Suspected Melanoma & swollen groin lymph nodes

After reading lots of posts I've decided best bet is to put my story out there and hope that one of the knowledgeable and helpful people I've seen can offer some advice.

 

so I've had swollen lymph nodes and a couple of issues which was put down to nothing.. I've had a x2 groin u/s on lymph nodes. The first showed reactive, the follow up I was told that they were just a bit more obvious and if I've no issues in my legs they're likely nothing. It's prob been 18month/2 years that they've increased in size and number. I've had fatty lumps and cysts removed before and so accepted I'm lumpy... 

 

fast forward to more recent and my best friend had a mole issue, which made me think hmm I should check my bloody one. I get the first gp and he looked it over and wasn't too sure so asked me to come back to a gp who specialised in this with her dermascope etc. I go back and she checked my back over, a couple there made her a tad concerned and wanted to refer me and the one that had niggled she thought was sebhorric and likely they would remove with my referral. It was when I was looking down top off that I remembered a dark mark on my belly which had been growing/I was aware of it ie itchy? Felt there (not sure this makes sense!) and I said "oh actually can you check this". Her whole demeanour changed and she took images as  case study with her colleagues (asked permission of course and I'm all for learnings!!). She then said she was very concerned of skin cancer, how it presented and put me on the urgent usual 2ww. 
 

I felt stupid as I know this had been growing over the last 18month/two years. I know this as I am a gym girl and I have progression photos. I also remember burning. so I feel bloody stupid. Especially as even though I burnt, I am very conscious of spf. I wear on my face daily.

 

I actually was away on holiday and then went to my derm apt. She agreed on the waxy seborhic and froze that off. She was also concerned on belly and one other on my back too. She wanted to remove both there and then but couldn't so I was back in couple of days. I was told the larger one was over 6mm, it's jagged and multiple colours. Basically looks like all the bloody melanoma images (trying hard not to overthink here!!!)  it's being biopsied as suspected melanoma, but outside could be severely displastic too. She also checked lymph nodes and she wasn't happy. Another consultant agreed whatever outcome was that I needed further checks. So I was referred back to gp as a back up whilst we waited for biopsy.

gp (my usual one) was great, called me in and wanted to check again himself. He then agreed that they are far bigger and more than US suggested. Still no results (this was 4 weeks in). So he chased results and also wanted to request another US. 
 

Then Monday came and dermatologist called and said she had note from GP and she was going to request a us biopsy on lymph nodes and that I needed bloods. She also explained that my biopsy had been  sent to specialist in London. The blood form was being sent but she asked if I could collect the form as it would be quicker and I actually had those done same day. That was to check for metastatic melanoma amongst other things (still trying to not overthink)

I called derm on Friday and left a voicemail to see if any update on my bloods/us request/or results and didn't hear back. The machine message says they check x3 a day and so I guess it's still no news! ( still trying not to overthink)

 

so then here I am. I do suffer with some anxiety, but it's been relatively in check recently. What's making me nervous is the familiarity of when my husband was diagnosed with cancer (now in remission thankfully)

im also wondering if it's usual for them to request bloods and us if the hosp first biopsy was clear. I know they like to be sure on these things... but my mind can't get the derm call out of my head, she said that we're pushing ahead with lymph biopsy whilst they wait to hear back. 
 

I dont expect answers, I think just getting this in black and white will help me. I know the reality is until we get the results I'm in limbo.

 

but has anyone experienced similar!? 

  • Gosh this was so long.

    i feel like I've just wrote a diary, hoping that all the things I've been feeling are imagination getting better of me!!!

  • Hi,

    It seems to me that your GP and dermatologist are being very proactive and the dermatologist is lining all the ducks up in a row in case the biopsy is positive for melanoma. I can only surmise this is because you also have swollen nodes which doesn't usually happen with most mole referrals. They don't usually request bloods at this point so again I think they are gathering results in case it's melanoma. This doesn't mean it definitely is melanoma - it could still be dysplastic and the raised nodes are due to another problem. 

