Low rectal cancer

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Hello, I am 43 have a low rectal tumour. At my first meeting with my consultant I was told my only option was radio and chemo therapy to reduced the tumour, followed by surgery and a stoma bag for life! I was a big ‘blow’ as I wasn’t even expecting a cancer diagnosis as all my symptoms ticked the box of coeliac disease - which I have also been told I now have. Today I met with my oncologist and he put 2 treatment plans on the table. Treatment A being the standard 5 days radio therapy, followed by 12 weeks chemo, then surgery and a stoma fitted. Treatment B, due to my age and fitness, is 5 x 5 days of high radio therapy followed by 12 weeks chemo. In a recent trial, 53% went on to NOT need surgery or a stoma. This comes with huge side effects, the dryness of the vagina and closing of the hole, (my husband and I still have a very happy active sex life) is a massive factor for me. But also my concern is that they can not guarantee that the cancer will all be gone. They are unsure if it’s in my lymph nodes (they think it’s in one nearby). So my dilemma is do I put  my body through all this radio therapy and take the chance of having a life at 43 without a stoma and all that comes with that. Or do I take the surgery and get a stoma and know the cancer is gone?? I have about 6 days to decide. I know I’ve only been offered this due to my age and fitness and am grateful but I really don’t know what to do. Has anyone done the 5x 5 days radio therapy and can share how they felt/side effects? I really don’t know what to do. They say they have to cover all side effects and I may only have some but a big factor and fear is the cancer coming back. But then it could give me 2/5 years less of a stoma. Anyone in this situation or has this experience and could share would be a great help. As my tumour is so low in my rectum, my nurse told me to Google anal cancer. Any help, advise and tips would be grateful. From a very confused 43 lady x

  • Hi Michelle welcome to the club no one wants to join. I'm sorry about your diagnosis. The main treatment for anal cancer is 28 sessions of radiotherapy 5 days on 2 off for 5.5 weeks combined with chemotherapy ( in my case 5 days 24/7 at the beginning and then repeated at the end ) my chemo was via a pump but some people have tablets and I'm not sure if that's either end of radiotherapy or all the way through. The radiotherapy wasn't a walk in the park but I got through with pretty minimal side affects I think. Had some toilet issues and burns but that was about it. I finished treatment on the 6th November so not 100% normal yet but getting there. some women on here  have had a stoma so hopefully they will respond. I was told my treatment is usually successful bit I won't know for a few months yet if that's the case. Dont know if that is any help or not. Sending hugs. Xx

  • Hey  

    I'm 52 and on 19 October after my colonoscopy I was informed that I had a cancerous tumour and would need my colon removed and a stoma fitted. After MRI, CT and PET scans - I was told that I had anal cancer (HPV) and that I would have the winning formula of chemotherapy (day one via IV - the remaining 27 days via tablets) and radiotherapy - 5 days a week for a total of 28 days. 

    I'm now in Week three and don't feel so bad. I do think about the benefits of a stoma frequently as I am really suffering with my bowel movements and it's really contributing to my tiredness. 

    It takes a few months after treatment formally ends for them to understand if it's been successful.  From everything I've read on here... I'm adding a month for the burns and healing after my official treatment ends.  And I do know that there are some long term affects of this treatment plan but again it's very individual....

    I don't envy the decision you have to make - at least you have choices. And also you now have this incredibly supportive community.

    Good luck and keep us posted.

    Ali 

  • Hi Michelle j had a stoma before mg chemo radiotherapy which saved a lot of pain .j won't lie the after effects of radiotherapy are gruelling but after 3 weeks it got better then as it hadn't all gone and I had a lymph node I had 6 cycles of chemo and am now waiting for surgery .like everyone said there are people on this forum with different experiences and treatment we can advise on the treatments and effects but the oncologists know best or if in doubt get a second opinion.i did twice but they both agreed on the same treatment so I went with my team 

    I know it's hard but at the end of the day they've got your best interests but if you need to ask any questions like I said there are people on the forum with lots of experience and it is a very valuable forum the main thing is you are not alone .Take Care xx

    Wendy 

  • Michelle

    You must be reeling - I am so sorry that you have had this news and sorry that you had the need to ever visit us.  From what you say, I am not sure if you have anal cancer or rectal cancer - not that it matters to us, you are really welcome here, but what you have been offered doesn't sound like the standard treatment for anal cancer which is https://www.analcancerfoundation.org/treatment/nigro-protocol/

    Sometimes some people with anal cancer have a tumour which prevents the passage of stools which is why they have a stoma first.  But I am not sure with the details you have been given.

    I realise you must be really confused and upset (I was absolutely incoherent with terror when I had my diagnosis) and I hope I don't upset you with my questions.  And the nurse telling you to Google beggars belief actually, I am really cross on your behalf.  All sorts of things come up on 'Doctor Google' which can be inaccurate, out-of-date or plain wrong.

    Sending a big hug, and I will look to hear from you again.

    Irene xx

  • Hi Michelle,

    I finished my treatment radiotherapy of 5 days a week for 5.5 weeks plus chemo tablets every day on Christmas Eve.  I did really well up until the last 5 treatments which were really hard and have managed to carry on working every morning. Everyone is different but like you I am fit and active and have a positive approach to life.

    My tumour was a T2N1 and it was low down, my oncologist was very positive that the treatment will work and I won’t need surgery but I have to wait until March for the results.

    Whilst the treatment is harsh my side effects were minimal and there are tablets to help with everything plus of course morphine which is a life saver and I feel it was worth it not to have a stoma. fitted.

    But if in March I find I need surgery then that’s what I will have, but my main interest in life is horse riding so for me trying everything not to get a stoma was worth it.

    Ask any questions on here, the forum helped me enormously. 

    Xxxxx