MRI results

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Hi all. Hope you are all staying strong. 

Had my big MRI results yesterday. Wasn't what I wanted to hear really. Turns out they were inconclusive. Specialist said there is still an area just inside my back passage that is showing a different colour. They are undecided as to whether this is cancer or just scar tissue but obviously I'm expecting the worst. I need to have a proper investigation and a biopsy taken under general anaesthetic. A further pet CT scan is required too. If it turns out to be cancer then they have said I'll need surgery where they will cut everything away including a chunk of my large bowel. This will mean I have a permanent stoma which can't be reversed. Not sure how I feel about this. Could be a life changing thing. Not even sure I'll be able to do the job I do anymore either. Still need surgery to take half of my thyroid away as my windpipe is obstructed and now I'm on bone strengthening medication to try to help my fractured spine bone caused by the radiotherapy!! 

A lot to take in. My head is in a spin. I'm trying to think positive but I'm convinced they believe some of the cancer hasn't responded to treatment. They just wouldn't say.

The part I don't understand is that many people here say that they aren't totally clear of cancer until the next scan. If that's the case why aren't they offered a biopsy and corrective surgery? They seem to just wait until the following scan to see if it's gone. Any advice would as always be much appreciated. Michelle x

  • Hi there Michelle (),

    I’m really sorry yesterday’s results weren’t what you were hoping for. You’re correct that some people do have inconclusive results at their first scans & as you probably already know the radiotherapy continues doing it’s thing for some time following your last treatment I think this is why many oncologists have the wait & see approach, also scar tissue showing on scans is really common! I think it’s probably just differing approaches by different oncologists as to whether they go straight to biopsy or not, it seems pretty commonplace in other countries for almost everyone to be biopsied following treatment for AC regardless of suspect areas or not. I think going straight to giving you information about surgery etc., was jumping the gun a bit, unless you asked about the ‘what ifs’ but that’s just the way some Dr’s are! Regarding the stoma as I’ve mentioned in other posts many, many people continue to live full active lives with a stoma. As for the surgery, I know it’s really difficult as with me as soon as something is put out there I need to find out as much as possible about it, but I’d be tempted to sit tight until the biopsy etc., is done, this might be a whole lot of worry for nothing. Has your oncologist put a timescale on the PET scan, biopsy etc.?

    The whole journey following a cancer diagnosis and subsequent treatment truly is an emotional rollercoaster isn’t it? 3 years on from treatment I’m still on it & wonder if I’ll ever feel the security with my health as I did prior to this! Most days I manage to push it into the background & cope well then something happens, a painful BM, a bit of blood, maybe a new ache or pain & that worm is in my ear again. 

    We’re here whenever you need us, even if it’s just to let off a little steam.

    Nicola

  • Hi Michelle,

    I'm sorry your check-up wasn't the news you hoped for. I finished my treatment on January 5th, so I think we have somewhat close timelines. I had my three-month-ish PET/CT scan on April 14th, and the scan showed some slight uptake which could have been inflammation or active cancer. I also had "persistent wall thickening" in the area of the mass. The oncologists were not alarmed - they said this is quite normal and confirmed I'm inflamed in that area when they did an exam. The area that lit up slightly was also just inside my back passage, and I know from bowel movements how sore and inflamed I am still. It is worrying to me because I didn't get the absolute "all clear" I wanted to hear, but I even followed up with my favorite oncologist and she assured me that my scan was within the parameters of normal, the anoscope didn't show anything worrying, and they will check again in July.

    Based on my experience and your experience, I wonder if your doctors projected too far ahead with "what ifs." At only three-ish months out, our bodies are still reacting and working through the treatment. Can you ask what exactly concerned them to investigate further? Was the area larger or unchanged? My "persistent wall thickening" indicated the same thing seen on your scan. If I were you, I'd write down the most important questions swirling in my head and put a call in. During my meeting, I heard the doctors' words but didn't have time to formulate my questions - which came later.

    I wish you the very best outcome; I walk this harrowing journey with you!

    Sarah 

  • Hi Michelle, I'm so sorry about everything that you are going through and the awful day you had yesterday. I know nothing of stoma's but I have had a full thyroidectomy in April 2018. I had benign tumours that were quite large with an enlarged thyroid gland. I was very nervous about the operation in all honesty it was uncomfortable but I was home the next day and it took a couple of weeks before I was going about my normal business. I take thyroxine hormone tablets every day to replace the hormone my thyroid would naturally produce and I'm perfectly fine, never even think about it. There isn't even a visible scar. Honestly with everything that is on your mind and is causing you stress and anxiety don't add this to it. Xxx Marie 

  • Hi   so sorry to hear you weren't given the news you wanted. Just to re-emphasize what   has said, some first scan results are inconclusive, this is not unusual at all. It's just not want you want to hear though is it.  The radiotherapy really does keep on working for some months after. That's why further surgery isn't offered immediately as a lot of the time it isn't required. Suggesting a biopsy is standard procedure. If you had a biopsy before treatment it's not the same, nowhere near as painful afterwards.  I had scar tissue too and had a biopsy under a general anaesthetic. They insert a needle through the scar tissue and draw out cells to check it is just scar tissue with no cancer cells lurking underneath. My results confirmed it was just scar tissue fortunately.  I didn't have any pain after the procedure.  Hope that helps a little. Bev x