What to do now...

Hiya. I had a melanoma lump removed from an armpit lymph node as well as 29 other lymph nodes which all came back clear. So in my brain, cancer free...

They have now offered me Immunotherapy. Foolishly I was initially excited about this as it sounded very natural, using your own body's immune system to hunt stray cells, and I pictured someone skipping through fields with a butterfly net just scooping anything they find up. Well, having down more research, it seems more like a tank ploughing through the same field indiscriminately shooting at anything it wants. So I'm now a bit confused as to what to do. In my head I'm now left with a choice: Take therapy for a year which will cut down chances of it coming back from 25% to 12.5% (How comes its never phrased as you have a 75% chance of being ok?) but risk 20% chance of really *** serious side effects and 1% death or don't have the therapy, go super healthy, cross fingers it doesn't come back but have nothing attacking the rest of my body...

I already feel unlucky in this as the melanoma came from a stage 0 mole that was removed so its pretty *** so far.

Also scared that as I am Autistic/ADHD-y I have a tendency to hyperfocus on things and watching for symptoms that could lead to really bad things may cause me huge mental worry and be super negative.

Sorry, just needed to get stuff down. Not sure what I am looking for.

Parents
  • Hi,

    It's a real dilemma when choosing the next steps and considering mortality rates v side effects. There is a lot to discuss here and so I've sent you a friend request. If you accept it, we can chat about this and I can give you some advice about the treatment etc. I'm assuming you are Braf negative as you haven't mentioned being offered a choice of Targeted treatment? 

    I haven't had any drug treatment (I was diagnosed long before it was available for Stage 3 patients) but I know many who are currently having the treatment & I know that not everyone has side effects or bad side effects - everyone is different. 

    With regards to you initially being diagnosed Stage 0 - it sounds like you were misdiagnosed & you were probably 1a. This is because a true Stage 0 (in-situ) does not spread (it hasn't grown below the epidermis into the dermis). A misdiagnosis rarely happens but in the melanoma community we have come across this a small number of times & you were unlucky. That being said, even if correctly staged, it may have made no difference to your treatment at the time. 

    The treatment & side effects do sound frightening but it's having great results & many more Stage 3 patients are surviving without further spread. 

    Meanwhile, if you would like to speak to clinicians to try & help make a decision, look at the Melanoma Focus website - they have a dedicated Nurses Helpline & they will be happy to try & help you.

    Angie (Stage 3 melanoma patient since 2009)

Reply
  • Hi,

    It's a real dilemma when choosing the next steps and considering mortality rates v side effects. There is a lot to discuss here and so I've sent you a friend request. If you accept it, we can chat about this and I can give you some advice about the treatment etc. I'm assuming you are Braf negative as you haven't mentioned being offered a choice of Targeted treatment? 

    I haven't had any drug treatment (I was diagnosed long before it was available for Stage 3 patients) but I know many who are currently having the treatment & I know that not everyone has side effects or bad side effects - everyone is different. 

    With regards to you initially being diagnosed Stage 0 - it sounds like you were misdiagnosed & you were probably 1a. This is because a true Stage 0 (in-situ) does not spread (it hasn't grown below the epidermis into the dermis). A misdiagnosis rarely happens but in the melanoma community we have come across this a small number of times & you were unlucky. That being said, even if correctly staged, it may have made no difference to your treatment at the time. 

    The treatment & side effects do sound frightening but it's having great results & many more Stage 3 patients are surviving without further spread. 

    Meanwhile, if you would like to speak to clinicians to try & help make a decision, look at the Melanoma Focus website - they have a dedicated Nurses Helpline & they will be happy to try & help you.

    Angie (Stage 3 melanoma patient since 2009)

Children
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