Thank you for your video Jerry, Had a 1.5 by 2 inch cancer on my temple. When I learned about pin point radiation, I chose that route, rather then surgery and lots of reconstruction to follow. Friday is my last treatment out of a 20 protocol. I see a slight improvement but my doctor tells me the cancer is gone, and will take some time until the affected side will look like the unaffected side. I'm so happy I took the radiation method. Other then fatigue and some depression I believe I made the correct choice. I'm sending you hugs, health, and happiness from New Rochelle N.Y.
I'm of East European descent and also a retired airline pilot. Have had many MOHS procedures and haven't had any adverse effects. It's always done what we needed, and I was confident that we got all of it at that site. There are limits, for sure. Congrats on youre good outcomes! Keep the blue side up!
I’ve had a lot of skin cancer, and I’ve had several surgeries starting at age 33 with malignant Melanoma. I’ve had MOHS surgery on my nose, left a huge scar. Since then I had two surgeries on my left cheek, not more than an inch in between, which makes me think the second one was actually part of the first cancer, but who knows. Neither surgeon seemed to care much about how I would feel about the aftermath of the surgery, and they both had a line of people waiting to be seen, so they had to get a move on. Just last year my daughter in law who was living in Spokane had to have surgery for a cancer on her nose. The surgery was in March, her surgeon was a cosmetic dermatologist. My daughter in law had to have a skin graft, and the surgeon was very careful about where she harvested the graft, carefully placing many, many sutures both on the surface and underneath, my heart sank when I saw photos of my daughter in law before she was bandaged up and sent home. Two months later my daughter in law, son and kiddos moved back to Texas. I was eager to see how her face had healed, I was flabbergasted! I couldn’t see anything! My facial scars are at least 9-10 years old and are much more visible than hers. In fact, I think she is the only one that can see hers and that’s just because she gets right up in the magnifying mirror to check it out. My first surgery for the malignant Melanoma was on my back, the scar is about 9 inches long, I’m guessing there may have been 18 sutures, scar looks like something from a horror movie. I was thinking if my daughter in law’s surgeon had done my surgery I would have had 150 sutures! And I am betting that the scar wouldn’t be as visible. However, like you, I don’t want any more scars on my face, and chemo cream is not an option for me as I had a severe allergic reaction to it a couple of years ago, so should I have another skin cancer pop up, I’m going to ask for the treatment you got. By the way, I’ll be 80 in June, so I’ve battled skin cancer for 47 years, and I’ve had it everywhere but on my feet and head.
Had Mohs surgery on my head.. ended up with a huge hole to my skull. It has been a nightmare since...Had to have major surgery to repair the hole... don't get Mohs!
Holy cow Jerry, My mother was a redhead of Irish descent and I was an airline captain for 30 years !! Just had a 3rd Mohs surgery for a squamous carcinoma removal on left forehead... 6 degrees of separation is getting smaller !! I know you don't answer these post's but hope your doing well ...........
Had SRT for my BCC, located one-inch above my left eye. Zero marks or discoloration and certified cancer-free after five years. A friend of mine went the Mohs route for SCC on his face, which ultimately required plastic surgery(permanently disfigured now). I told him to get SRT, but he didn’t listen. If it’s in an inconspicuous area, by all means go with Mohs. Don’t play games, if it’s on your face - go with SRT.
I thought that as well, but then wondered if Jerry possibly had previous Moh's surgery on his nose due to prior skin cancers. Would be interested to know . . .
Before he discovered Image-Guided SRT, Jerry's multiple skin cancer procedures, most of them surgeries, contributed to his scarring. After he found out about Image-Guided SRT, one of the reasons Jerry chose it is because it produces no surgical scarring.
I think based on his age, plus most people should factor in health as well. This may have been the best treatment for him. If he had a slow growing skin cancer, this would be a great option.
