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Can’t stop over analyzing

Forums Cutaneous Melanoma Community Can’t stop over analyzing

  • Post
    Ryan2240x
    Participant

      I was diagnosed 12/3 with melanoma, then had a full body check and a melanoma in Situ was found. My first was stage 1. I have had both WLE’s and the margins were clear. 0 mitotic rate and no ulceration on both.

       

      The thing is I already had major ocd/anxiety issues before this and I am having a very difficult time coping with everything that happened. 

       

      Im going to a new derm Wednesday because I can’t stop thinking about other moles that I have. I’m wondering, “How long was this there?”, etc. 

      I’m guessing they would have noticed anything concerning during the skin check I had at the beginning of the month? 

      i think some of my moles have appeared as I have gotten older(I am 35).

      Even used a skin check app and it said this other mole might be atypical and I started freaking out. Then again, I used a picture of my melanoma to test it and it called that dermatafibroma. Probably didn’t spell that right. 

      I guess I’m just on here looking for support so I stop freaking out. My family doesn’t want to hear about it and I just wanna get some rest at some point and stop my mind from going crazy.

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    • Replies
        betsyl
        Participant

          Hi Ryan,

          I'm glad you caught yours early. When my husband was diagnosed with stage 4a, I freaked out and got my skin checked (twice) and our teenager's skin checked (twice), and I wear sunscreen all the time, and have finally FINALLY gotten my teenager to wear it everyday. My husband still doesn't. I guess he thinks the horse is already out of the barn.

          Anyway, the best you can do is go in for year checkups, protect yourself as much as possible, hope for the best, breathe, meditate, stay active, and/or pray, if that's your jam.

          Living with uncertainty is hard, but it DOES get easier the more you practice. I've had a lot of practice lately. 😉

          Best of luck!

          AN8
          Participant

            Hello Ryan,

            Stage 1b diagnosis 5/1/18, excission 5/15.  The next three months contained 36 punch biopsies with 6 total excissions, 3 of which were atypical.  Someone asked if my derm was money hungry or cut happy…..no, not at all.  She was dealing with an individual who completely flipped out over her melanoma diagnosis and was striving for a 'clean slate'.  An individual, who unfortunately, has many freckles and moles.  She was giving me peace of mind.  

             Being a bit of a control freak, I had a good 3 months of extreme anxiety and panic attacks (hence the biopsies)  to the surprise of many.  I blew thru an inoperable brain aneurysm diagnosis 3 years ago, so why would I completely loose it over this?? It's the 'c' word.  It's sneaky.  It doesn't play fair.  

            Here are some things I did to turn myself around.  #1. Gave it to God removing some of the weight and responsibility off my shoulders which in turn helped me understand that I cannot control this and no one has a crystal ball that contains my future.  Only He knows my path and I have faith in Him no matter what.  #2. Stop googling.  Find one or two trusted websites for solid information and leave the rest alone.  This site should be your one..or one of 2.   The majority of the stories you will find are of individuals or studies of individuals who are unfortunately experiencing the ugliest side of this disease.  Yes, bad things happen with this disease but good things happen more often.  At your stages,there's a 95-97% chance you will not see a recurrence which leads me to #3 Train your mind to focus on the positives.  I know it's hard not to focus on that 3-5% but you have not been given a terminal diagnosis. Your odds of being melanoma free at your stages way out weigh the odds of recurrence.  So focus more on your blessings and fear not what you don't have.  #4. Find doctors that you trust.  Peace of mind is extremely important.  It allows you to sleep at night.  I love my dermatologist group but even when they told me I did not need to be seen by an oncologist for a stage 1b…I asked for the referral anyway.  It made me feel more confident that I was crossing all the t's and dotting all the i's. He is a melanoma specialist and has done wonders for my peace of mind.  He looked me in the eye and said 'even tho odds are vastly in your favor that you will never see melanoma again, I cannot promise that you won't.  But I can promise you "we" will be ready'.  I emphasize the "we".  Find someone that makes you feel you have a partner in this journey.  He follows me every 3 months cking my lymph nodes via ultra sound while my derm cks my skin every 3 months.  #5 find a strong support system outside the Drs office.  My family has been my rock…but yes, they got tired of the crying after 3 months and gave me a swift kick in the ass that I needed.  I have a friend whose husband does have terminal cancer (not melanoma).  She has been amazing in understanding the emotional roller coaster and encouraging me to see my blessings and stop wasting precious time crying and fearing something completely out of my control that may or may not happen.  Your physical health truly suffers when you have an anxious mind.

            So do what you need to do to find peace of mind, keep your body healthy, have confidence that you are on top of and prepared for whatever may come your way.  Be your best advocate. Focus on the positives.  It does get better.  Live life.   

            Prayers for peace of mind and healing.

             

            Janner
            Participant

              Wholesale removal of moles is not effective in preventing melanoma because 75% of melanomas appear on NEW moles.  TAKE PICTURES of your skin and your existing moles.  Watch for change.  Take pictures of all your skin so you can see if something new shows up — you have a point of reference.  Make taking care of your body a science instead of a mystery – create a plan that can help you monitor your body and therefore manage your anxiety better.  I don't expect my derm to remove any mole that I haven't identified first as something has changed.  Removing moles just to remove moles is a lot of pain and suffering for something that may be stable on your body for life.  I've had 3 primaries over 26 years.  I have pictures.  I remove moles that change and anything new and different.  I'm still stage 1b after 26 years.  I try very hard to keep emotions in check and use a scientific method monitoring my moles.  This gives me the sense of control I need in a disease where it is easy to feel we have no control.

