Recently it was discovered that I had BCC (Basal Cell skin Cancer) on my left cheek. Our initial thought was to have it removed while we were home for Christmas. However, we have a very talented South African plastic surgeon on board who confirmed the diagnosis and recommended surgery now, as opposed to waiting any longer. My initial appointment was on a Tuesday morning and Dr. Tertius performed the surgery the next day after his surgical schedule was finished for the day.
So I donned a pair of scrubs, cap and booties and was escorted to operating theatre number 3 by a wonderful nurse named Mel from Australia. Once I signed a medical release form I was ready to climb on to the table and start the procedure. Dr. Tertius explained everything as he went and other than the fact that we are dealing with cancer here, I can honestly say I would rather have this done than go to the dentist! (Sorry Dag) Once he cleaned and numbed the area all I felt was some slight pressure and pulling on my cheek. He also removed some lumps on my chin that he is sure are not BCC, but would be something that would continue to grow as time went on. Dr. Tertius was assisted by another doctor who basically was observing. At one point as he was stitching my cheek he said, “See here. If you pull the stitch in this direction it will pull at the eye lid.”..and a moment later I could feel a slight pull on my lower eye lid and gave a grunt of affirmation!! He then proceeded to pull the stitch in the proper way and then began layering a ridiculous amount of steristrips to both my chin and my cheek. I was instucted to not remove them or get them wet until I returned to see him on Monday.
Well that was not to be. The surgery was finished just before supper, which means I ate, which requires you to open your mouth and chew. And we had none other than BBQ pork sandwiches! No small nibbles there. All this to say that I had to add some bandaging when I got home that night to keep things on. By Thursday afternoon the bandaging was again dangling from my chin and I re applied it as best I could, but while standing at my muster station on the dock during a fire drill it fell off as I was talking. I went to the crew clinic to have new dressings applied, which were off when I woke up on Friday morning. The only choices I had were forget about the dressing, as the nurse said the incision had closed up nicely or quit eating and talking…You got it. For the rest of the week until my appointment on Monday everyone got to see my incision instead of a big white dressing! On Monday, Dr. Tertius cleaned both sites and yep, re-applied new, but smaller dressings to the incisions!
I will know in another 2 weeks whether he got all of the affected layers and confirmation that it is non-melanoma. I have a wonderful feeling of peace about the results. If he did not get all of it, I will have to be opened up again and have the rest removed,while I am home. (Dr. Tertius left last week) Please pray that it is not necessary to have further surgery(especially since a plastic surgeon would not be an option at home)and that the test confirms that it is non-melanoma. I have included some information below that I copied from the Canadian Cancer Society regarding non melanoma skin cancer.
What is non-melanoma skin cancer?
Skin cancer starts in the cells of the skin. The skin is the body’s largest organ. It protects the organs inside your body from injury, infection, heat and ultraviolet light from the sun. The skin helps control your body temperature and gets rid of waste materials through the sweat glands. It also makes vitamin D and stores water and fat.
The skin has two main layers. The layer at the surface is called the epidermis. Below the epidermis is the dermis.The epidermis is made up of 3 types of cells:
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Basal cells are continually being made deep in the epidermis. Newly made round basal cells push the older cells toward the surface of the skin to become squamous cells.
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Squamous cells are old cells. As they move toward the skin’s surface, they become thin and flat.
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Melanocytes are also found deep in the epidermis, in between the basal cells. Melanocytes are cells that make melanin, which gives colour to your skin.
The dermis contains nerves, blood vessels, sweat glands, oil glands and hair follicles.
The most common types of skin cancer are squamous cell cancer and basal cell cancer. Both are known as non-melanoma skin cancer and they can usually be treated successfully.
Exposure to sunlight and having fair skin are the most common risk factors for developing skin cancer. People who work, play or exercise in the sun for long periods of time are at greater risk.
Surgery A decision to have surgery depends on the size of the tumour and where it is. During the operation, all or part of the tumour and some healthy tissue around the tumour is removed. Most tumours can usually be removed using a local anesthetic to numb the area. If the tumour is large, a skin graft may be needed. The doctor will use skin from another part of your body (such as the thigh or behind the ear) to replace the skin that was removed. This is usually done under local anesthetic (freezing), but sometimes is done under general anesthetic (you will be unconscious). You may stay in the hospital for several days after the surgery. Surgery for skin cancer can be done in several different ways. ** Excisional skin surgery: The surgeon removes the entire tumour and a margin of healthy tissue around it.
**This is the procedure Dr. Tertius performed on me.
Those of you from Canada should check out the website www.cancer.ca to see some of the unique ways people can help raise funds and awareness. Many of you know that I lost my dad 3 years ago to Lung cancer and if I were home I would love to participate in a number of the ways they offer. I am actually thinking of rounding up all the Canadian women on board to have our own Ladies Night In event.
All for Jesus
Nari