Hello, I hope someone can help me understand what's happening to my best friend
Diagnosed with bladder cancer in the spring, her treatment plan was surgery to remove her bladder plus hysterectomy, with chemo before to shrink the tumour
She had four cycles of chemo up to September, saw the surgeon last Friday with surgery booked tomorrow, 2 Nov and while not exactly looking forward to the experience, we felt that it was a turning point after which she could begin a long, slow recovery
Then a call at the weekend to see the oncologist, who says the surgeon isn't happy to operate as the tumour has not shrunk as expected
She has been in considerable discomfort for weeks and given codeine, this week she's been given steroids which have, to her surprise, made her feel better than she expected
I understand it's now proposed she should have radiotherapy in a couple of weeks, but she isn't clear whether this is as a substitute for surgery or as another attempt at pre-surgical preparation
Is this a recognised course of events to those of you who work with patients all the time?
Of course I am very despondent that it's the beginning of the end, more as palliative care than any hope of successful treatment
Please can anyone who's seen this progression give me an idea of what is most likely to happen from here on?