Skin squamous cell carcinoma (recurring)

Posted by annabach @annabach, Jul 2, 2023

Anyone else battled on-going outbreaks of squamous cell cancers? I have had dozens on my legs in the last two years. One required a swim graft. Three were MOHS procedures. A dozen were excisions with sutures. The rest were small and frozen. I just had an aggressive one removed the had quickly extended all the way to muscle. Who did you see? Are there other treatment options besides continued surgeries? I have at least six more that have popped up in the last week. It feels as though this will never end!

Interested in more discussions like this? Go to the Cancer Support Group.

Hello, my husband recently was told that a spot that was removed on his face is squamous cell carcinoma. His doctor said that she wants to treat it with a medicine that's a lotion that he will need to use once the lesion scabs up and comes off.

We're definitely scared about this finding and are wondering why she would not just remove the SCC altogether. Is it normal to just try and treat it with a lotion medicine? We're concerned that maybe it's an insurance issue and that they are just putting off doing a procedure. Also, she said to use the lotion and that she will not be able to see him until February.

We're thinking she didn't want him to go to another doctor and is using the lotion as a "bandaid" until she can see him in February.

Should we get another opinion or is this normal since it's the first time he's been diagnosed with this.

FYI, his mother said that she's had a few of these and they had all been removed by her doctor. His father and grandfather also had these in the past, so maybe genetic?

Thank you!

REPLY
@angiekasprzak

I recently had a squamous cell, along with 2 basal cells, found on my right calf. And then a month later had a squamous cell on my left calf, Both squamous cells were removed by surgery. I have had a mixture of around 12, squamous cells and basal cell spots found on my body over the years, I am now 55 years old.

Jump to this post

angiekasprzak, I do not know your age but told that MOST skin cancer is caused by sun damage we received some 20-30 years ago along with accumulation of sun recently.

I have had a lot of basal cell and squamous cancer removed. I have always used the MOHS surgery to cure them. This last one I had removed in September required 6 stitches and was the worst one yet.

The last one was NOT in a sun damaged area. I was told squamous cell caner can be caused by many other things. HPV, damage to skin, injuries can develop into squamous cancer. So what that meant to me was to monitor all skin locations not those I know were exposed to sun over decades.

My issues with the skin cancer started later in life with most of my surgeries in my 70s. I am 76.

REPLY
@fhusereau

Hello, my husband recently was told that a spot that was removed on his face is squamous cell carcinoma. His doctor said that she wants to treat it with a medicine that's a lotion that he will need to use once the lesion scabs up and comes off.

We're definitely scared about this finding and are wondering why she would not just remove the SCC altogether. Is it normal to just try and treat it with a lotion medicine? We're concerned that maybe it's an insurance issue and that they are just putting off doing a procedure. Also, she said to use the lotion and that she will not be able to see him until February.

We're thinking she didn't want him to go to another doctor and is using the lotion as a "bandaid" until she can see him in February.

Should we get another opinion or is this normal since it's the first time he's been diagnosed with this.

FYI, his mother said that she's had a few of these and they had all been removed by her doctor. His father and grandfather also had these in the past, so maybe genetic?

Thank you!

Jump to this post

I get my dermatology care from Mayo Clinic since 2006. Every time I have a biopsy and comes back skin cancer I am given several options for treating it along with the success of each and the complications of each.

Thus my dermatologist is very informative and I have chosen MOHS surgery every time. MOHS surgery is not painful after pain medication injected. What it does is take skin off around the biopsy and see if all has been removed as they go beyond the biopsy area. The removed skin is then sent to pathology who examines it.

If there are any signs of cancer the surgeon comes back and remove more of the skin and pathology examines again. The process continues until all the cancer is removed. It a curative surgery.

