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Suggest Treatment For Carcinoma In Situ On My Arm
Question: I have a carcinoma in situ on my arm I have the same looking spots all over my body should I worry
Brief Answer:
Keep under surveillance.
Detailed Answer:
Hi.
I have seen the pictures and also read your previous questions.
Firstly, carcinoma in situ (CIS) can only be diagnosed in a biopsy. So, I assume that the lesion on your arm has been biopsied. If that is the case, then it is indeed a worrisome thing. CIS is a pre-cancerous condition which if left alone untreated will always develop into cancer.
If the arm lesion was only biopsied and not completely removed, then I would suggest that you get it removed completely by a surgical oncologist.
As to the other lesions, there is no way to ascertain whether they are harboring cancer or not except by biopsy. Since we cant biopsy all of them, we will keep them under surveillance.
If you see any of the following changes in any of the lesions, then immediately consult your oncologist and get it biopsied or removed-
1. rapid increase in size
2. change in color
3. change in texture
4. change in surrounding skin
5. bleeding or discharge
6. ulceration
Meanwhile, avoid excessive sun exposure as it is known to accelerate skin cancer formation. Avoid smoking and alcohol. Take a multivitamin and anti-oxidant combination in consultation with your doctor.
Hope this answers your question. If there are any more, I will be happy to answer them.
Take care.
Keep under surveillance.
Detailed Answer:
Hi.
I have seen the pictures and also read your previous questions.
Firstly, carcinoma in situ (CIS) can only be diagnosed in a biopsy. So, I assume that the lesion on your arm has been biopsied. If that is the case, then it is indeed a worrisome thing. CIS is a pre-cancerous condition which if left alone untreated will always develop into cancer.
If the arm lesion was only biopsied and not completely removed, then I would suggest that you get it removed completely by a surgical oncologist.
As to the other lesions, there is no way to ascertain whether they are harboring cancer or not except by biopsy. Since we cant biopsy all of them, we will keep them under surveillance.
If you see any of the following changes in any of the lesions, then immediately consult your oncologist and get it biopsied or removed-
1. rapid increase in size
2. change in color
3. change in texture
4. change in surrounding skin
5. bleeding or discharge
6. ulceration
Meanwhile, avoid excessive sun exposure as it is known to accelerate skin cancer formation. Avoid smoking and alcohol. Take a multivitamin and anti-oxidant combination in consultation with your doctor.
Hope this answers your question. If there are any more, I will be happy to answer them.
Take care.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Thank you I did have a biopsy although not all was removed my dr is away for 3 weeks and the other spots look the same and are growing also one on my nose is skin colour and bleeds they all have waxy texture as for the carcinoma in situ my dr didn't say much else is this cancer ?
Brief Answer:
Biopsy the nose lesion. Get the arm lesion removed
Detailed Answer:
Hi.
It is very important that you get the arm lesion removed completely at the earliest. This is for 2 reasons.
First, the remaining lesion may a focus of already formed cancer and may go undiscovered.
Secondly, even if there is no cancer in the remaining lesion, the carcinoma in situ in the remaining lesion may get converted into cancer later. As I mentioned in my previous answer, carcinoma in situ is not cancer but pre-cancerous. It can develop into cancer at a later stage. So, it needs to be removed completely.
As to the other lesions, their present texture does not matter, only change in texture is important. Also, a sudden increase in size over a few weeks is a warning sign. Slow growth is seen even in benign non-cancerous lesions. But bleeding is a worrisome sign and cannot be ignored. So I suggest you get the nose lesion biopsied as well.
Hope that answers all your questions. Kindly rate the question and close the thread if you have no more.
Thank you.
Biopsy the nose lesion. Get the arm lesion removed
Detailed Answer:
Hi.
It is very important that you get the arm lesion removed completely at the earliest. This is for 2 reasons.
First, the remaining lesion may a focus of already formed cancer and may go undiscovered.
Secondly, even if there is no cancer in the remaining lesion, the carcinoma in situ in the remaining lesion may get converted into cancer later. As I mentioned in my previous answer, carcinoma in situ is not cancer but pre-cancerous. It can develop into cancer at a later stage. So, it needs to be removed completely.
As to the other lesions, their present texture does not matter, only change in texture is important. Also, a sudden increase in size over a few weeks is a warning sign. Slow growth is seen even in benign non-cancerous lesions. But bleeding is a worrisome sign and cannot be ignored. So I suggest you get the nose lesion biopsied as well.
Hope that answers all your questions. Kindly rate the question and close the thread if you have no more.
Thank you.
Note: For further queries related to kidney problems Click here.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
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