Yet another thing…: I’ve had a “spot/growth” on my... - MPN Voice

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Yet another thing…

lizzziep profile image
31 Replies

I’ve had a “spot/growth” on my arm for a few weeks, it seemed to come up very quickly but didn’t go away. I called the GP and was directed to the nurse practitioner as she does skin complaints. She prescribed anti biotic and steroid cream, three weeks later it’s no better.

So I phoned again this morning and insisted on seeing the doctor. He has referred me urgently to the hospital as he considers it to be cancerous and need’s removing asap.

Bearing in mind I showed it to my local haematologist a couple of weeks ago as I wondered if it was anything to do with hydroxy which I was prescribed alongside the Momelotinib, despite last time I was on it I got horrendous foot ulcers. Oh no he assured me - that’s just a cyst and it will go away on its own!

Then he wonders why I consult Guys about any problems instead of him! Hopefully I’ll be seen within 3 weeks. Of course the Christmas and new year holidays will delay it. Fingers crossed it hasn’t been delayed too long.

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lizzziep profile image
lizzziep
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31 Replies
jointpain profile image
jointpain

Any pics? My wife had two small red 5mm red spots arrive after starting Ruxolitinib and stopping hydroxycarbamide a few weeks ago, but they seem to be breaking up and now look like red mushroom rings about 10mm across. Wishing you all the best.

lizzziep profile image
lizzziep in reply tojointpain

This is it, about, it’s about 4 - 5 mm across

Spot
jointpain profile image
jointpain in reply tolizzziep

This is my wife's, it was red in the centre, but as you see it's breaking up outwards. Yours does look a little raised. Hopefully nothing serious.

Red spot breaking up
HazeBlue profile image
HazeBlue in reply tojointpain

looks like ringworm . Needs antifungal cream possibly . Check with Doctor.

jointpain profile image
jointpain in reply toHazeBlue

Definitely not ringworm, more likely a bleed that is disappearing, ringworm is more on the surface and forms a crust and weeps.

Cbreeze0182 profile image
Cbreeze0182 in reply tojointpain

I have a few of these but they itch and burn. GP gave me steroid cream which isn’t helping. They come and go. Oh and I’ve been on hydroxyurea since 2014.

Gipsy123 profile image
Gipsy123 in reply tolizzziep

Looks just like the squamous cell skin cancer I recently had removed ftom my leg. It happened when I was on rux. Hoped momelotinib wouldn’t cause skn csncers in the same wsy. Hmmm.

lizzziep profile image
lizzziep in reply toGipsy123

I’m on Momelotinib and hydroxy at the moment and was on Rux for about 10 months previously. Last time I was on hydroxy I got extremely painful foot ulcers, which the haematologist kept denying was anything to do with hydroxy but as soon as I saw a dermatologist she said I don’t even need to look at your feet, skin problems are a well known side effect of hydroxy so when she contacted the haematologist I was taken off it and they healed.

william-Indo profile image
william-Indo in reply tolizzziep

Cyst doesn't look like it.It just look bump without red colour on around.

KLCTJC profile image
KLCTJC in reply tolizzziep

You need a biopsy. As most people know on this site I am a derma PA. This is likely a skin cancer. HU and JAK inhibitors put you at higher risk and you need skin exams regularly. Not to scare you it will be ok. Most skin cancers that appear this way are very treatable by just removing them but they need to biopsy it. My guess is a SCC by the photo and description but needs a biopsy to confirm. But will be ok,❤️. Just needs treatment.

Inca profile image
Inca

I wish you the very best Lizziep re your lump,over my years of M P N I have had odd lumps & bumps some have been carcinoma ,some bruises & knocks I have not realised injuring myself.Try not to let it spoil the Christmas Spirit ,enjoy the best you can,don’t worry.🥰🎄Sally

ainslie profile image
ainslie

if you haven’t done so already it is probably wise to check with Guys as if I remember correctly it was CH who advised adding Hydroxy to the Mom, you could also send them the photo.

Apart from that a decent dermatologist should be able to diagnose it right away.

lizzziep profile image
lizzziep in reply toainslie

Thank you, I’m making enquiries how much a private appointment with a dermatologist would be.

ainslie profile image
ainslie in reply tolizzziep

I see a dermatologist at Spire and he charges around 200-300 depending on if new or follow-up. I don’t know much about skin cancers but I wonder if a skin cancer can come up that quickly. Definitely one for a dermatologist and then maybe run it by Guys once you know what it is.

lizzziep profile image
lizzziep in reply toainslie

Thank you, there’s a Spire clinic not too far away from me. I’ll check them out.

ainslie profile image
ainslie in reply tolizzziep

I use Spire quite a lot in Edinburgh, they can be busy and if I call up to make an appointment some of the consultants may have a few months wait, so they say I will put you on the cancellation list and call you when we have a appointment free, in 10 years they have never called me. Instead I call every day and ask if any cancellations, they get a lot of cancellations, I may have to call every day for a week or two but I always get one within a few days or weeks, so if you can’t get an appointment you can book the earliest one but could call every day until you get a sooner one, it’s a hassle but works.