Mayo cancer surgeons are very specialized especially the MOHS surgeons. I would definitely get a second opinion and options for treated it. I was given the lotion, freezing, and other options along with MOHS both my dermatologist and I agreed on MOHS as you do NOT leave the operating room until all the cancer is removed and no other treatment is need other than (the last one I had had to have stitches) wound monitoring.

REPLY
@jc76

I get my dermatology care from Mayo Clinic since 2006. Every time I have a biopsy and comes back skin cancer I am given several options for treating it along with the success of each and the complications of each.

Thus my dermatologist is very informative and I have chosen MOHS surgery every time. MOHS surgery is not painful after pain medication injected. What it does is take skin off around the biopsy and see if all has been removed as they go beyond the biopsy area. The removed skin is then sent to pathology who examines it.

If there are any signs of cancer the surgeon comes back and remove more of the skin and pathology examines again. The process continues until all the cancer is removed. It a curative surgery.

Mayo cancer surgeons are very specialized especially the MOHS surgeons. I would definitely get a second opinion and options for treated it. I was given the lotion, freezing, and other options along with MOHS both my dermatologist and I agreed on MOHS as you do NOT leave the operating room until all the cancer is removed and no other treatment is need other than (the last one I had had to have stitches) wound monitoring.

Jump to this post

Thank you for the information. I have a call into his doctor now to discuss this. I appreciate your reply so quickly.

REPLY
@fhusereau

Hello, my husband recently was told that a spot that was removed on his face is squamous cell carcinoma. His doctor said that she wants to treat it with a medicine that's a lotion that he will need to use once the lesion scabs up and comes off.

We're definitely scared about this finding and are wondering why she would not just remove the SCC altogether. Is it normal to just try and treat it with a lotion medicine? We're concerned that maybe it's an insurance issue and that they are just putting off doing a procedure. Also, she said to use the lotion and that she will not be able to see him until February.

We're thinking she didn't want him to go to another doctor and is using the lotion as a "bandaid" until she can see him in February.

Should we get another opinion or is this normal since it's the first time he's been diagnosed with this.

FYI, his mother said that she's had a few of these and they had all been removed by her doctor. His father and grandfather also had these in the past, so maybe genetic?

Thank you!

Jump to this post

I've had many squamous cell cancers removed with the lotions. They typically have 2 you apply together a couple time daily. I've also had a few incised out including melanoma. In my cae the lotions worked fine.

REPLY
@fhusereau

Hello, my husband recently was told that a spot that was removed on his face is squamous cell carcinoma. His doctor said that she wants to treat it with a medicine that's a lotion that he will need to use once the lesion scabs up and comes off.

We're definitely scared about this finding and are wondering why she would not just remove the SCC altogether. Is it normal to just try and treat it with a lotion medicine? We're concerned that maybe it's an insurance issue and that they are just putting off doing a procedure. Also, she said to use the lotion and that she will not be able to see him until February.

We're thinking she didn't want him to go to another doctor and is using the lotion as a "bandaid" until she can see him in February.

Should we get another opinion or is this normal since it's the first time he's been diagnosed with this.

FYI, his mother said that she's had a few of these and they had all been removed by her doctor. His father and grandfather also had these in the past, so maybe genetic?

Thank you!

Jump to this post

@fhusereau Welcome to Mayo Clinic Connect. As you can see, several of us have had differing experiences.

One thing to consider is where the SCC is on his face? From Moffitt Cancer Center, here is an article that speaks about different types of SCC: https://www.moffitt.org/cancers/squamous-cell-carcinoma/diagnosis/types/

I have had MOHS for SCC, and also the lotion you speak of. I trust my dermatologist to know which is the best course of action based on what cancer I have. In fact, tomorrow I have MOHS scheduled for nodular basal cell cancer on the side of my nose.
Ginger

REPLY
@fhusereau

Hello, my husband recently was told that a spot that was removed on his face is squamous cell carcinoma. His doctor said that she wants to treat it with a medicine that's a lotion that he will need to use once the lesion scabs up and comes off.

