Diagnosis: Pigmented Squamous Cell Carcinoma In Situ (Bowen's Disease)
The lesion has been completely excised in these sections. (Bowen's Disease
is sun-induced or arsenic-induced. I'll go for the sun.)
Clinical Information: Pigmented Lesion
ion: 13x8x5 mm
ion: There is hyperkeratosis, acanthosis, and
malignant dyskeratosis with hyperchromatic and pleomorphic nuclei
throughout the full thickness of the epidermis. There is also an increase
in epidermal pigmentation. No dermal invasion is seen. Chronic
inflammation is present in the dermis.
End of Pathology Report
Now, definitions I had to look up:
Hyperkeratosis - thickening of the skin
Acanthosis - brown to black, poorly defined, velvety hyperpigmentation of
Dyskeratosis - Central displacement, aggregation and condensation of
tonofilaments within individual cells at all levels of the epidermis.
Hyperchromatic - Abnormally highly colored, excessively stained or over
Pleomorphic Nuclei - Many formed, capable of assuming different shapes.
I have an appointment three weeks from today to have the second one
removed from the same arm but there appear to be more popping up.
Treatment can be our beloved 5FU but applied topically. What luck!
Anyway, I can no longer go out in the sun without both sunscreen and long sleeves. My daughter-in-law told me today that they sell shirts that repel the uv rays of the sun where she works. Since she gets 25% off, I'll be on my way there before too much longer.
Thanks for hanging with me guys. I'll let you know how this whole thing progresses. I do wonder that if you have 5fu applied topically, will you still lose your hair?
How sick can this be? Actually being happy that the cancer you have isn't the worst kind. And, I only had one piece of that chocolate cake and then gave it to my grandchildren. It made my stomach sick. Not the wine though, had no problem with that.
A good friend will bail you out of jail...
but a true friend will be sitting
next to you saying,
"Dâmn... that was fun!".