Patients' experience of the diagnosis and treatment of skin cancer.
OBJECTIVE
This paper describes the experience of being diagnosed with skin cancer from the perspective of patients.


BACKGROUND
Despite the number of people with newly-diagnosed skin cancer increasing each year, the psychological impact of receiving such a diagnosis has received little attention. Research in this area is sporadic and has predominantly focused on malignant melanoma and used a quantitative approach.


METHODS
Sixteen patients were interviewed about their experiences of being diagnosed with malignant melanoma, basal cell carcinoma or squamous cell carcinoma. The interview transcripts were analysed using thematic content analysis.


RESULTS
Similar themes for the two non-melanoma forms of skin cancer patients emerged. Information and knowledge of skin cancer appeared as a key theme, and influenced experiences in a variety of different ways. Patients with malignant melanoma recounted similar experiences to those with basal cell carcinoma or squamous cell carcinoma. People with malignant melanoma, however, used a wider variety of strategies in order to cope with the diagnosis. Satisfaction with the care experienced by each of the three groups played a crucial role in minimizing the experience for the patients.


CONCLUSIONS
Patients with skin cancer should not be conceived as a homogeneous group, but one in which there are a number of diagnoses which differ in prognosis, and so may result in a variety of different consequences and thus experiences for patients.
Cancer Research UK, Psychosocial and Clinical Practice Research Group, St James's University Hospital, Leeds LS2 9JT, UK. anna@winterbottom.co.uk
Anna
A
Winterbottom
Diana
D
Harcourt
D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001294:Attitude to Health; D002280:Basal Cell Carcinoma / Q000175:diagnosis / Q000523:psychology / Q000628:therapy; D002294:Carcinoma, Squamous Cell / Q000175:diagnosis / Q000523:psychology / Q000628:therapy; D005260:Female; D006801:Humans; D008297:Male; D008545:Melanoma / Q000175:diagnosis / Q000523:psychology / Q000628:therapy; D008875:Middle Aged; D012878:Skin Neoplasms / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy