Subungual Melanoma referral

Hi, I'm new here and worrying like mad. I had a fungal nail on my thumb with a light black line down the side, I went the docs twice and they said it's more than likely fungal as the rest of my nail was yellow brown and crumbling off. I was told to use a home remedy of nail applicator which can take up to a year. They don't like to give pills for fungal nail as I would need a liver function test due to the strength of them apparently. 

Anyway, I just carried on with my home treatment for nearly a year now, the black has thickened and is starting to raise my nail bed at the side. At the weekend, blood was spurting everywhere from and it was seeping blood all weekend. my nail went flat but stayed black. it's now raised up again with what looks like a lump of skin (I thought it was a blood blister) but smelling so I went to my gp again to treat infection if I had one.

saw a different gp and he agreed I had an infection and gave me anti bs. He then said he was referring me to a specialist and to expect an appointment within 2 weeks to be tested for menalona! 

straight away I went to Dr Google, I cannot sleep with fear, I'm 40 with a 6 year old son and no other family. I'm petrified that the black line has been there for well over a year and nothing has been done and it could potentially now have put my life at risk. Can somebody advise me or help me relating to this I'm so so scared waiting for an appointment and all I'm doing is imagining the worst.

Thankyou 

Parents
  • hi mum has had a biosy on her  nail 4 weeks ago and we still have had any news....is this good or bad?

  • Hi,

    You can't tell whether it's good or bad news from how long it takes I'm afraid. The current waiting time for results can be anything from 2 to 5 weeks. All biopsies go through the same procedure - they are examined by histology, the report goes back to the consultant and then the results are discussed at a Multi Disciplinary Team meeting (MDT). This is where the dermatologist, plastic surgeon, oncologist and specialist nurses decide on the next course of action for each patient as per the biopsy results (discharged if benign or further surgery if positive). The hospital then contact the patient to (usually) come back for their results - it's rare they give results by phone or letter. If the hospital didn't give your mum an idea as to the waiting time for her results, I would ring them on Monday and ask if the results are available and when can you expect to hear from them? Sometimes results are delayed because the MDT is only held once a week.

    Good luck, I hope you aren't waiting too much longer and that they bring good news. Please let us know how you get on,

    Angie (melanoma patient)

  • Thank you for your reply and I am pleased your mum is doing well. I had my toe amputated 10 days ago, the dressing was removed today and the area has healed ok. I long to get moving again  wearing a soft shoe. I  I also had a Sentinel Lymph Node biopsy which has left me with a swollen lump and a painful groin, the doctor suggested I wear cycling shorts!. I know my toe was magligant but will have an appointment within the next three weeks to discuss the SLNB.

  • How did yours present? Mine is a line throughout my nail, from nail folds to top and varying shades of brown - wider at the cuticle. 

     

    Its now feeling a little tender beneath than nail as well. 

  • Hi concerneddaughter1 

    That is great news. Give my thoughts to your mum. She is very brave.

     

    Yes it is a worrying time. I have got an appointment with the dermatologist on the 28th September 2020. The referral time was within 2 weeks - the seriousness with which the Dr has taken it has left me stunned not least because I saw it at least 8 months ago and just thought nothing of it. 

  • I am sorry to hear about this Margndog. That is beyond frustrating and I can't offer any words to console you over the unecessary and costly delays. Sounds as if you are on the mend and I hope in some way lots of good comes from this even though that sounds silly.

     

    I have an appointment booked with the dermatology department in 7 days time which was within 1 week of sending a picture of my thumb nail to my GP. As I say, no discussion was had as I was discussing other issues and I so far I have had literally no  medical feedback. I sent the picture and received a referral to dermatology. and that is it. 

     

    My line does not appear to go into the cuticle but is a dark line which goes along the entire nail. Looking at the nail, I can see a similar but lighter line about 1 cm to the side of which also goes along the entire nail.

     

    I am finding I have moments of deep breaths but the speed of things hasn't given me time to really think about it and I am trying not too. I am not sure what to make of this right now.

     

  • Biopsy done yesterday, the pain after the anaesthetic wore off has not been pleasant 

     

    More stitches than expected as the lesion was hard to find apparently, not sure if that's a good thing or not.

     

    Results expected in 4 weeks, it's going to be a long 4 weeks...

  • Hi  LWAFC

    im sorry you have had to experience more pain than you had hoped for. 
    It was the same for me, I had a lesson removed on my pinky toe and I was in agony after the anaesthetic wore off which shocked me as for a tiny toe I didn't expect that. I was told it was because I was walking around too much and literally pressure .... but with young children it was hard not to walk around. 

    I hope you don't have to wait long for your biopsy results and I will keep everything crossed that it is negative. 

    it's a long wait and very stressful, but hopefully you will feel in less pain today, keep up with pain relief and try to rest as much as you can. 

    take care

    sharon 

  • Thanks Sharon

     

    I'm resting, no work for a week as no way I could type on a keyboard!!

     
    Looked back on the thread but can't see how you got on after your biopsy, was it benign or are you still having treatment? 

  • Hi, 

     

    Well my first biopsy on my little right toe was negative thank god, however about 7 weeks ago I noticed another lesion on my other little toe but this is about 4mm wide - the one biopsied was just 1mm wide. 
     