SkinCure Oncology - Hi there. Very interesting! Since I've had Follicular Lymphoma I have had (not counting biopsies) five skin cancer excisions (2 - cBCC and 3 cSCC). My latest forehead cSCC had progressed into my skeletal muscle. Because my FL has relapsed (presently Stage 3) my Onc has just ordered a Head and Neck CT scan to make sure my Cervical nodes have not been reached yet by my FL or metastatic cSCC. Fingers crossed. It's far too late for my nose - my first cBCC was on its tip and the tip was chopped off and replaced with has turned into a white scar tissue replacement from a chunk of my forehead. The forehead now has a pretty white scar where one sneeze from me broke the stitches and viola - two white scars. Sigh. The background was just to explain my bona fides - my concern is radiation. Jerry and I have skin skin cancers from radiation. My immune system in a four train crash and I'm concerned to voluntarily expose myself to radiation. Alay my fears, CT scans, and "Image-Guided SRT" - Frying pan fire? Really looking forward to your response. Thanks in advance! I sure we all have the same objective - beat cancer!
Image-Guided SRT (Image-Guided Superficial Radiation Therapy) is a type of radiation used just for skin cancer. It kills skin cancer cells using low levels of X-ray energy. This energy is like what dentists use to X-ray teeth. It is given by a radiation therapist in a dermatologist’s office. You can read more about Image-Guided SRT and other forms of radiation treatment here: www.gentlecure.com/about-ig-srt/radiation-treatment/. As always consult with your doctor about what treatment options are best for you. Thanks
Dermatologists are regularly adding GentleCure™ / Image-Guided SRT across the U.S. If your dermatologist doesn't offer GentleCure, please ask them to do so. Thanks
Medical personnel trained in reading ultrasound images are able to determine if the cancer is gone. Image-Guided SRT is the first and only skin cancer treatment that uses ultrasound images. This is different than traditional SRT, which uses radiotherapy without the benefit of ultrasound images. The ultrasound images let your dermatologist see the exact size of the cancer so he or she can target the area with the precise dose. These images also show the cancer shrinking and going away after each treatment.
IG-SRT stand for Image-Guided Superficial Radiation Therapy. You can learn more about it here: www.gentlecure.com/about-ig-srt/. You can find a guide here that includes questions you can ask your dermatologist: www.gentlecure.com/wp-content/uploads/2021/09/GentleCure_Doc_Discussion_Guide_9-29-21.pdf If you have any additional questions. please contact a Skin Cancer Information Specialist at 855-782-0740. Thanks!
As a general rule a good plastic surgeon is far superior to a Moh's surgeon for surgery. A plastic surgeon has at least around 5 years of training in surgery whereas a Moh's surgeon is a dermatologist who has then elected to do a year or two of skin cancer surgery training only. The plastic surgeon is an actual surgeon. Many medical doctors would not consider a Moh's surgeon an actual surgeon. They are dermatologists who do a little bit of surgery on the side. Ideally if you were very wealthy, I would consider the best treatment for skin cancer would be to see a dermatologist to detect and diagnose your skin cancer (dermatologists are experts in diagnosis of skin cancers) and then if surgery is recommended as the treatment, to ask to be referred to a good plastic surgeon. Having said that, just because a person is a plastic surgeon doesn't make them good at their job. Some take far more care than others in getting a good cosmetic result. Best of all is to get recommendations from people who have had surgery with that plastic surgeon. Summing up, see a good dermatologist to get your skin cancers diagnosed (but don't let them perform surgery on you). Then see a good plastic surgeon to have your skin cancer excised (the plastic surgeon knows nothing about skin cancer diagnosis). Having said all that, remember there are many doctors in both of these fields who are very poor at their jobs, and many who are very good. Dermatologists are generally far superior at diagnosing your skin cancers, and very poor at performing surgery. Plastics surgeons are generally far superior at surgical excision of your skin cancer and very poor at diagnosing your skin cancer. Doctors too often think they are good at many things when they are not. Don't get fooled.
