The Desert Sun

Merkel cell carcinoma a rare form of skin cancer

- Brenda Lyle

People flock to Florida to share our sunshine, warmth and laid back lifestyle.

While residents certainly know to be armed with sunscreen year round, we don’t really think about skin cancer until it hits close to home.

Last year, Margaritav­ille’s own Jimmy Buffett died of Merkel cell carcinoma – propelling skin cancer into the spotlight.

Here’s what you need to know about skin cancer:

Not just another cancer

The most common type of cancer in the U.S. is skin cancer.

Some have a 99 or even 100% cure rate – when diagnosed early.

Merkel cell carcinoma (MCC) is a rarer form of skin cancer that develops in the skin’s outermost layer, the epidermis.

Merkel cell is very aggressive, with an extremely high risk of metastasis, the process whereby cancer spreads to other parts of the body.

Many people ignore the first signs of MCC, which frequently appears as a painless, firm, reddish lump.

These lumps can grow rapidly. Depending on when it is detected, Merkel cell carcinoma is typically treated with surgery, radiation and immunother­apy.

Who is at risk?

Everyone should protect themselves from the harmful UV rays of the sun.

Sometimes called “golfer’s cancer,” MCC often appears on the head and neck.

Here is a handy memory aid to identify Merkel cell carcinoma: A-E-I-O-U.

“A” is for asymptomat­ic. The suspicious area may not be painful or tender.

“E” is for expanding. This type of skin cancer grows fast.

“I” stands for immunosupp­ressed. “O” stands for older. Fair-skinned and immunocomp­romised men over 50 are at highest risk.

“U” is for UV exposed skin. Sun-exposed

areas are where MCC is likely to show up.

A personal story...

I noticed a hard, red lump on my husband’s calf – and I was alarmed!

He had it biopsied and we discovered it was MCC, Stage 3b.

He is over 50, but it appeared in a non-typical place and he is not immunocomp­romised.

After surgery, radiation and three years – he is thankfully cancer free.

With SPF clothing, hats, sunglasses and lots of sunscreen, he is now a shade worshipper.

Our sights are set on that five-year mark with no metastasis, but Jimmy Buffett’s death was a poignant day in our home.

Jimmy was past the four-year mark when he died in 2023.

Please, protect your skin and see a dermatolog­ist for annual checks!

Your life may depend on it.

 ?? GREG LOVETT/THE PALM BEACH POST ?? Jimmy Buffett died of Merkel cell carcinoma in 2023. Skin cancer is the most common form of cancer in the U.S.
GREG LOVETT/THE PALM BEACH POST Jimmy Buffett died of Merkel cell carcinoma in 2023. Skin cancer is the most common form of cancer in the U.S.

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