Skin Cancer+Brain Cysts+Shindles?

Hi,

When I was 16 in 1997, I was diagnosed with Basil Cell Carcinoma under my left eye which required Mohs surgery for further cell tissue removal and reconstructive plastic surgery. I had never seen a tanning bed and had began developing the mole when I was 12. At 18, I began having severe migraines. Around 21ish, I started experiencing upper shoulder pain. After an ER visit for a stomach ulcer at age 23, I was diagnosed with a bad panic anxiety disorder. (I've had ADHD since I was 5 and a speech impairment of my motor skills as a result). This past March, two small cysts were confirmed on my brain in an MRI after one showed up on a CAT scan during an ER visit for a severe migraine. It was brought to myattention due to my skin cancer history since my grandfather died from a brain tumor and his mother (my great-grandmother had skin cancer). My primary doctor said they were small enough to be consider beneign and therefore unimportant. My headaches and vomiting episodes have inceaded with fevers over the last year due to high emotional stress. Every time I see the doctor, my PAD is the scrapegoat. Yesterday I ended up in the ER for an outbreak of shindles on my twelfth thoracic nerve. It's EXTREMELY painful and actually aggravagating my migraines and shoulder pain. I feel that these occurances are all connected somehow very importantly and something very KEY to my health may be overlooked because stress and my panic disorder just get the blame EVERY time. I just turned 26 in last June. The herpes zoster vaccine currently isn't offered to people under 60. A 16 year-old with basil cell instead of melanoma at moderately developed state in 1997 due to genetics? Please please advise. I have a very worried mother who can't take any more bad brain jokes or puns.

[Dennis MD]

Hi.
There is also genetic predisposition in the development of basal cell cancer, usually mutations in the regulatory genes.  Other factors that may lead to development of basal cell cancer include ultraviolet light exposure, ionizing radiation exposure, chemicals like hydrocarbons.
The severe headaches you are experiencing may be due to the cysts found in the brain during your MRI scan.
It is advised to have regular follow-ups for recurrence of previously treated cancer.  
Good luck.