Unfortunately Radiation causes skin cancer, takes 10 years to develop. It's not a first-line or evan a second-line treatment option according to national guidelines on skin cancer treatment. The radiation scars worsen over time, look at his nose the scar is not ideal. The actual cure rates are a abysmal, in fact in most studies only half of the patients have follow-up of 12 months or more. How can you compare that to standard 5 year cure rates for other modalities. There is no biopsy or sample taken to determine if the cancer is indeed gone, its just a blind procedure. The tissue becomes severely denatured like cardboard, the blood vessels are all but obliterated and the collagen is akin to a microwaved piece of chicken, so that when surgery has to be done for radiation treatment failures the patient is left deformed or with a permanent wound that never heals. The consequences to patients will be severe and only noticed when its too late. Expect to see more bad outcomes in the next 10-20 years. Unscrupulous.
Yes, radiation causes cancer, but not the radiation used for skin cancer treatment. Ultraviolet (UV) radiation from the sun’s rays and tanning beds is the leading cause of skin cancer. The best way to prevent skin cancer is to use a broad-spectrum sunscreen with a skin protection factor (SPF) of 15 or higher and to avoid the use of tanning beds and sun lamps. It is important to remember that up to half of all people who have had one skin cancer will have another within 5 years. Sometimes, that new skin cancer is mistaken for the old skin cancer coming back. Some people think that the radiation treatment caused a new skin cancer when it is likely from the sun’s damaging rays. Getting full-body skin checks and having open, honest conversations with your dermatologist are important for those at risk for skin cancer. Growing clinical evidence supports the safety and effectiveness of Image-Guided Superficial Radiation Therapy (Image-Guided SRT) as a first-line treatment option for patients with non-melanoma skin cancer. www.skincureoncology.com/clinical-model/clinical-study-overview/
Thanks for all the great information. Bless you
Thank you for your video Jerry,
Had a 1.5 by 2 inch cancer on my temple. When I learned about pin point radiation, I chose that route, rather then surgery and lots of reconstruction to follow. Friday is my last treatment out of a 20 protocol. I see a slight improvement but my doctor tells me the cancer is gone, and will take some time until the affected side will look like the unaffected side. I'm so happy I took the radiation method. Other then fatigue and some depression I believe I made the correct choice. I'm sending you hugs, health, and happiness from New Rochelle N.Y.
I'm of East European descent and also a retired airline pilot. Have had many MOHS procedures and haven't had any adverse effects. It's always done what we needed, and I was confident that we got all of it at that site. There are limits, for sure. Congrats on youre good outcomes! Keep the blue side up!
I’ve had a lot of skin cancer, and I’ve had several surgeries starting at age 33 with malignant Melanoma. I’ve had MOHS surgery on my nose, left a huge scar. Since then I had two surgeries on my left cheek, not more than an inch in between, which makes me think the second one was actually part of the first cancer, but who knows. Neither surgeon seemed to care much about how I would feel about the aftermath of the surgery, and they both had a line of people waiting to be seen, so they had to get a move on. Just last year my daughter in law who was living in Spokane had to have surgery for a cancer on her nose. The surgery was in March, her surgeon was a cosmetic dermatologist. My daughter in law had to have a skin graft, and the surgeon was very careful about where she harvested the graft, carefully placing many, many sutures both on the surface and underneath, my heart sank when I saw photos of my daughter in law before she was bandaged up and sent home. Two months later my daughter in law, son and kiddos moved back to Texas. I was eager to see how her face had healed, I was flabbergasted! I couldn’t see anything! My facial scars are at least 9-10 years old and are much more visible than hers. In fact, I think she is the only one that can see hers and that’s just because she gets right up in the magnifying mirror to check it out. My first surgery for the malignant Melanoma was on my back, the scar is about 9 inches long, I’m guessing there may have been 18 sutures, scar looks like something from a horror movie. I was thinking if my daughter in law’s surgeon had done my surgery I would have had 150 sutures! And I am betting that the scar wouldn’t be as visible.
