Possible Subungual Melanoma

FormerMember
FormerMember
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Hi everyone, 

First of all, I'm sorry for my bad English, it's not my native language! And also, sorry for this long post. 

I am a 24 year old woman from the Netherlands. I've had a brown streak with slight Hutchinson's sign on my left ring finger for about 7 to 8 years now (so I guess it started at 16/17). I went to the dermatologist to monitor the nail and it's streak and came back every few months until 2017. The dermatologist told us that the streak was most likely benign as it appeared at an early age and didn't change over time. We didn't continue the checkups but the derm assured me to contact again if the streak showed any change of other symptoms such as pain. 

Fast forward 3 years, it is now 2020. A lot of things happened in those 3 years and I didn't really look after my nail anymore because I couldn't see any rapid changes happening. I wore nail polish constantly and even had acrylics for a while (wasn't aware of the risks of this). Furthermore, there were more important things in life and my family to really care about.

But then my nail started hurting. At first I didn't think much of it as I hurt my finger in 2019 by slamming it between a car door. My finger has been kind of sore ever since. However, a week ago I started experiencing some kind of aching in my cuticle more regularly. So I contacted my dermatologist again to have it looked at. Unfortunately, my former derm was not available so I had another one examining it. It was clear that the streak became much darker and the pigment changed as the streak now existed out of 3 little streaks. The whole streak widened for about 1mm, I think and is now 3-4mm.

It is now a possible subungual melanoma. I have been referred to another, more experienced hospital for a second opinion and most likely a biopsy this Monday.

I have been sick to my stomach with stress and nerves for a week and constantly panicking. I'm stressed that this subungual melanoma has been growing for a long time and has already spread to my lymph nodes. I'm being scared that I will die of this, just as I'm about to get married and buy a house. This kind of melanoma has a very bad prognosis. 

Has anyone had any experience with nail biopsy and (possible) subungual melanoma? Has anyone got some sort of advice for me as I'm getting ready to have the biopsy and probably bad news?

Thanks for reading!

Emily 

  • FormerMember
    FormerMember

    Anyone?Cry

  • Hi Emily

    As you've probably realised from the lack of responses subungual melanoma is extremely rare. If you type 'subungual' into the search bar at the top of the page you'll find a handful of previous posts on this subject. You could have a look through them and respond to any of the more recent posters if you want to ask them any questions.

    How did your appointment go yesterday?

    x

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     "Never regret a day in your life, good days give you happiness, bad days give you experience"

  • FormerMember
    FormerMember in reply to latchbrook

    Hi Latchbrook, 

    Thanks for your response and suggestions. I will have a look at previous threads about subungual melanoma. 

    My appointment went well, it was more of a second opinion at another experienced hospital here in the Netherlands. As I expected, the doctors suggested biopsy to check for melanoma under the nail. They said it might as well be a benign naevus because I'm quite young and have had it for a while. I am struggling to stick to this idea as the streak on the nail changed over time and now hurts. I am so afraid the possible melanoma is already invading more skin or bone. Or even that it is spreading. 

    They also explained that the nail biopsy is more complex opposed to a biopsy on a more regular part of the skin and that we had to make another appointment to do it. I am still waiting for a call from the hospital to plan this.

    In the mean time I'm trying to stay calm, but my gut tells me that something bad is going to happen. And I just can't get rid of this feeling. I keep thinking about how I don't want to die yet as I am about to get married in december and start a life in our new house next year...

    By any chance, do you have some sort advice on how to cope with the uncertainty and all this waiting? I'm so glad you took the time to check on me! 

    X

  • Glad to hear the appointment went well and that they have suggested that it might not be melanoma but a benign naevus. Of course, being human, we always fear the worst instead of expecting the best!!

    When I was waiting for results and operations, etc I kept myself busy doing the hobbies I enjoy which includes tracing my family tree. I haven't come across any ancestors from the Netherlands yet but there's still time. Because I get absolutely engrossed in what I'm doing I would completely forget about the melanoma and my worries. If you have any hobbies or things that you particularly enjoy doing now is the time to indulge.

    Some people find mindfulness very helpful and you can find free apps on the internet if you think you'd like to give this a go. 

    Also, if you want to research melanoma further do stick to reputable sites like this one or Cancer Research as the internet is full of out of date information and scare stories. Let's face it, any symptoms you type into Google will inevitably tell you that you have cancer even if you just have the symptoms of a cold!

    Ignore your gut and try not to worry as worrying won't change the results but will make you miserable in the meantime and, hopefully, for nothing.

    If you need help sleeping tonight you can click on my profile picture and that will tell you my story.

    x

    Community Champion Badge

     "Never regret a day in your life, good days give you happiness, bad days give you experience"

  • FormerMember
    FormerMember in reply to latchbrook

    Thank you very much for your advice on how to cope during these stressful times. I'm so glad that you're here for everybody who's on this forum, Latchbrook.

