Squamous cell or Merkal cell ?

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Hi there, and thank you for offering this service.

I have a tumour growing on my neck. It is dome shape with a horn that was cream and now it is growing larger and turning black in just a few days. I went privately last week as was so afraid my NHS appointment would take forever, well it did not it crossed over the one I had paid for, so two opinions, both the same visual inspection. No checking of glands how are you feeling, zero. My issue here is when you research the subject above the photos are the same in most of them and in description also. And also, without removal and a biopsy one truly does not know. But what I know is the Merkal call is deadly and quick growing sadly. 3 times more dangerous that Melanoma. My removal of my growth I and biopsied is between 4/6 weeks. How may I request a quicker appointment. Truly grateful.

  • Hello Daisy60

    My name is Rae and I am a Cancer Information Nurse Specialist here at Macmillan Cancer Support.  It sounds like a very challenging time for you. 

    You are right, without having a biopsy, it is not possible to know what exactly is happening.  We have given you information on both of the types of cancer that you have mentioned.

    Merkel cell carcinoma (MCC) is a very rare type of skin cancer.  It is also referred to as Neuroendocrine tumour (NET) of the skin.  In England during the years between 1999 and 2008, just over 1500 were diagnosed with it. MCC does develop rapidly over weeks or months and can spread to other parts of the body.  MCC is serious, but with early detection it can be treated successfully.

    Melanoma can be split into 4 main types. Survival when diagnosed with melanoma can depend on a variety of factors, such as the stage it is diagnosed at and response to treatment.  In recent years, new treatments, such as immunotherapies are having very good results.

    The Faster Diagnosis Standard (FDS) standard means that patients with suspected cancer who are referred for urgent cancer checks from a GP should be diagnosed or have cancer ruled out within 28 days.  If you then go on to receive a diagnosis, they should then start treatment within 62 days of the referral.  You may be able to contact the hospital to see if there is a cancellation waiting list to speed up the process.

    If you are unhappy with the timing of the appointments you can speak to the Patient and Advice Liaison Service (PALS).

    I can see that you are worried about the removal and biopsy of the growth.  Often the time waiting is very anxiety provoking.  We have information about cancer tests and waiting for results. Speaking to friends, family and professionals can help you cope with the uncertainty that you are feeling at the moment.  It may be helpful to call our Support Line and have a chat with one of the nurses as they can discuss the above with you and offer emotional support.

    Best wishes

     

    Rae, Cancer Information Nurse Specialist

     

    You can also speak with the Macmillan Support Line team of experts. Phone free on 0808 808 0000 (7 days a week, 8am-8pm) or send us an email.

     

    Ref/RH/PN