← Return to Hyperkeratotic "growth" at Mohs surgical site


Hyperkeratotic "growth" at Mohs surgical site

Skin Health | Last Active: Jul 15, 2022 | Replies (7)

Comment receiving replies

Hi Faye, I can appreciate your “oh, no!” reaction to your dermatologist’s proposal to do repeat skin surgery on the same spot. I had Moh’s surgery in February on two spots on my ankle and shin. The ten weeks of follow-up, twice-a-day changes of the bandages is a pain in the neck. But a lesser pain than the melanoma that eventually took my husband’s life. Within 10 years of surgery for the proverbial, “pencil-eraser” sized spot on his neck, his melanoma returned internally, and he didn’t have a chance the second time. Things I found helpful: Running soapy water over the wound site daily, to help shed the detritis, then rinsing and patting dry. Bandaging with a breathable, non-stick Telfa pad cut-to-size and held on by paper tape in order to allow a bit of air circulation. Follow-up cream to calm and moisturize the wound after the bandaging ends. Ask your doctor for recommendations on the type of cream. Also ask if it might speed healing to do a few arm exercises or a little gentle massage outside the bandaged area. These last two are to improve circulation.
I’m now in a holding pattern. After my Moh’s sites healed I did 5 weeks of Flourouracil, a do-it-yourself chemo ointment, on the remaining spots on my shins and ankles. Then I applied a prescription steroid ointment for two weeks to calm the angry areas left by the Flourouracil. My doctor has granted me a vacation from treatment over the summer. In September I will return to her for further evaluation. I anticipate a few more biopsies then.
Good luck. Sending up a prayer for healing, patience and optimism for you. - Jean

Jump to this post

Replies to "Hi Faye, I can appreciate your “oh, no!” reaction to your dermatologist’s proposal to do repeat..."

@jnb I'm sorry for your loss. That must be devastating, but know that you are so appreciated here and doing good by sharing your experience and helping others. Talking openly about cancer saves lives when we encourage others to take action on screenings, prevention, and advocating for themselves and family members. You are a real asset to the community.

I wanted to share with you that at the time my husband was undergoing his melanoma removal surgery at Northwestern, they were doing a study about using immunotherapy sooner for a stage 2 melanoma cancer. My husband's was stage 2a that had broken through the skin. He didn't participate because of a long drive into Chicago in crazy traffic and needing to work, but the results are that doing the standard immunotherapy for a stage 3 reduces the risk of cancer re-occurrence if done at stage 2 I think by about 25% if I remember correctly. I wasn't sure what type of cancer you had, but wanted to share that news.

There is also a genetic test from Castle labs that Northwestern did at no cost to us even though insurance wouldn't cover it. This gives a rating for cancer risks for certain types of cancer. My husband's risk is high. His surgical oncologist will follow his care for 10 years.

We also both had colonoscopies this week, and my hubby had a lot of polyps removed. I had one. We are going to need to be more vigilant about doing those too because you prevent cancer by removing the precancerous type.

Keep asking questions of your doctors. Thanks for your tips on healing.