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Squamous cell cancer

Skin Health | Last Active: Jul 7, 2023 | Replies (34)

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@nonobaddog

I have had quite a few squamous cell carcinomas and basal cell carcinomas. These are the "good kind" of skin cancers with melanoma being the "bad kind". 'Quite a few', in my case, means about a dozen surgical removals, some of which were Mohs surgery and some just plain depending on location. I have had many dozens of smaller spots frozen with liquid nitrogen. Unfortunately this is not extremely rare to have many spots of these cancers. I have known people with just as many or more than me.
In general most of these types of cancer are slow growing and most of them are not very invasive. However there are exceptions. It has been best for me to get these removed surgically fairly soon after they are identified but no real urgency or panic. It has been best to go in once or twice a year to have all of my skin visually checked by a dermatologist. They know what looks suspicious and they are able to identify the little spots for freezing before they get big enough to require surgery.
The only thing that bugs me is when I get a bigger spot that looks just like previous spots that were cancer and required surgery. This new spot to me is obviously cancer and needs to be removed but they still insist on doing a biopsy to verify it. This is great for insurance purposes but it sucks for the patient. I have to heal from the biopsy which confirms it is cancer and then schedule the surgery to remove it and then I have to heal again from the surgery. And healing from the biopsy is usually worse than healing from the surgery. This does not seem necessary to me when it should be possible, given my history, for the dermatologist to identify the cancer with enough confidence to go straight to the removal. They could do pathology then to confirm it is cancer for insurance purposes.

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Replies to "I have had quite a few squamous cell carcinomas and basal cell carcinomas. These are the..."

I have asked this very question, since I also have had many basal and squamous cell skin cancers in my lifetime. Even, why do the surgery if the biopsy got it? It is all because of the medical protocol and liability. They have to "prove" to the insurance companies that it is cancerous or they won't pay for it, hence the biopsy. What bothers me the most about the whole thing is when doctors make a decision about what is the best way to remove a spot and don't give you a choice. I had a squamous cell on my left lower leg and the dermatologist said I don't need Moh's surgery. It left a huge (baseball size) scar on my lower leg that will never fade. I have even tried prescription bleaching cream. It got infected and it has been a long process to get it healed. I changed doctors, told the first one my results and heard nothing. She obviously didn't care. Please, learn from my experience! If you have anything to be removed on your legs, have Moh's surgery or be ready for a huge scar. Legs take forever to heal!

I am having the same issues. I have had 5 squamous cell spots removed by Mohs Surgery, only after being biopsied. I now have three spots that have reappeared at the spot of the surgeries and have had them biopsied. I have been referred to another dermatologist, but have to wait a month and a half to get in. They have told me that mine are aggresive and I have a terrible time waiting in limbo!