I just heard about a new skin disease. Well, it’s as new to me as this lump on my head. Funny, that! Here’s what happened:
Bald guy shaves head, notices a lump about size of sixpence (bigger than a penny, smaller than a nickel for you Canadians!) that feels like sandpaper and is real itchy.
Bald guy’s inside voice thinks, “What is that? Don’t know, but it’s OK.”
Eventually, I visit my doc for something else.
Lo and behold, the doctor he sees the lump and pronounces: actinic keratosis!
“What’s that about my hairy toes?” I think.
Actinic keratosis. The sun has damaged my skin. I mention this because as we age, it is so easy to discount certain things as occurring “just because” we are getting older. Some of them are linked to simply getting older and some are not, so it really is best to get thoroughly checked out if you’re suspicious of anything. It can do no harm. I messed up this time and should’ve connected with my doctor after that first itch. But I’m getting ahead of myself!
I had had this lump for about 4 months and thought, “it’s OK, it will heal next week.” And then when it did not heal, I would say to myself, “it does not look like a melanoma to me, so I will wait and see.” And so I waited 4 months and finally asked my doctor as an aside after much prompting from wife.
So, looking back and given the fact that I am always telling others to get checkups, why did I just ignore the lump and my own advice and chalk it up to “getting older”? I think that I did so for the same reason as a lot of other guys do: I just thought that this was no big deal. That I would be OK. Luckily for me, I was – but what if I was not?
Actinic keratosis is a skin disorder that can be pre-cancerous but, luckily, is very easily treated with nitrous oxide. It can, however, develop into squamous cell cancer, which, although also easily removed, can get into the lymphatic system and spread. This, of course, is not such a good outcome but is mostly avoidable by paying attention to the skin around the areas exposed to the sun, like the top of your head, ears, face, shoulders and chest.
So, sun is fun, but make sure you cover up and take precautions! HealthLink BC has some information about that.
I am a pink flamingo, never tanned in my life, but I do like the sun. Even today, I caught myself out in the yard without a hat.
Doing the right thing is not so easy sometimes, but my summertime resolution is to cover up and wear a wide-brimmed hat, sunscreen and shades when I am outdoors. Even if I add long sleeves and pants to the mix, there is no reason why I should not be still enjoying the good weather.
About Jim Coyle
Jim is a tobacco reduction coordinator with the men’s health program, and has a background in psychiatry and care of the elderly. In former times, Jim was director of care at Simon Fraser Lodge and clinical coordinator at the Brain Injury Group. He came to Canada from Glasgow, Scotland 20 years ago and, when not at work, Jim plays in the band Out of Alba and spends time with his family.