Invasive Nodular Melanoma

I noticed a large lesion on my back in late June and went to my GP who immediately did a rapid referral to my local hospital dermatology department. I had my first appointment there a couple of weeks later and was told I would need to have it removed, I did mention that I was suffering back and armpit pain at this time. Initially I was told there could be an 6-8 week wait to have it removed but I was fortunate to have it taken out after only a two week wait. Just under 3 weeks later I saw on my Patient Portal that a MDT report had been sent to my GP it said I had an invasive Nodular Melanoma with a Breslow thickness of 5, Mitatonic 5mm2 and it was T4a.  3 days later I had a phone call from the Dermatology department asking if I would accept a call from my dermatologist which I said was OK he called an hour later, he said he was calling as if I would have had a face to face it would have been sometime before I could have one as the department was very busy!
, I couldn’t hear clearly what he was saying but I believe he told me my melanoma was malignant and that I would need a CT and then more skin removed from the surrounding area of my scar which could be done at the hospital or a WLE and lymph gland tests under general anaesthetic at a larger hospital in my area. He said it was for me to decide and that he would send me leaflets together with an email address if I had any questions and that I would need to come back to dermatology for the next 5 years.

3 days later I’ve received nothing in the post and no CT appointment date. Unfortunately my GP is on annual leave so I can’t talk to him he’s been my GP for over 25 years and very good.

i did find an email address for the Dermatology department on my MDT and messaged them yesterday explaining I was very anxious and needed more information about my diagnosis but perhaps I’d read the MDT wrong and it was not as serious as I thought and if so apologised for bothering them. Trying to call my dermatologists secretary is impossible I just get an answerphone!.

I did wonder if I’d been assigned a CNS but don’t know where to check.

And wonder whether I could have a blood test for BRAF (it was mentioned on the MDT.

am I being over anxious?  Is this a normal way any other people have been diagnosed? I’m feeling rather alone in all this and it is affecting my sleep and daily life ( I can’t concentrate on much for long) I’ve read that this Melanoma is bad for spreading quickly and as it’s been nearly 2 months since I first went to my doctor and it was nearly 6 weeks before it was removed has it spread????

thanks for reading it’s helped to share x

  • Hello Penelope777 and welcome to the forum.

    I'm sorry to hear you've been diagnosed with invasive nodular melanoma and for the stress and worry this is causing, especially with you not having anyone to talk to about this.

    Hopefully some of our members who have received a similar diagnosis will stop by soon to share their experiences and advice but if you'd like to discuss any of this further with one of cancer nurses, you can do so on 0808 800 4040. Their phone lines are open Monday - Friday between 9am - 5p.m and they will do all they can to support you whilst you wait.

    You can find out more about melanoma skin cancer on our website as well, but hopefully the dermatology department will get back to you soon, giving you those much needed answers and peace of mind you're seeking at this time.

    Keep posting if you find it helps Penelope777 and remember that we'll always be here for you. 

    Kind regards,

    Steph, Cancer Chat Moderator

  • Hi Penelope,

    I'm sorry for my late reply but I've been away for a while. Have you received an appointment & leaflets through yet? 

    If not, and you haven't been able to get through to anyone at the hospital, I suggest you contact PALS (Patient Liaison) at the hospital - they will make enquiries on your behalf & should enquire as to who your CNS is.

    If you have received them, have you yet made a decision as to which treatment you will have? If you are still considering your options I would consider this - research the melanoma care offered by your local hospital & the care offered at the larger hospital. The larger hospital may be a Centre of Melanoma Excellence and can provide more specific care to melanoma patients than a smaller, local hospital can. To be fair, it sounds like your local hospital can't cope with it's large workload so if it were me, I would consider being under the care of the larger hospital for the procedures and for future care, if possible.

    A blood test does not show a patient's BRAF status. The melanoma tissue is tested for this & it will be done automatically for anyone who is Stage 2b or 2c (you are one of these dependent on if it was ulcerated or not). You will be told your BRAF status after the WLE and SLNB. You will then be offered adjuvant drug therapy which may be carried out at the larger hospital - which type of drug treatment will depend on your BRAF status.

    It's normal to be concerned about the length of time between referral and further surgery but it doesn't always follow that the wait will have caused any spread. 

    I hope you get the scan and surgery dates through quickly. Good luck & please let us know how you get on,

    Angie (Stage 3 melanoma patient since 2009)

  • Hi Angie,

    I’ve received and read the leaflets which did include a card with the names of the CNS nurses I could contact if necessary.  I had a CT on Thursday so am awaiting the results of these before I know what will be happening next.  If I do get referred to Addenbrookes at some point, I am going to try and stay under there care as suggested by another melanoma suffer who has gone through a similar thing at her local hospital before being referred to Addenbrookes (I have a feeling she might have originally been under my local hospital too)

    At the moment I am 11b.

    ill update you once I know more.

    Thank you for your care and support 

    Penny

  • Hi Penny,

    Good luck with your results and surgery and hopefully you won't be waiting too long.

    Angie x

  • Hi Penelope 

    mines is similar story will message you tomorrow

    madmeg