This article is from the WebMD Feature Archive
Reality T.V. Star Becomes Melanoma Patient
On The Real Housewives of Orange County, you faced a serious health threat. What happened?
My doctor found a malignant mole -- a shallow melanoma in early stages -- on my thigh, a few inches above my knee. I've faced skin cancer before, but I never intended to share this "reality" on the show. Now, I'm glad I did. Since the show has aired, several people have told me they've gotten their skin checked because of me -- and it thrills me to hear it.
Background Incidence and mortality There are three main types of skin cancer: Basal cell carcinoma (BCC). Squamous cell carcinoma (SCC) (together with BCC referred to as nonmelanoma skin cancer [NMSC]). Melanoma. BCC and SCC are the most common forms of skin cancer but have substantially better prognoses than the less common, generally more aggressive, melanoma. NMSC is the most commonly occurring cancer in the United States. Its incidence appears to be increasing in...
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When were you first diagnosed with skin cancer?
At age 27 -- 17 years ago. I went in for acne treatments and my doctor gasped. He removed 22 moles from my body. He tested them all, and one came back malignant.
Were you a sun worshipper when you were young?
I got a tremendous amount of sun exposure as a child. All the damage was done before I was 25.
You write on your Bravo blog that you had an eye sewn shut for two months after half of your lower eyelid was removed due to skin cancer. Tell us about this experience.
I had a tiny tumor near my tear duct. It was not malignant, but I still tell everyone: Wear sunglasses! Make sure your children wear sunglasses! Protect your eyes!
How much has changed in the last two decades, in terms of prevention and treatment of skin cancers?
Not enough. It will take someone like Brad Pitt getting melanoma to get the kind of funding needed to get the research done that this cancer needs.
Any advice for other mothers trying to keep their families safe from UV rays?
When my kids were little, it wasn't hard keeping them covered up. Now they want to be at the beach with their friends -- and not look dorky in long sleeves. But there are companies that make cute clothes that have sunscreen built into the fabrics. Also, be creative. Don't tell your teenager she can't go to the beach. Instead, plan an indoor activity for her and her friends -- like going to a cool sushi bar or a museum -- then take them to the beach after 4 p.m. Watch the sunset together.
Since facing cancer, do you view your life or relationships differently?
Completely. Yes, plan for the future. But enjoy the moment. Share your feelings for someone right now. Take more risks. Have a sense of adventure.
How do you feel about aging?
I like it. I am more confident in my 40s than I was in my 20s. I've got a great husband, great kids; I'm more direct. And physically? Well, I do look at my skin and wish I didn't get so much sun.
As a society, are we are growing more obsessed with appearance? Or is it a matter of wanting to look and feel great to be healthy?