Cja1956 profile image
Cja1956

I’m so glad you were insistent on seeing the doctor. My hematologist is a MPN specialist, but she only treats me for things related to my MF. I had an infected eye for at least a year and I went to an ophthalmologist and a dermatologist, but nobody caught it. Eventually it got so bad that I went to another ophthalmologist and it turned out to be a basal cell carcinoma in my eyelid. I had to have three surgeries to correct it.

amhann profile image
amhann

hello lizzie - soooo glad you have pushed to have your skin investigated - don’t know why haems seem blinkered to anything that might be related to either condition or medication! Do hope you get this resolved quickly - try not to stress over Xmas - very best Anne-Marie.

hunter5582 profile image
hunter5582

I would definitely not ignore something like this. Glad to hear you pushed to get this properly diagnosed. you are wise to ensure this is addressed. You are proving that assertive patients receive higher quality care. Passive patients do not.

lizzziep profile image
lizzziep in reply tohunter5582

It’s through posts from yourself and other members I’ve got the courage to question what doctors say. If I’d taken notice of the haematologist saying it was a cyst I’d have just left it!

mbr8076 profile image
mbr8076

Hi lizziep,

I have been on Hydroxyurea since 2018 for ET/Jak2+ and have recently been diagnosed with actinic keratosis (pre cancerous) on my scalp. My dermatologist recommends I see him every 6 months to check my skin. That medication makes us photosensitive and we must be extra careful in the sun. I have lived in California the last four years where the sun shines almost 365 days a year.

Best wishes,

mbr8076

lizzziep profile image
lizzziep in reply tombr8076

I live in the north of England, we’re not exactly known for hot weather in this area! However my garden does face south and is quite a sun trap, so I always cover up or sit under an umbrella when outside. I think the drugs have a lot to do with it.

Phantasia profile image
Phantasia

That looks like a basal cell carcinoma but I am no expert. You certainly need to see someone who is expert in skin cancer detection so a dermatologist is the best option.Usually a BCC is the least problematic skin cancer but it's still best to get it checked and removed asap.

Hopefully you can get an appointment very soon.

Best of luck to you.

Anouchka profile image
Anouchka

Hope it turns out ok…. Good luck!

SRH55 profile image
SRH55

You’ve definitely done the right thing pushing for further investigation. My husband has had various lumps cut out, 2 cancerous, the others weren’t, he’s not had any further treatment & so far all ok. (It’s me with the MPN issues). Hopefully it will be ‘just one of those things’. Sending best wishes to you, I know it’s easy to say, but try not to worry too much.

Shirley

Judypinner profile image
Judypinner

there is a very very good virtual forum on skin cancer on MPN Voice. It is informative and helpful. Seasons Greetings to Everybody. Judy xx

mpnvoice.org.uk/news/video-...

lizzziep profile image
lizzziep in reply toJudypinner

Just watched the video - very informative! The picture of the squamous cell cancer looks like the growth on my arm, hopefully I’ll get it sorted asap. It does say your haematology team will check it out - my local doctor dismissed it as a cyst!

MaggieSylvie profile image
MaggieSylvie

Whatever it is, I'm sure you shouldn't panic over it, especially at this time of year. If your haem doesn't think it's blood-related, it may be a BCC, and they are not fast growing or dangerous - they just need to be taken off your skin at some point next year. Even if it's a cyst, it should probably be treated. You just need to see a skin specialist. Try to forget it for a little while, and have a festive and happy Christmas!

Mirror368 profile image
Mirror368

This looks just like the growth I had on my arm a few years ago. It grew very quickly. I called the dermatologist and told them it looked like a little volcano. Anyway, it was excised and never came back. They did see me quickly when I called. I looked through my notes but could not find the actual diagnosis.

Best wishes, Eileen

Meatloaf9 profile image
Meatloaf9

You have received a lot of good advice. I would have it removed if it were me. I have had Bcc's, Ak's, and SK's, all removed, none returned The Sk's grew the fastest. You will be fine, Best to you.

artydutch profile image
artydutch

I had scare in June. Horrid when you already have another cancer. Let’s hope it is a BCC. Once removed the skin issue is solved. Good luck.

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