Melanoma cancer cells in lymph node

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  1. My partner found out last year he had melanoma just below his belly button. He had this removed and then found out it had grown into the 2nd layer of skin so needed a larger area removed and lymph nodes removed from either side of his groin. He got the results from his lymph node removal yesterday and one of them has come back with cancer cells detected in it & immunotherapy has been suggested after a CT scan. Unfortunately my partner had to attend his results appointment himself so I think after hearing this news his brain stopped listening to the consultant and he can't remember much else that was said to him and he didn't really have any train of thought to ask questions at the time. We are both now wondering what does this mean? Is there a high chance that because it had spread to one of the lymph nodes that it's spread elsewhere in his body? Does the fact its only in one lymph node make the situation slightly better or does the amount of lymph nodes containing the cells matter? I guess we're both just worried about what all this means for our future as a family with a little girl of 4 years old. I know unfortunately that everyone's situation is different and some things can't be predicted but any sort of insight would be really appreciated. 
  • Hello C.RoW3,

    Thanks for getting in touch. My name is Megan, I’m one of the Cancer Information Nurses on the Macmillan Support Line.

    Welcome to the online community. I hope you have been finding it a warm and supportive place.

    I was sorry to read about your partner's Melanoma diagnosis and can understand as a young family how distressing and uncertain this time may feel for you all. I do hope you yourself are also receiving support during this time.

    We have further information about the Staging of melanoma which I hope you will find useful in reading. The stage of melanoma describes how thick (deep) it is as and whether it has spread from where it started. Knowing the stage guides doctors to advise the treatment required.

    From what you have explained it sounds as though your partner has Stage 3 melanoma. As explained in our Melanoma treatment overview, surgery, surgery to remove lymph nodes, immunotherapy and targeted therapies are the main or primary treatments for stage 3 melanoma.

    It is common to have many different emotions when you have cancer. As a coping mechanism, it is a normal response when difficult news is relayed that a person can no longer take on board any further information, so I hope your partner is not berating himself for coming away from his appointment feeling confused and unsure of the plan going forward, as this is extremely common.

    As we do not have access to healthcare records or systems, we cannot speak on behalf of the clinical team and so I would encourage you both to contact them again to discuss all questions you will certainly have.

    It may be that your partner was given contact details for a Skin cancer clinical nurse specialist (sometimes called a Macmillan nurse), and as per their role of supporting a patient through diagnosis and treatment, they would be best placed to speak with.

    Additionally, your partner's GP may have been informed of his diagnosis and can also be someone to contact for further support and advice.

    Cancer Research UK has further information and statistics on Melanoma skin cancer that I hope you will find comfort and reassurance in reading. Melanoma Focus and Melanoma UK are also valuable charities to know and explore.

    As you mention you are a young family, you may be interested in taking a look at our information on Money and work in addition to further supportive information and resources on Talking to children and teenagers offered by Fruitfly Collective, Parenting With Cancer and Hope Support Services.  

    Your partner would also be most welcome to contact us for support. Through our partnership with BUPA, we can also offer him free tailored support with a counsellor online or over the phone.

    Many find comfort in speaking with others and experience sharing. I noticed you are yet to join any of our forum’s. If you've just joined the Community and aren't sure where to start, the ‘New to the Community forum’, ‘Melanoma forum’ or ‘Family and friends forum’ may be for you.

    I hope this information is useful. Please don’t hesitate to get back in contact by email, webchat or phone, if you need further information or support.

    The Macmillan Support Line offers practical, clinical, financial and emotional support. You can call us free from landlines and from most mobile phone networks on 0808 808 00 00, 7 days a week, 8am – 8pm.

    Best wishes, Megan

    Cancer Information Nurse Specialist 

    Ref MD/SF