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my fear is that he really wants to pretend that I never existed.
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I don't think just because he was young he would now want to pretend you never existed. I think when fear hits us, we look for "reasons" to keep us from moving forward, but in reality, the notion that your bdad wants to pretend you don't exist is just something made up in your mind. We all do this when confronted with fear or the unknown. We make up potential stories or scenarios. You don't know the truth and won't know the truth unless you find out. You may also be pleasantly surprised.
I am sorry to hear of your cancer diagnosis and hope you go through treatment with flying colors. Given the seriousness of this, it is imperative you have medical information. It must be very hard to face this diagnosis and attempt to make contact at the same time, but if you are not ready for a full-on reunion, why not just pursue your medical info at this point and put an actual reunion on hold for now? That could be an option for you.
Best of luck with all of this. You have a lot on your plate, that's for sure, but just stay strong!!!