However, like you, I don’t want any more scars on my face, and chemo cream is not an option for me as I had a severe allergic reaction to it a couple of years ago, so should I have another skin cancer pop up, I’m going to ask for the treatment you got. By the way, I’ll be 80 in June, so I’ve battled skin cancer for 47 years, and I’ve had it everywhere but on my feet and head.
Had Mohs surgery on my head.. ended up with a huge hole to my skull. It has been a nightmare since...Had to have major surgery to repair the hole... don't get Mohs!
Holy cow Jerry,
My mother was a redhead of Irish descent and I was an airline captain for 30 years !! Just had a 3rd Mohs surgery for a squamous carcinoma removal on left forehead... 6 degrees of separation is getting smaller !!
I know you don't answer these post's but hope your doing well ...........
Thank you for this video.
This is very different from what I had been watching on Mohs surgery.
Had SRT for my BCC, located one-inch above my left eye. Zero marks or discoloration and certified cancer-free after five years. A friend of mine went the Mohs route for SCC on his face, which ultimately required plastic surgery(permanently disfigured now). I told him to get SRT, but he didn’t listen. If it’s in an inconspicuous area, by all means go with Mohs. Don’t play games, if it’s on your face - go with SRT.
I’m sorry but Jerry doesn’t make a very good case for not getting Mohs surgery. His nose doesn’t look great and maybe should have opted for surgery.
I thought that as well, but then wondered if Jerry possibly had previous Moh's surgery on his nose due to prior skin cancers. Would be interested to know . . .
Before he discovered Image-Guided SRT, Jerry's multiple skin cancer procedures, most of them surgeries, contributed to his scarring. After he found out about Image-Guided SRT, one of the reasons Jerry chose it is because it produces no surgical scarring.
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I think based on his age, plus most people should factor in health as well. This may have been the best treatment for him. If he had a slow growing skin cancer, this would be a great option.
SkinCure Oncology - Hi there. Very interesting! Since I've had Follicular Lymphoma I have had (not counting biopsies) five skin cancer excisions (2 - cBCC and 3 cSCC). My latest forehead cSCC had progressed into my skeletal muscle. Because my FL has relapsed (presently Stage 3) my Onc has just ordered a Head and Neck CT scan to make sure my Cervical nodes have not been reached yet by my FL or metastatic cSCC. Fingers crossed.
It's far too late for my nose - my first cBCC was on its tip and the tip was chopped off and replaced with has turned into a white scar tissue replacement from a chunk of my forehead. The forehead now has a pretty white scar where one sneeze from me broke the stitches and viola - two white scars. Sigh.
The background was just to explain my bona fides - my concern is radiation. Jerry and I have skin skin cancers from radiation. My immune system in a four train crash and I'm concerned to voluntarily expose myself to radiation. Alay my fears, CT scans, and "Image-Guided SRT" - Frying pan fire?
Really looking forward to your response. Thanks in advance! I sure we all have the same objective - beat cancer!
Image-Guided SRT (Image-Guided Superficial Radiation Therapy) is a type of radiation used just for skin cancer. It kills skin cancer cells using low levels of X-ray energy. This energy is like what dentists use to X-ray teeth. It is given by a radiation therapist in a dermatologist’s office. You can read more about Image-Guided SRT and other forms of radiation treatment here: www.gentlecure.com/about-ig-srt/radiation-treatment/. As always consult with your doctor about what treatment options are best for you. Thanks
Can’t get SRT in Nevada
Dermatologists are regularly adding GentleCure™ / Image-Guided SRT across the U.S. If your dermatologist doesn't offer GentleCure, please ask them to do so. Thanks
How do they know all the cancer cells are gone? No ultrasound will not show that.
Medical personnel trained in reading ultrasound images are able to determine if the cancer is gone. Image-Guided SRT is the first and only skin cancer treatment that uses ultrasound images. This is different than traditional SRT, which uses radiotherapy without the benefit of ultrasound images. The ultrasound images let your dermatologist see the exact size of the cancer so he or she can target the area with the precise dose. These images also show the cancer shrinking and going away after each treatment.
I can't hear Jerry's voice.
