake.

I have been trying to just go on with life and not think about it but every weird thing in my face now makes me nervous. I can't wait until I am cancer free.

 
Old 02-08-2009, 11:48 AM   #11
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Re: Squamous cell cancer on my face

TeaPotlady,

You will feel better when you know it is off and margins are clear........Trying to stay positive and go about daily life is easier said than done. Alls you can do is try your best not to worry.

Hopefully they will not wait long to get this taken care of for you.

I have been using visualization to help myself relax. I imagine healing cells replacing the cancer cells.....makes me feel better.

You are in my thoughts and prayers.........Oleander

 
Old 02-15-2009, 10:08 AM   #12
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Re: Squamous cell cancer on my face

I saw the plastic surgeon that will do my surgery. Of course nothing is getting done fast enough to make me happy, but at least I do have a date. For sure I will have it out on 3/3 but they have had a no show for the 24th and I may be able to take her spot. Her regular nurse who does scheduling is on vacation until Tuesday so she may be able to get me in sooner then that even and if anyone cancels I get there spot.

The doctor explained how they go about removing it. Since it is directly lateral to the corner of my eye the have to watch the nerve that would raise my eyebrow. It could be affected either by the surgery or the cancer. They will do the usual removal, take a little, look at it in the path lab, take more if necessary. She said worse case is they can't get it all and send me to a specialist in Omaha, best case she gets it right away first cut.

I asked not to be put under even though it could be a long surgery. I just had surgery 2 weeks ago and don't want to go through the anesthesia again plus I had an allergic reaction to sutures so that is good to know now, they won't use them this time.

so it boils down to I could go for surgery anytime from this monday on. She says it needs to come out fast, but that is 3 more weeks if I go to the latest date. And it has been a month since they took the first part out. And a month and a half since I first noticed it. I wonder how much more it has grown in all this time. And if it has spread would it have if I could have gotten it out right away? questions questions.

I do like the plastic surgeon though.

 
Old 02-15-2009, 03:54 PM   #13
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Re: Squamous cell cancer on my face

I am wishing you the best and I know you will do very well. I am not big on anesthesia either but sometimes it is necessary.

I remember when my Dad had a melanoma removed under his eye..there were many concerns but it all came out just fine and never returned.

I wrote back to you where you responded today to my on my post. Thank you so much. I have you in my thougths and prayers.

Hopefully you can get in sooner. You go on 3/3 and I go on 3/4. The waiting is hard.

Good luck to you !!!! You are going to do great. How are you feeling? Oleander

 
Old 02-18-2009, 06:54 PM   #14
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Re: Squamous cell cancer on my face

The doctor called today and they have moved the surgery up to the 24th. I will be so happy to have this over with.

 
Old 02-18-2009, 07:14 PM   #15
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Re: Squamous cell cancer on my face

Hurray !!!! That is great news......only 5 days away. Oleander

 
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