Hi everyone
I'm so worried but trying to be strong for everyone else so thought I would post here.
Diagnosis T4 N1c M0 last year. Finished chemoradiotherapy December 2025. MRI scan in May this year should no sign of tumor and no evidence of diseased tissue. However some activity in 1 small lymph node so had PET scan in June. This showed lymph node had sorted itself out but there was some activity at the original site of the tumor.
I still have an active fistula in that area which I think may be infected due to increased discharge along with consistency change over recent days. It's also a little sore. I'm having a biopsy week after next.
How can the diagnosis change so much in a couple of weeks? If there hadn't been a lymph node issue, I wouldn't have had the PET scan and been no the wiser! I can't seem to get a decent answer from my oncologist or colorectal surgeon, only that any scan is just a snap shot of that particular moment in time!
Even though I know it could be scar tissue or the fistula (particularly as it seems to be going through a period of inflammation/infection) I'm obviously worried about it being cancerous cells, despite having the 'all clear' a few months ago. I really don't think I can go through this again, so soon.
Thanks for providing a safe space to vent
Lisa xx
Hello Lisa70
You must be worried, I am not at all surprised and I am so sorry that you have this hanging over you. I am not a medic and my medical knowledge is purely what I have picked up along the way. Prior to treatment the PET scan shows possible cancer spread which appear as 'hot spots'. Many hospitals don't do PET scans after chemo/radiotherapy as so many areas show up but these hot spots are inflammation and scar tissue after treatment. The MRI scan can show thickening (that happened to me) but that doesn't appear as a 'hot spot'. Nevertheless, I had to go for a sigmoidoscopy to check the area and they showed the photographs of my anal canal with visible evidence of proctitis but nothing else to worry about.
So I am hoping that this will be your experience too. I am sending the very best of wishes that your biopsy shows nothing and that the tumour site is just a bit angry at having being thoroughly zapped.
Big hug
Irene xx
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