53. AV Chemotherapy Cancer Treatments and Side Effects
Expert: Dr. David Cathcart
- Color of the skin can reflect the side effect
- It can include deep sores, color changes, red flushed skin
- Dr. Cathcart is an occupational medicine physician at the Heartland Regional in Missouri
53. AV Dr. Mejia discusses skin cancer treatments
- Mohs is a surgerical procredure that helps you remove all the cancer cells and do less damage to the skin around it
- Mohs is also a same day procedure
- Dr. Mejia is also trained in plastic surgery techniques
- Discussing other options other than surgery, such as radiation therapy or a combination of treatments
- Radiation therapy (hospital), Scrape it and burn it approach, cutting it out, liquid nitrogen (for pre-cancer)
- Mohs is the balance or the best approach
- It is named after Frederick Mohs. It is the removal of the skin cancer, examining the margins to make sure all the cancer is out.
- .Discusses the 3 types of skin cancer, noting what I already know which is melanoma is the most dangerous one
53. AV Dr. Meija does a follow up with a patient
- Dr. Meija removed the basal skin cancer. It was basal. It was on his head and 3-4 inches wide.
- Dr. Meija had to do a plastic surgery after removing the skin cancer, but he was able to repair the scar.
- Skin cancers can do some serious damage to the skin around it also.
53. AV Treating Melanom
- 60,000 new cases every year
- People identified early can be helped
- There are 4 stages of melanoma
- Stage 1 and 2 is it hasn’t spread yet
- Stage 3 is when it has spread to the tumor
- Stage 4 is when it has spread past the tumor to your brain or other significant parts
- Excision is always the first step, but Stage 3 and 4 is to follow up with additional therapies. Immunotherapy or radiation therapy is used as follow up after excision. Radiation therapy is only used for Stage 4 or people who can’t be helped by surgery. Chemotherapy is also used after excision if follow up is needed.
53. AV Photodynamic Therapy
- No needles, just cream for this treatment
- The cream creates a toxin to kill the skin cancer cells
- The device has a UVC light that activates the cream and converts the chemical in the cream into a toxin in about 3 hours
- It kills the cancer cell and does not damage the skin around it
- They are working on making the Photodynamic machine smaller so patients can take home the treatment
54. AV Skin Cancer Surgery
- Cancer is located on his chest
- Inject a needle of something around the skin cancer, probably to numb the pain
- Cutting around the cancer, where the surgeon was injecting the pain killer
- Then cutting out the skin cancer cell
- An assistant immediately puts a cloth on the area to stop the bleeding
- The surgeon then continues to cut to make sure they got all the cancer cell out
- It looks like the final step is to stitch up the wounded area
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