Catastrophizing about skin cancer and my prognosis

Hello everyone. This is my first time here. I apologise for the length of this message.

I have always suffered from health anxiety, not least because all members of my immediate family died young - three of them from different cancers. i have had prostate cancer.

I tend to get skin cysts and about 18-24 months ago a small spot appeared on my upper abdomen, which I foolishly put down to another cyst. It has grown very slowly, so much so, that I didn't really notice how large it had become until a couple of months ago. In my defence, over this period, I have been by two nurses about other unrelated matters which have involved showing my torso, but neither commented on it. When I went to a third nurse recently, they suggested that heat treatment for a month and antibiotics might fix it. 

When it didn't, I was referred to a GP, who also prescribed antibiotics, but also fast-tracked me to a dermatologist. When I showed the dermatologist my lump he looked alarmed, and said it wasn't a cyst.

He's going to excise the lump and send it for a biopsy in a few week's time. I told him that I thought it was cancer, and he said that it might well be benign - he wouldn't know until he received the biospy result.

Would a doctor ever give you false hope?

The lump is about 4cm in size, hard, dark and dome-shaped. After looking online, the only thing that fits this description is nodular melanoma. I know this is an aggressive cancer and that the odds of survival are low, especially when the tumour is this large. I am now convinced that I have terminal cancer. My anxiety has gone through the roof and I know I must be making life hell for my partner - she is a great comfort and support.

The strange thing is that I have never felt so fit and  physically healthy in my life. I do 14-miles of hard cycling several times a week, and have lots of energy. My weight has remained stable and healthy. I have a good appetite. 

Am I right to assume the worse or is there any hope that it might be something else? And if it is the worse, is there any chance of survival for a few years or more?

If anyone has any suggestions for reducing my anxiety, I'd be really grateful to hear from them.

Thank you for taking the time to read this. 

  • Hi GP75

    Take one day at a time. At the moment it is likely a benign lump so no need to be preparing for your demise. If it is cancer, your good health and general fitness put you in good stead. Do not read up on worst case scanario cancer survival statistics. They are invariably out of date and do not reflect the latest treatments available. You main illness seems to be anxiety and Im sure you are aware of techniques to reduce it. 

    Ed

  • Offline in reply to Farmer_Ed

    Many thanks for taking the trouble to help me Ed. It's much appreciated. I cling onto the hope that it might be benign or at least, treatable, Yes, I do suffer badly from anxiety, and your advice has helped to reduce it. Thank you again.

  • Offline in reply to GP75

    I agree with Ed. Dr Google is not our friend - it focuses on worse case scenarios and the information is out of date & doesn't reflect modern treatments etc. 

    Dermatologist's don't give false hope - they just say 'it could be benign' because in a large number of cases they are benign. However, the naked eye & the dermascope can't give a diagnosis - only a biopsy can, and that is why they remove many moles, lumps etc for a definitive answer. 

    If it is melanoma it doesn't mean it's spread & you are terminal, as you fear. Surgery is successful in 97% of melanoma that's caught before it's grown too deep whilst surgery & drug treatment is having great success for deeper melanoma's or those that have spread. 

    As Ed says, take one day at a time. Don't let your mind jump ahead to a worse case scenario because your anxiety will be worse than the diagnosis. You have several weeks to wait for the biopsy & then the results so you need to find a coping mechanism that helps you.

    Keep eating well & healthily and cycling etc. to promote quicker healing from the biopsy. And breathe!

    Angie (Stage 3 melanoma patient since 2009)

  • Offline in reply to AngieT

    Hi Angie.

    Thank you so much for your message - I really appreciate your comments.

    Yes, the biggest issue is my anxiety and only ever seeing a worst case scenario. There are times when I feel overwhelmed by dread and panic.

    I'll try and do what you and Ed have suggested and take things day-by-day.

    And as you both say, even if the news isn't great, there's always hope of treatment.

    And yes, I'll try and stay as healthy as possible.

    It's been a great comfort finding this forum.