Merkel Cell Carcinoma Treatment in India

Myra Smith, a 72-year-old retired librarian,...

Myra Smith, a 72-year-old retired librarian, noticed a small, firm, painless nodule on her left temple while applying moisturizer. Initially dismissing it as a harmless age spot, it grew rapidly over six weeks, becoming reddish-purple. Her dermatologist performed a biopsy, revealing Merkel Cell Carcinoma. The oncologist, Dr. Evans, explained the rarity and aggressiveness of this skin cancer. He recommended a wide local excision to remove the tumor with clear margins, followed by a sentinel lymph node biopsy to check for spread. Myra underwent surgery, which went smoothly, but the lymph node biopsy came back positive. This led to a recommendation for adjuvant radiation therapy to the primary site and lymph node basin. The radiation caused fatigue and localized skin irritation, but she managed with supportive care. Six months post-treatment, she is in remission, with regular follow-up scans showing no evidence of disease. Emotionally, Myra was terrified by the diagnosis and the word 'carcinoma.' She felt vulnerable and anxious about the future. After completing treatment and receiving clear scans, she feels a cautious optimism. She has become an advocate for sun safety in her community and finds strength in sharing her story, though she still experiences 'scanxiety' before each check-up.