Metastasis single cell carcinoma bladder cancer: can it kill that quickly?

  • 1 reply
  • 42 subscribers
  • 188 views

Hello Macmillan,

I am new here so apologies if this isn't the kind of post, I am just a little lost and exhausted and stumbled my way here through the millionth google of 'what happened to my mum'.

Brief background; in February my Mum got diagnosed with small cell bladder cancer, the tumour was large, and he said seemed been there a while - further scans show it had spread into her Lymph nodes in her pelvis. But no other organs affected yet.

She had a successful 'clear up' surgery in March to remove as much as possible - chemo would then be next but mum suffered from a cardio vascular disease and so would be too risky - she then underwent 6.5 weeks of radio on her pelvis in May/ June.

She took it like a champ (stopped smoking finally) and she looked FAB, July was Wimbledon and smiles - although she started to get an intense backache, and felt very sick.

The vomiting got worse, then she felt very weak and we went to hospital, they did 2 CT Scans in one day and discovered that it had spread to her Liver and in her lymph nodes in various places around her body (abdomen, lung potentially and neck).

We came home for two nights - she was still very poorly but at least in her own bed. We went in the next day to sign up for chemo (as risk of heart attack was worth taking on over no treatment at all). That day her results came back and turned out she was painfully dehydrated and her kidney function was down to 10%.

Rush to A&E - on an IV drip, still feeling sick, no real food or liquids still. A few days in hospital and no real improvement (but also kidneys not getting any worse) we go to ICU, and by now she is in a full delirium - had no idea who we were. Was absolutely devastating. All doctors say there's nothing more they can do. The only fix would be dialysis but too risky - plus kidneys were slowly getting up to 15% by themselves.

7 days later, we are told palliative care had taken over, and we get her to comfortable hospice and have our family around her as we all said goodbye. 

It just feels SO SO quick - to go from "maybe a few years left" to 8 days. Has anyone else experienced anything so rapid?

But then I google small cell bladder cancer and looks like 0.7% of people get it, it is VERY aggressive and only gives a few months prognosis.

Would love to hear from ANYONE who has been in anything remotely similar as I am feeling exhausted looking for answers and sincerely hope this is not a case of NHS negligence,

Thank you so much for listening

Jenna x

  • Hi Jenna

    My name is Sarah, and I am one of the Cancer information Nurses on the Macmillan Support Line. Welcome to the online community I hope you are finding it a helpful and supportive place to share with others.

    I am sorry for your loss and can understand this has made you feel a little lost and exhausted, looking for answers such as why this happened to your mum.

    I am sure that you have many questions, it may help to ask for a meeting with your mum’s cancer team so they can give you an idea of why this happened to your mum. It is difficult for us to comment specifically as we don’t have access to NHS notes, but we can talk generally about cancer and cancer treatment.

    NICE guidelines give evidence-based recommendations on treatment options. Treatment decisions are made on an individual’s diagnosis, grade and stage of cancer and also their general health.

    Cancer research has general information on prognosis or we sometimes say survival for different stages of bladder cancer. The outcome for bladder cancer at stage 4 when it has progressed to other organs in the body is explained as only 10% will survive their cancer for 5 years or more.

    Cancer doesn’t always behave as we think it may, this can be difficult to understand. Your mum’s team will be able to help you understand a bit more around their expectations of treatment outcomes and decisions that were made.

    In all this Jenna you are experiencing grief and loss. There is no wrong or right way to feel so please be gentle on yourself. I hope that you have some good friends and family around you for support. There is a charity called Cruse who offer support for those going through grief and have information on understanding grief you may find helpful.

     Please don’t hesitate to contact us if you’d like to talk things through. Sometimes it’s better to talk to one of our nurses so we can understand a bit more and sometimes it is helpful just to talk.

    Look after yourself Jenna, and please feel free to reach out if we can help in any other way.

    Best wishes,

    Sarah

    Cancer Information Nurse Specialist 

    You can also speak with the Macmillan Support Line team of experts. Phone free on 0808 808 0000 (7 days a week, 8am-8pm) or send us an email

    Ref/ SS/KHa

    Sarah S-Macmillan Cancer Information Nurse Specialist