By Karen
Last week my dermatologist biopsied a small white dot on my upper lip he couldn’t even see until I insisted it existed. That procedure left a crater in my lip that’s been filling back in nicely, thank you.
Yesterday afternoon, a nurse called me with the result. Basal cell carcinoma.
Since I heard that news less than 24 hours ago, Christie Brinkley announced she had one on her forehead, and Richard Simmons had one one under his eye.
It’s funny to have this happening just now, because last month when I spoke about my parents at their Celebration of Life, I opened with how we used to go to Salisbury Beach in the ‘50s when I was a toddler and Daddy would dig huge holes where I would play house…
My punchline was: “Today, if any teenage boy dug a hole that deep and left a little girl in it, I’d be in foster care faster than you could say ‘Child Protective Services.’”
[Sad aside: I recently read about a 7-year-old girl in Ft. Lauderdale who tragically died in a hole she’d dug with her brother when the sand dried and the hole collapsed. Now I know how lucky I was.]
The part of that story I didn’t tell was the aftermath, where I’d be dumped in the bathtub to wash off the sand, and then slathered with disgusting Noxzema skin cream because I was burnt all over. Sunscreen wasn’t a thing, and suntan lotion was only for tanning, which I never did, so why waste it on me?
In the ‘60s, I spent summers in Massachusetts at my grandparents’, mostly playing outside and always with a peeling, scabby nose from constant sunburn on my face.
In the ‘70s, I’d go to Virginia Beach with my girlfriends. They’d grease up with a mixture of iodine and baby oil and bake while and I’d sit there sweating in a big hat, wrapped in towels, and I’d still come away with a bad burn.
It was after one of these field trips in my early 20s that I got sun poisoning. My face swelled like Frankenstein’s monster, and the doctor said as he was sticking a needle in my ass, “You have to stop doing this or you’re going to get skin cancer.”
I listened to him and have spent the rest of my life fanatically in search of shade. My medicine cabinet is fully stocked with nothing lower than 50 SPF sunscreen.
I’ve been 98% successful. During my 30s-50s, after 45 cruises mostly in the Caribbean, I can count my sunburns on one hand, usually from the chest up from chatting with people too long in the ship’s pool.
In my 60s, I’ve had four rough patches called actinic keratoses frozen off my chest, face and leg. But this lip bump is my first actual cancer.
The doctor said it’s tiny and we caught it early, so that’s good.
When my lip heals a bit more, I’ll be scheduled for Mohs surgery, which doesn’t sound too bad, albeit time-consuming. They shave off layers and then analyze the skin to see if they removed all the cancerous cells. It has a very high cure rate.
I’ve always wondered when all my sunburns would catch up with me, and now they have. It’s almost a relief to know my skin is finally getting its revenge for all the pain and peeling I put it through and I can’t trust it anymore.
I’m not freaking out about this because it’s tiny, it’s early, and it could have been in a worse place, like that freckle my OB/GYN once biopsied “down there” that turned out to be nothing.
We’ll just have to see how the Mohs goes.