    I'm planning on doing mindfulness, so hopefully this will help to calm me down a bit. I find it hard to keep busy on my own as my favorite activities are with my friends and fiancé (group activities are not allowed at the moment here in the Netherlands). Well actually, I'm quite enjoying the whole wedding planning thing for our very small ceremony in December. But with the possible melanoma, what was supposed to be the most wonderful time of our lives now turns into one of the most worrying times at the same time. Such a shame!Disappointed

    However, thanks again for the advice. I will put an update on here when I've had my biopsy. For now I'll try hoping for the best and be as calm and distracted as possible..

    X

  • FormerMember
    FormerMember in reply to FormerMember

    My biopsy is set for next Friday! 

  • Great news that you don't have long to wait now 

    I don't know how quickly results normally come back from the pathology laboratories in the Netherlands but in the UK it can take between 2-6 weeks depending on how busy they are. I always recommend that you ask when you go for the excision the expected wait time and also how you'll get the results. Before Covid results were usually given face-to-face in the UK whether they were good or bad.

    Ooh, a wedding. How exciting! Are there any restrictions for weddings in the Netherlands at the moment? Here weddings can't currently take place until we come out of this second lockdown on 3 December. 

    x

    Community Champion Badge

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  • FormerMember
    FormerMember in reply to latchbrook

    Hi Latchbrook,

    Sorry for my late reply. I was a bit busy these last few days with work. And also with life in general I guess... Plus, I discovered these very palpable lymph nodes in my neck on the side of my possible melanoma and the nail started lifting a bit and hurting (throbbing pain) even more. In the last two weeks I was doing much better, but now with these new symptoms I'm really stressed again. I know it's still best to think positive, but it's so hard. In my mind it's not possible anymore that it's benign. I just feel so sure that it has spread... I'm floored.

    So in two days I will have my biopsy. I wasn't super nervous about it, but now I am. Waiting times for results are between 2-3 weeks here in the Netherlands. Thanks for your advice, I will ask the doctor about it. This kind of biopsy is rarely performed here, but I was told my assigned surgeon is the best. So at least I got that going for me.

    Weddings here in the Netherlands may still take place, but only 30 (sitting) guests are allowed. In our case, we get married in the town hall,  so there are 15 guests allowed. We're celebrating with our closest family and friends. We will have a live-stream, though. Very exciting. Unfortunately, catering at weddings isn't allowed, as well as dancing and singing. Restaurants are still closed, but they might be open in the end of December. So we might go to dinner afterwards but no further celebrations can take place... Our big wedding celebrations can continue in December 2021, hopefully!

    How are you doing in these covid times? I'm sorry for not asking earlier. Is everything going OK, as you are currently in lock down? Will there still be many restrictions when the UK will get out of it on December 3?

    X

  • Hi 

    It's perfectly normal to assume that every ache and pain you feel is related to your possible melanoma. You'll be super aware of your body right now and whereas a few months ago you'd have dismissed your raised lymph nodes as just meaning you have a bit of an infection you now see it as a sign that the cancer, which you haven't been diagnosed with yet, has already spread.

    I know it's easier said that done but try not to worry. Just because your head says you have malignant melanoma doesn't mean that this is what you actually have. Until the area is looked at under a microscope no one will know for sure one way or another.

    Try instead to focus on your wedding and making it the best it can be in these covid times. Currently weddings can't take place in England but will be able to again from 3 December when we come out of this second lockdown. Daily numbers of infections and hospital admissions seem to be falling so this month of lockdown measures look like they're working.

    Today we've found out which tier we're going in. Most of the country is in the highest tier which means that we still can't mix indoors or in private gardens and pubs and restaurants can only provide take away meals. There is going to be a relaxation over the Christmas period though. For 5 days we will be allowed to meet up with 2 other households indoors, although it's still advised to spend as little time as possible mixing.

    All the best with your biopsy

    x

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     "Never regret a day in your life, good days give you happiness, bad days give you experience"

  • FormerMember
    FormerMember in reply to latchbrook

    Hi, 

    Sorry, I've been inactive for a while. Thanks for your previous reaction. I had read it two weeks ago and it helped me get on while waiting for the results.

    On November 27 I had my biopsy done. Results came back yesterday. It's not subungual melanoma as far as the doctors are concerned, there were no abnormalities found in the neavus. I had an excision biopsy, so they took the whole naevus + some extra tissue.

    This is very good news, but I'm still a little confused as I didn't expect it to be benign anymore.

    Just thought it would be good to post an update on here! :) I will keep an eye on the forum every now and then, just in case anybody posts on a similar situation as me and needs my help.

    X Emily