Running out of options, no treatment options left

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I have been living with stage 4 incurable and inoperable cancer for three years. It's metastatic myxoid sarcoma. I'm on palliative care, chemotherapy and pain killers among other things. I have had various spells of radiotherapy and chemotherapy, nothing has really worked. I have been on Trabectadin since last summer and have had eleven (actually 10 and a half because the hospital made a mess of one) infusions. This has probably worked a bit, up to a point. I have had to persuade the oncology team to stick with it, they were wanting to change or drop it but I read that it can take 8 or 10 infusions to have any effect. Well, we are on infusion eleven, and while trabectadin has probably, probably kept a lid on things for a while, now the tumours are growing again (you can see them in my groin) the pain is increasing. I ham having to take more zomorph and more oramorph. The consultant who has been looking after me since the beginning is not going to be my consultant any more, I believe she is retiring. I am devastated as I trust her and have faith in her. I'm going to be allocated to some other consultant who I don't know. I feel that I am going to have to fight a battle to keep on some kind of treatment. Oh, I forgot to say, I had been told that Trabectadin was the last line of treatment that is available. There is nothing else. So what happens now? Is it just a case of, as a nurse once said to me: "Go home and put your affairs in order?" Just go home and die? Is that it? All my life I have had a vision of what is possible, but now I don't know what to do. That's it really. Oh yes and one other thing, a community nurse really frightened me when she told me that tumours like mine can break through the skin, this apparently is called a 'fungating tumour' and is accompanied by a strong smell. Thanks for that I really needed to know that. Feeling a bit hopeless at the moment, don't know what to do.       

  • It is sad to read this  .  I'm very aware that your story is similar to mine and that I am also now on my last line of treatment.  You're a year ahead of me, and I am highly aware that I am entering what the doctors believe will be my final year. (I haven't accepted that.yet). 

    I believe that I do have my affairs in order, as best I can, which makes a big difference for me sleeping at night.  And allows me to concentrate on making the most of my time. 

    There's nothing that I can say which will change anything.

    I'm thinking of you; and here to listen if needed.  Best wishes.

  • Hi Ramsbottom, my apologies for not replying sooner, I've been in hospital, and I'm so sorry to hear your situation and how difficult things are for you, like SandyN, I have all my affairs sorted for exactly the same reasons, Ramsbottom have you considered going on a drugs trial, if you have and been told your not suitable I apologise, but I know a few on the forum have been on one when all other options had been tried and some with very good results, 

    I can imagine losing the oncologist you have trusted all through treatment must make your situation feel worse, but it's also an opportunity for a fresh perspective for you, and possible treatments your previous oncologist didn't consider, and as for fungating tumours, I know someone on the forum who has one, and would ask them to have a talk with you, if you should ever want to.

    Eddie 

  • Hi SandyN, and a warm welcome to the forum nobody wants to join. I read a couple of your posts, and though our cancers are different, I admire and share your attitude, and I'm glad to hear your treatment is helping and your feeling pretty well, which I do too despite everything, which I think we can be grateful for,

    SandyN, you will find the good people here happy to offer advice and support to everyone, through good and bad times, so if you want to scream, rant, shout, have a laugh or cry, or need a little support or advice, you will always be welcome to find it here.

    Eddie xx 

  • Thank you for your kind words, much appreciated. 

  • Thanks for your kind words Eddie. The point about the fungating tumours was that the nurse was being a bit shall we say unsubtle, too much information. I'll definitely try drugs trials if they are available although with my luck I will probably get the placebo! I haven't been told I am not suitable and please do not feel the need to apologise. All suggestions are welcome and helpful. My very best wishes.  

  • Hi Ramsbottom,  I'm  with you on getting too much information,  my first consultation with my oncologist, she told me how my last 3 months would be , you don't need it my friend.  The  Royal Marsden, and Cancer Research UK, are worth looking into for drugs trials, I've done a little research myself and there not all blind tests, there was another one, I  will try to find it and let you know, 

    Eddie 

  • Hi Ramsbottom

    I'm not sure if we've chatted before, but hi from me anyway!

    When I read your original post, I had thoughts along similar lines to Eddie's, regarding your looming change of oncologist. I know it will be a step into the unknown, meeting a new oncologist, but you may find that you do get a change of perspective, and a different slant on your treatment options. It may not be a bad thing!

    We can only have hope...we always have that....one day at a time, and other cliche's! You have come so far, don't give up hope yet.

    Sending virtual hugs

    Kate

  • Hi Ramsbottom, the other place to look for trials I mentioned is www.ctc.ac.uk best wishes.

    Eddie

  • Thank you - I appreciate the encouragement. R

  • Thank you, much appreciated. R