    I am not again stressed and terrified but trying to think positive that the other one was ok. 
    move been referred back to the dermatologist and have an appointment on the 13th Oct, so another long wait for me 

     

  • Hi Raymond,

    Your story is similar to mine I had the line on my left thumb for 3 years, but was going through abdominal pain & never bothered about my thumb. Had my gallbladder removed last year and then my thumb started giving me pain in April. 

    Don't painic about the quickness of your appointment coming through it is standard practice for the NHS called the 2 week referral so patients get the appointment in or around the 2 week mark.. 

    I had my biopsy done in July, had my thumb nail removed and biopsy done on my nail bed.

     

    I hope your appointment with dermatology goes well. 

  • Hi Weeirish

     

    I hope the biopsy results have hone/go well. Our stories are eerily similar.

     

    I had my dermatology appointment 2 days ago on Monday - they took a picture with what looked like an ipad (I think it was one) and said someone would contact me within 2 weeks. That is it. I don't think even a dermascopy was used - the person wasn't a dermatologist but an assistant nurse who didn't seem to know much and very little was said.

     

    Oddly my brother, after I told him about this line, found he has one (smaller than mine) so is awaiting a Dr's appointment.  He does not know how long he has had it.

     

    Good luck, thank you for your message and please keep me updated with how things are going.

     

    Take care. 

     

     

Reply
  • Hi Weeirish

     

    I hope the biopsy results have hone/go well. Our stories are eerily similar.

     

    I had my dermatology appointment 2 days ago on Monday - they took a picture with what looked like an ipad (I think it was one) and said someone would contact me within 2 weeks. That is it. I don't think even a dermascopy was used - the person wasn't a dermatologist but an assistant nurse who didn't seem to know much and very little was said.

     

    Oddly my brother, after I told him about this line, found he has one (smaller than mine) so is awaiting a Dr's appointment.  He does not know how long he has had it.

     

    Good luck, thank you for your message and please keep me updated with how things are going.

     

    Take care. 

     

     

Children
  • Good luck everyone on your results and journeys, I will be coming up to 2 years since being diagnosed with stage 3B Acral after having my thumb amputated and a positive sentinel node. I currently have no evidence of disease, stay strong and focused and whatever the results, try stay positive. Wishing you all so much luck, anything you need to know about this type of cancer feel free to ask

  • Hi Louise,

     

    Good to hear from you, I am so pleased to hear you now have NED. I followed your story since before you were diagnosed as I was just starting out my investigations on what thankfully turned out to be benign. 
    I am now awaiting a referral for a second lesion. 


    Can I ask how long you had the lesion on your thumb before diagnosis? Was it a line or more a streak? What I find strange is how my new streak wasn't there 3 months ago ( it's on my toe and I didn't re paint my nails for a month yet it was just there!) 

    I thought they had to grow all the way up the nail which would take months??

     

    Has anyone else just had it appear or have you noticed it start from the nail bed and grow up? 
     

    thanks

     

    sharon 

  • Hello lovely 

     

    Sorry to hear your going through more investigations. Fingers crossed everything will fine, you know the odds are in your favour! 

     

    I honestly cannot remember how long I had mine, looking back on photos you can see a tiny black speck on my nail and I mean pin ***, quite surreal to see, further photos show a line, the line then disappeared and a bluey black bruise appeared on my nail about half the size of an eraser on the end of pencil. My nail then started crumbling and lifting and a wart like growth started to push my nail up and bled which is when I went back to drs asking for anti bs as my fungal nail was infected lol.

     

    Mine was so small to start it was unnoticeable, its only now when I zoom in on pics and how educated I now am on Acral Melanoma I see the signs. I must have had it at least 2 years and touch wood I have been lucky so far it hasn't spread to organs but I have just completed a years immunotherapy (March) to help tackle any stray cells that may be lurking.

     

    Try not to worry ok, you got this xx

  • [@louiseandfin]‍ Great to hear you're ned - how often are your check ups now? 

     

    [@Tillybobs123]‍ mine was a line all the way from cuticle to top of nail when it first appeared, but incredibly faint. Over the last year it's got wider and darker, especially near the cuticle.

  • My checkups are every 3 month a full body CT, every 6 months a brain MRI in between I see plastics every 6 months for wellbeing and skin check, these are at a hospital in Manchester and I see a derm at my local hospital 

  • That's very good aftercare, thank god for the NHS

  • Yes indeed, cannot fault them one bit 

  • Hey Louise,

     

    I'm glad to hear that you are doing okay now after your diagnosis. I just wanted a bit of advice, I stabbed myself with a pin about a year ago and it left a faint black line down my thumb nail from the tip to the cuticle, I spoke to my GP and he told me to keep an eye on it and if see if it grows and he'll send me to a dermatologist, it's stayed the same, however my thumb starting to hurt on that side, it's like cold/numb with pain, could you give me some insight into your experience? 

  • Hello

     

    My oncologist did say he believes my melanoma was caused by some sort of trauma, however, nobody cam be sure with this type. How long have you had the line? After quite some time mine did start to hurt but my nail started to lift after a year and it looked like a bruise. 

     

    Remember how rare this is, keep an eye on it, and if you are still concerned please go back the gp 

     

    Regards 

  • Thank you for the reply Louise

     

    I've had it for about a18 months now,  my thumb has started hurting I can't quite tell if it's my thumb itself or the nail, all I know it's on the side with the line and I've done some googling like we all do and scared myself silly, I've read it's prominent in Carribbeans, which I am descended from, I've contacted my gp and they are going to send some photos of to a dermatologist, hopefully I can get some answers and relief the stress.