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Basal Cell Carcinoma on Leg

Skin Health | Last Active: Dec 18, 2023 | Replies (41)

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@jnb

After three biopsies my dermatologist performed Moh’s surgery on two scabby squamous-cell skin bumps on my shins. It took 40 days from the surgery until my scabs fell off. I thought she might then do more biopsies on other bumps and scabs that have popped up on my lower legs over the past year. Instead she has prescribed a what I would call do-it-yourself chemotherapy. I am to use a cream called flourouracil twice a day for four to six weeks. What should I expect as I use it? I’m ten days into the regimen. Angry red areas have grown larger around some bumps. Bumps become more raised and more scabby. They sometimes itch and other times burn. Should I apply the cream only to raised scabs or also to flat, brown skin discolorations? It is expensive, and one tube has been lasting me ten days.

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Replies to "After three biopsies my dermatologist performed Moh’s surgery on two scabby squamous-cell skin bumps on my..."

@jnb Ah, flourouracil! I have used it, also! I am subject to skin cancers, and have have basal cell, squamous, amelanotic [uncolored] melanoma, and nodular basal cell.

The first time I used flourouracil, my face broke out like you are describing. remember, it takes a very little of this cream to use. Fortunately I was able to get in to see the PA at my dermatologist's office. The reaction you are seeing is the medication working on an area that needs to be addressed. More than likely you will experience these symptoms for the first few weeks, then they will simmer down and go away.

As far as where to apply it, that is your doctor's decision. What did they say on the label? When my face broke out, it was explained that even if I applied it only to areas of question that I could see, there would be a response from any place on my face that needed the medication.

I hope this relieves some of the anxiety you might be feeling?
Ginger