We're definitely scared about this finding and are wondering why she would not just remove the SCC altogether. Is it normal to just try and treat it with a lotion medicine? We're concerned that maybe it's an insurance issue and that they are just putting off doing a procedure. Also, she said to use the lotion and that she will not be able to see him until February.

We're thinking she didn't want him to go to another doctor and is using the lotion as a "bandaid" until she can see him in February.

Should we get another opinion or is this normal since it's the first time he's been diagnosed with this.

FYI, his mother said that she's had a few of these and they had all been removed by her doctor. His father and grandfather also had these in the past, so maybe genetic?

Thank you!

Jump to this post

The cream they are talking about is most likely Efudex. Brand name is Fluorouracil. I used it a couple times to treat pre cancer areas 9n my face.

REPLY
@eileen11108

The cream they are talking about is most likely Efudex. Brand name is Fluorouracil. I used it a couple times to treat pre cancer areas 9n my face.

Jump to this post

Sorry, Efudex is the brand name.

REPLY
@jc76

angiekasprzak, I do not know your age but told that MOST skin cancer is caused by sun damage we received some 20-30 years ago along with accumulation of sun recently.

I have had a lot of basal cell and squamous cancer removed. I have always used the MOHS surgery to cure them. This last one I had removed in September required 6 stitches and was the worst one yet.

The last one was NOT in a sun damaged area. I was told squamous cell caner can be caused by many other things. HPV, damage to skin, injuries can develop into squamous cancer. So what that meant to me was to monitor all skin locations not those I know were exposed to sun over decades.

My issues with the skin cancer started later in life with most of my surgeries in my 70s. I am 76.

Jump to this post

I am 55 years old, and I used to love to sunbathe and use tanning booths, and skin cancer runs in my family. When I was younger my grandmother cautioned me about 'baking' in the sun (when I used to layout on her patio [in Redondo Beach, Ca]), but as a youth I felt invincible, and now I am seeing all the repercussions of my actions:(.
I have had many injuries and broken bones, as well as many surgeries, and I do see skin cancers prevalent in those areas, as you had mentioned.

REPLY
@jc76

I get my dermatology care from Mayo Clinic since 2006. Every time I have a biopsy and comes back skin cancer I am given several options for treating it along with the success of each and the complications of each.

Thus my dermatologist is very informative and I have chosen MOHS surgery every time. MOHS surgery is not painful after pain medication injected. What it does is take skin off around the biopsy and see if all has been removed as they go beyond the biopsy area. The removed skin is then sent to pathology who examines it.

If there are any signs of cancer the surgeon comes back and remove more of the skin and pathology examines again. The process continues until all the cancer is removed. It a curative surgery.

Mayo cancer surgeons are very specialized especially the MOHS surgeons. I would definitely get a second opinion and options for treated it. I was given the lotion, freezing, and other options along with MOHS both my dermatologist and I agreed on MOHS as you do NOT leave the operating room until all the cancer is removed and no other treatment is need other than (the last one I had had to have stitches) wound monitoring.

Jump to this post

I have posted before that I am 72, and was in the sun alot in Miami, FL with blond hair, blue eyes, fair skin. 5 years ago, I began getting SCC, and have had multiple surgeries on arms and legs. This year I have had 8 surgeries, and now I am also getting reactive Squamous in the scar. The dr recommended doing a shave biopsy (which is a deeper biopsy) when I get a squamous.
With that said, I have gotton 2 more reactive SQ with the shave removal.

Last week I went to the University of Miami, and she recommended doing a "Cryotherapy-Enhanced Treatment of Squamous Cell Carcinoma".... this is due to the fact that within the last 2 weeks, 7 more Squamous's have appeared on my legs.
Has anyone heard of this????? What are your thoughts/opinions.
I am going there to start this tomorrow, and this treatment will last 4-6 weeks.

REPLY
Please sign in or register to post a reply.