    I'm assuming it's now 5 weeks you've been waiting for your results? I know it's a long time and it's the hardest part of all this but results are taking an average of 8 weeks to be received and given to the patient. The fact you've been told your sample has been sent to a specialist in London leads me to conjecture that a second opinion is possibly being sought from a histologist with extra specialism. This is usually done if the cells in the sample don't obviously look like cancer cells. This happens in a small number of cases and, if they can't definitively say it's malignant, they usually treat it as if it's malignant to be on the safe side.

    I know all this doesn't help calm your anxiety but look at it like this - if it is melanoma, your doctors are moving swiftly so that treatment can begin asap. Also, melanoma has many more treatments than it once did and these treatments are showing very good results so, in the words of my consultant 'It's not the end of the world.'

    I hope you aren't waiting too much longer and that the results bring good news. Good luck and please keep us updated.

    Angie (Stage 3 melanoma patient since 2009)

     

  • Surprisingly my anxiety is FAR better than when my husband was sick/being diagnosed, in fact I've surprised myself! 

     

    Your reply was helpful and what I have been "thinking", but with no one to really bounce off and have a real conversation about it. Of course I want it all to be nothing, but I prefer fact over fairytales, which is why the wait is hard for most I guess! So no, your reply has not made me worse at all, im thankful to have someone to talk to. Relaxed

    They couldn't get to the bottom of my lymph nodes issue, bladder us was ok and my smear test and ovarian bloods etc were good too, so we were a bit stumped and were kind of watching...

    also good to know that it's up to 8 weeks, I'm am fed up of people saying "well they would have told you by now"0 ‍♀️ 

     

    what I can say is, I've noticed a difference in the NHS since my husbands diagnosis just before covid. Yes 5 weeks on Friday just gone. 

  • Yes, sadly waits are getting longer since Covid but also because there is a huge shortage of dermatologists in the UK and more people seeking medical advice about their moles! 

  • My husband had a blood cancer, I don't know if it's isolated to dermatology, it's across the board from what I'm seeing. His follow ups are greatly delayed now too. Scary 

  • Not sure what I'm trying to achieve other than writing down an update to try and get gead straight.

    U/S clinic called and I am booked for Monday on node biopsy

    i missed a called from dermatology clinic and was left with a voicemail that's left me feeling worse than before.

    The man didn't say he was a dr, only says clinic, he stumbles over his words and basically just says waiting for the outside opinion and then I'll get everything in a letter and could take a few more weeks. Doesn't mention anything else, so I don't know if my bloods were ok.  So I'm left with feeling like ive received some *** call that they make to try and keep people off their backs

     

    im upset.
     

    I needed to vent

    I can't help thinking all these other symptoms I've had with gp are all linked 

    I feel fobbed off and scared 

     

    I called back and no answer, I've asked for a call as im left none the wiser on other questions.
     

    Angie is  it usual for them to not say what first finding was?

    6 weeks now. I hoped by now that  this would have been a your fine, let's keep an eye on you

    im now waffling 

  • Hi,

    It's really frustrating and upsetting when you get a message that leaves you feeling worse. 

    It sounds like a receptionist has called you in an attempt to update you on the long wait but left you with more questions! I can't answer your question I'm afraid other than most consultants or their nurse would explain why a second opinion is being sought. Keep ringing and ask for a nurse or consultant to ring you back to explain the situation. Sadly, results are taking 8 weeks - a second opinion will add a couple more weeks onto that. I'm sorry I can't advise more than that.

    Good luck xx

  • Clinic emailed me back and told me a consultant will be calling me, they were very kind... but yes I think it was.

     

    im sorry... not sure what I was trying to achieve other than internally scream as a keyboard warrior. 

    I hate this. I hate that we've been here before.

    appreciate your reply. X

     

     

  • no results yet, just in case anyone else was looking for reassurance in waiting a long time...
    lymph node US went ahead, but they decided not to biopsy as the results were still not back and nodes looked OK - which is reassuring! 

  • Any update on this, @zenzi23? I'm off to the doctors at the weekend to get a mole looked at which has been looked at before three months ago, but has grown in size. The doctor back then said that he didn't see anything concerning or worrisome, but there have been definite changes which is making me freak out a little (a lot!). I hope everything went well for you :)