              Phone apps – not a good choice.  Good macro photos – great choice.  Most melanomas are extremely slow growing so you're not likely to see change except over a period of months, not days.  And the internet is only going to increase anxiety if you search – been there done that.  Remember, even sites like this aren't really good for early stagers – they have a skewed population and do not represent those who've had early melanomas that have never come back or they've never had another primary.  No reason to stay here.  This site is for newly diagnosed and the "exceptions" who have progressed.  You see the small percentages here, not the vast majority never dealing with melanoma again.  So please keep internet sites in perspective.

                Ryan2240x
                Participant

                  Thanks for all of the support. I’m really worried because I don’t know which moles are newer. Would most dermatologists be able to spot something that looks just a little odd?  I’m so worried about this one on my face. I think it just kind of came about over the last few years, but I was dumb and didn’t really pay attention. It’s smaller than a pencil eraser, but I can’t seem to get a great photo of it. I started thinking and realized I had some beard stubble when I had that full body check, and they might not have even got that great of a look at it.

                   

                   

                  Janner
                  Participant

                    So you start now.  Take pictures.  If something is changing, it will continue to change and you will see that change over a period of months.  Again, most melanomas are slow growing and your early stage ones are those types.  There are some melanomas that are very obvious – classical features and the "ugly duckling"  and your derm will have seen those already.  No derm can tell for certain just by looking – that's why you take pictures so you can document change.  Again, most melanomas start on new lesions and they will continue to change.  The best way to help yourself is to document your moles now and then compare monthly.  My second primary looked nothing like my first.  But it stood out as being more orange than all my other moles.   One day I noticed small black dots in it.  Change and ugly duckling.  I had to wait 3 months to see a derm because of insurance issues.  When the lesion was removed, it was melanoma in situ.  So the lesion was still extremely early even though I had to wait months to have it removed.    Some derms will be cut happy and remove any and everything.  Some people do that for their anxiety.   Mole mapping is a way to minimize biopsies while maximizing results.  My institution uses mole mapping as an integral part of their practice.  If something looks odd to me, I check photos.  If something looks odd to my derm, he checks photos.  Any sign of change and it's gone.  Change doesn't mean something is melanoma, change just means it's risky so something should be checked out/biopsied to rule out melanoma.  If you take pictures of body parts, you will notice if something new and different shows up.  i.e. lower left front leg, lower left calf…  You can help yourself and your derm by having photos as documentation!

                    Ryan2240x
                    Participant

                      Thanks. I’m pretty sure these have been there for at least a few years. I always jump to conclusions and imagine the worst..like I have stage 4 or something. 

                      Ryan2240x
                      Participant

                        Also, I have this dark speck thing on my nose. I know it was there when I had my exam, but I guess at the time I was so upset about my diagnosis that I didn’t ask questions about what these spots are. I’m certain they would have noticed things like this.

                        AN8
                        Participant

                          I understand completely your concern.  My melanoma developed in an existing mole so my mind went haywire thinking others had changed and I hadn't noticed.  Or are others new and I have not noticed because I have so many.  Did my many biopsies the 4 months following my diagnosis scientifically benefit me in any way?  5 of the 6 atypicals/funky lesions which were completely excised were found within the first 12 biopsies.   Even some would say atypicals don't need removal unless change is noticed.  So the others were…a waste??  Yes, but for some reason in my head, it's what I needed at the time.  Striving for that clean slate.  Did I accomplish that?  No..I have way too many freckles/moles!! Am I recommending you go have numerous biopsies?  Absolutely not. I am not the norm by far.  But if you do see something you are uncomfortable with, show it to your doctor..even if you think they have seen it and passed it by.  They can explain to you why they think it's ok.  It's all about peace of mind and having confidence in yourself that you are on top of this.  

                          Remember, you caught the first one early that led to the other lesion being caught extremely early.  Due to your experience, you are now armed with more knowledge about melanoma.  You are more prepared today than you were before to find anything suspicious.  Find comfort in that. 

                          Ryan2240x
                          Participant

                            Do I make plans in a situation like this? Do I still get married and have kids? I just find it so hard to stop thinking about my situation. Really trying to distract myself though. 

                            Melvin
                            Participant
                              Call me please 559 681 4015
                              Janner
                              Participant

                                First diagnosed in 1992 (age 29), 2nd and 3rd primary in 2000 and 2001.  I'm still stage 1b in 2018 and just turned 56.  Why would you not plan for the future?  Absolutely do NOT let melanoma run or change your life.  You control what you can – doc appts, sun exposure – and then LIVE!  None of what you have received is a death sentence!

                                Ryan2240x
                                Participant

                                  Thanks for helping me feel better. I’m supposed to go to a different derm tomorrow to have a full body check tomorrow even though I had one a month ago, just because I’m paranoid and worried they missed something? Maybe I should just cancel this and wait until my 3 month check up?

                                  AN8
                                  Participant

                                    100% on point Janner.  Spend more time counting your blessings than fearing something you don't have and may never have.

                                  betsyl
                                  Participant

                                    Maybe we'll get lucky and an accurate blood test for melanoma will become available.

                                    Apparently, people are working on this.

                                    https://labtestsonline.org/news/researchers-developing-blood-test-melanoma

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