Patients’ Emotional Experiences and Life Changes Following a Diagnosis of Skin Cancer: A Qualitative Study Comparing Melanoma and Squamous Cell Carcinoma

Background: Despite advances in diagnosis and treatment, the psychosocial impact of skin cancer remains relatively underexplored. The aim of this study was to explore the emotional experiences of people diagnosed with melanoma and cutaneous squamous cell carcinoma (SCC) and their evolution over time. Methods: A qualitative study was conducted using semi-structured interviews. Purposive sampling was employed, taking into account gender, age, tumour type and tumour stage. Interviews were audio-recorded, transcribed verbatim and analysed thematically. Results: Thirty-six patients were recruited (18 with melanoma and 18 with SCC). Overall, 61.1% were men and the mean age was 63.8 years (SD 10.8). The analysis revealed three main themes: feelings, relationships and life changes. Patients in both groups experienced a range of emotions following diagnosis, such as anxiety, relief and fear of recurrence. Family dynamics played a crucial role in patients’ experiences, acting as both a source of support and a cause of concern. The diagnosis prompted changes in everyday life, affecting work, daily activities and patients’ sense of identity. Conclusions: The diagnosis of melanoma or SCC has a profound emotional and existential impact on patients. Personalised care is crucial to address their evolving concerns and information needs. Further research is needed on the long-term impact of skin cancer and the benefits of psycho-oncological support. Incorporating patients’ perspectives into current skin cancer guidelines should be considered.