What do the initials stand for? I want to ask my Dermatologist about this! I don’t know enough from these videos what to ask?!
IG-SRT stand for Image-Guided Superficial Radiation Therapy. You can learn more about it here: www.gentlecure.com/about-ig-srt/.
You can find a guide here that includes questions you can ask your dermatologist: www.gentlecure.com/wp-content/uploads/2021/09/GentleCure_Doc_Discussion_Guide_9-29-21.pdf
If you have any additional questions. please contact a Skin Cancer Information Specialist at 855-782-0740.
Thanks!
You might also find this video helpful:
ruclips.net/video/UBmLFaudvbg/видео.html
Interesting
When you have Moh's have the surgeon be a plastic surgeon too.
Yes, I agree
As a general rule a good plastic surgeon is far superior to a Moh's surgeon for surgery. A plastic surgeon has at least around 5 years of training in surgery whereas a Moh's surgeon is a dermatologist who has then elected to do a year or two of skin cancer surgery training only. The plastic surgeon is an actual surgeon. Many medical doctors would not consider a Moh's surgeon an actual surgeon. They are dermatologists who do a little bit of surgery on the side. Ideally if you were very wealthy, I would consider the best treatment for skin cancer would be to see a dermatologist to detect and diagnose your skin cancer (dermatologists are experts in diagnosis of skin cancers) and then if surgery is recommended as the treatment, to ask to be referred to a good plastic surgeon. Having said that, just because a person is a plastic surgeon doesn't make them good at their job. Some take far more care than others in getting a good cosmetic result. Best of all is to get recommendations from people who have had surgery with that plastic surgeon. Summing up, see a good dermatologist to get your skin cancers diagnosed (but don't let them perform surgery on you). Then see a good plastic surgeon to have your skin cancer excised (the plastic surgeon knows nothing about skin cancer diagnosis). Having said all that, remember there are many doctors in both of these fields who are very poor at their jobs, and many who are very good. Dermatologists are generally far superior at diagnosing your skin cancers, and very poor at performing surgery. Plastics surgeons are generally far superior at surgical excision of your skin cancer and very poor at diagnosing your skin cancer. Doctors too often think they are good at many things when they are not. Don't get fooled.
Unfortunately Radiation causes skin cancer, takes 10 years to develop. It's not a first-line or evan a second-line treatment option according to national guidelines on skin cancer treatment. The radiation scars worsen over time, look at his nose the scar is not ideal. The actual cure rates are a abysmal, in fact in most studies only half of the patients have follow-up of 12 months or more. How can you compare that to standard 5 year cure rates for other modalities. There is no biopsy or sample taken to determine if the cancer is indeed gone, its just a blind procedure. The tissue becomes severely denatured like cardboard, the blood vessels are all but obliterated and the collagen is akin to a microwaved piece of chicken, so that when surgery has to be done for radiation treatment failures the patient is left deformed or with a permanent wound that never heals. The consequences to patients will be severe and only noticed when its too late. Expect to see more bad outcomes in the next 10-20 years. Unscrupulous.
Yes, radiation causes cancer, but not the radiation used for skin cancer treatment.
Ultraviolet (UV) radiation from the sun’s rays and tanning beds is the leading cause of skin cancer. The best way to prevent skin cancer is to use a broad-spectrum sunscreen with a skin protection factor (SPF) of 15 or higher and to avoid the use of tanning beds and sun lamps.
It is important to remember that up to half of all people who have had one skin cancer will have another within 5 years. Sometimes, that new skin cancer is mistaken for the old skin cancer coming back. Some people think that the radiation treatment caused a new skin cancer when it is likely from the sun’s damaging rays. Getting full-body skin checks and having open, honest conversations with your dermatologist are important for those at risk for skin cancer.
Growing clinical evidence supports the safety and effectiveness of Image-Guided Superficial Radiation Therapy (Image-Guided SRT) as a first-line treatment option for patients with non-melanoma skin cancer.
www.skincureoncology.com/clinical-model/clinical-study-overview/
Misinformation