By Lourdes Maria Abella – RN, CON(C), Oncology Certified Registered Nurse
There are many common myths and misconceptions about melanoma and the treatment of this disease. I thought I would share a few with you and help to clarify what we know.
Myth: Melanoma Is Inherited
While there are a few specific cancers that are associated with genetic inheritance, those make up a small percentage of the total number of cancer diagnoses. In terms of Melanoma – 10% of all people with a diagnosis have a family history. This does not necessarily prove direct genetic links, but rather points to shared exposures, obvious shared genetic traits, and/or certain genetic mutations.
Myth: Positive Attitudes Cure Disease
Having a positive outlook is “half the battle”. Unfortunately, frame of mind cannot be relied on alone to fight disease. It is an essential and recommended component, as it does help to smooth the treatment journey as well as assist in making the journey tolerable. Expect that people with have both good and bad days as part of a diagnosis.
Myth: Cannabis is a Good Alternative
Cannabis and its derivatives – have some benefit for some people in reducing side effects such as nausea and vomiting, treating chronic pain, and reducing spasms. However, there is no scientific support to the claims that it cures disease.
Myth: If I’m Already On Treatment, Then I Don’t Have To Worry About Being Sun Safe
Certain treatments can cause skin reactions or sensitivities to the sun. Unprotected sun exposure can exacerbate and compound the problem. Proper use of a sunscreen of at least SPF 30, avoiding prolonged sun exposure to bare skin at peak hours between 11 and 3 pm and covering up as much as possible, as well as wearing a good coverage hat and sunglasses are good rules to follow. Always check with your doctor about the potential side effects of the drug therapies you are on.
Myth: All Melanoma treatment is Chemotherapy right?
Chemotherapy is one class of Cancer treatment; Immunotherapy and targeted therapies are another separate class of cancer drugs. Chemo attacks cancer cells directly, but can also affect healthy cells. Immunotherapy utilizes your body’s immune system to recognize and attack cancer cells. It is important to know what kind of therapy you are receiving, as well as names of the medications used. Also important to know that treatment of symptoms and side effects is different with regard to each class. For instance:
Chemo + a Fever:
- Go to ER
- Bloodwork, Blood cultures, urine cultures, possible imaging
Targeted Therapy + Fever:
- Call Oncologist / RN
- Medication(s) may be held until fever free for > 24hrs, dependent on severity of fever
Immunotherapy + Fever:
- Call Oncologist / RN – not a common side effect and would require further assessment dependent on the severity of fever
Myth: I Should Only Call My Doctor If It’s An Emergency…
Often people hesitate to call their physician if they are experiencing side effects from drug therapies. They do not want to be a bother or they do not feel what they are experiencing is important enough, or that they can handle it on their own. Remember no issue or inquiry is too small or trivial. It is important to report any questionable symptoms as soon or as early as possible. Many side effects can often be reduced or alleviated with some ease when dealt with early on.
