Endometrial Cancer Stage 4

1 minute read time.

My mum was diagnosed with endometrial cancer in October, initially assessed as grade 3, stage 1. She had an MRI and CT scan in early November, which did not show any spread beyond the uterus. She then underwent surgery in mid-November to remove the cancer.

During the operation, the surgical team also took additional biopsies from surrounding areas. The post-operative pathology results later showed microscopic spread to the bladder, which meant the cancer was upstaged to stage 4. Chemotherapy has now been recommended.

I’m still trying to understand how the bladder involvement was not detected on the earlier MRI and CT scans, and whether this means the spread was already present but too small to be seen, or if it progressed between the scan and surgery.

At the moment, we are waiting for kidney function tests and blood tests to confirm she is fit to start chemotherapy.

I would really appreciate advice on:

Whether there are any supplements or nutritional support she can safely take at this stage

Whether Nestlé Oral Impact is appropriate before and after chemotherapy

What the next steps usually look like in this situation

And whether there is anything important she should prepare or do in advance of chemotherapy (nutrition, rest, medications, lifestyle adjustments, or warning signs to watch for)

Any guidance or clarification would be very helpful, as this has been a lot to process.

Anonymous