One year on. T4 N2 M0 EMVI lymph node

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Hi everyone,

                    it has been a year now since I finished the treatment. The tumor has gone, there is no cancer there, they told me 6 months after. So far so good.

I have a meeting every 3 months with a surgeon one time, then my oncologist the next. I have been arranged to see my oncologist tomorrow but yesterday someone phoned and moved my appointment to two weeks ahead, which is annoying but whatever.

The surgeon says there is a big lump of scar tissue in my bum, they biopsied it and it's scar tissue. The surgery team did not inspect my vagina which is closed up after 2 ins although I did tell them they were not interested. Would have been a different story if my willie had dropped off ! absolutely nothing to say about it at all. Also my urethera is always sore to pee through, sometimes worse than others. They were not interested. Also my bum muscles are weak and my sitting bones are sore. I get pins and needles in my labia and bum from sitting even on soft cushions, my pubis is fat, I guess the lymph does not drain too well.

When I came back from the appointment I was stressed that my concerns were not validated, and emailed my gp who was much more sympathetic, the one who misdiagnosed me for 3 years.  and he organised blood tests, this was 3 months ago, this is how long it takes to tell you the results ! I caught covid last week and the gp's nurse called to say I was pre diabetic, I was not in a good mood. I'm celiac, slim, what the flip am I supposed to eat. I'm guessing my pancreas isn't up to much, having been an undiagnosed celiac for 45 years. Do they care ? do they put 2 and 2 together, no, they gave me a leaflet mostly about losing weight.....

Anyway I told the gp about my weak bum muscles sore bones and peeing probs,  as my surgeon was not interested, they did a uti test which was neg and he made a referral for me to see gynacological phisiotherapist, I called the phisio number 3 months later and they said I had to wait for an appointment like everyone else and it would be at least another 3 months.

I have been doing 6000 steps and more at least 6 days a week but my pelvis is blasted, i cant step sideways at all well, to get on my bike I have to lift my leg over with my hand. This is one year on. This week I noticed my legs were a little bit better, and man I grabbed that moment, this is 12 months its taking. 

Lockdown has not helped, normally I would be going to pilates but all classes cancelled and I didn't fit in for the Zoom phenomena very well.

My anal skin is fragile and sore, I use calendula cream. I have never used any kind of soap or product other than this, it works for me.

I'm not up to fitness after 12 months but hopefully getting there now. I'm 65 yrs old, and trying to retire in style !

I'm not right happy about my undiagnosed celiac, anal cancer and now pre diabetes.

I think I must have to be much more pro active instead of being a victim to these mistakes ...

Anyway, that was a bit of a rant. Thankyou for being here anal cancer forum !

XX

  • Hi Twigley, although I cannot offer advice in any way (I only just finished my treatment today) I found what you have written very interesting. Why is it we are ignored by doctors and our worries dismissed. Almost everyone I have spoken to who has a diagnosis of anal cancer was misdiagnosed and suffered pain for months with out being taken seriously! I have often thought if I had a penis and said it hurt, I was peeing blood and i felt a hard lump they would have rushed me in straight away! In my opinion we are often dismissed as women and seen as hysterical, that seems to be my experience anyway! 

    well I am glad you seem to have had some relief recently, and I hope they get on top of the pre diabetes. Take care Becs x

  • Hi  & all you lovely bum belle beesBlush

    Ah, it’s good to see a vintage rant!  You seem to be doing a great job of putting your life back together after cancer & all the problems of dealing with the NHS.

    I’m 18 months after treatment for a T4 tumour & not doing as well as you.  It was too frustrating for me to keep dealing with the NHS - for the most part, a bunch of dedicated people without the resources to do their jobs properly - so apart from a 3-monthly phone call with the consultant, I’ve divorced them & evicted anyone from my life who treats me as a patient.

    I do about the same amount of exercise as you after learning the hard way to pace myself.  I turn 70 next week so it’s not a shock that I’ve not been able to return to martial arts but I cling to the ever-shrinking hope that maybe one day…

    Tenesmus - the feeling of urgently needing to poo - still dominates my days unless I’m lying down.  It’s exhausting.  I keep busy in the mornings then gradually run out of steam after lunch & spend my evenings lying on the sofa.

    Given the alternatives, I try to practice gratitude.  I hope to return to my volunteer bike mechanics’ group & occasionally fix a friend’s bike.  I’m still learning Japanese.  My Danish is still good enough to understand internet news.  I bought a little 125cc scooter so I can get about when tenesmus allows.  I’ve started to take a camera out on walks to shift focus away from my bum onto birds.

    Wish you well Sarah, & positive vibes to the whole forum.

    love  xxx  Toni 

  • Hi Toni,

              yes thanks for your reply. I have got my 125 scooter going too, don't ride in London anymore, but it's great in East Devon where I'm slowly moving to.You are keeping yourself busy with the languages, good for you Toni, you sound like an interesting person.

    I have that tenesmus, some days I poo my pants, I would every day but if my bottom even just thinks it might want a poo, I go straight away, because it just decides on its own 2 seconds later that I am going to poo right now whether I like it or not.

    I'm a year on and it has got a bit better but it is not better, and I suppose it never will be. One thing I have noticed though is, in the house it's worse !     If I go out to work gardening its not half as bad. I suppose its something to do with that thing where one can't poo on holiday, you need your own loo ??  ... ? I take emergency knickers and loo roll out with me but seem to manage thanks be, and they are in the bottom of my bag all crumpled.

    I think you will be able to do your tai-chi again very soon, I know it.

    Sending love,

    Sarah.

  • Hey Twigley 

    I totally feel for you and I think your rant is understandable, sounds like your team are not listening to you & giving you the support that you need.    I have just done a post on here about my recent vaginal stenosis and a procedure I had to help with this. 

    I was fortunate enough to get a referral to a Gyen/bowel  physio and I have to say she has made such a difference.  She referred me the to gynaecologist for a Fentons procedure to help with the opening of the vagina but also another procedure he did at the same time to help with peeing as I was having issues but UTI tests were always negative, although I was presenting UTI symptoms!!  It’s just a shame that it’s luck of the draw with who listens to you and I hope you can get better support soon. 

    for any kind of sore skin for the vagina or anus she recommends 100% aloe Vera it’s amazing and I wish I had discovered during radiotherapy. 

    Hope things improve soon, like I always say, we come through the beast of the treatment but that’s sadly only the beginning, we devastation that it leaves behind is not easy. 

    take care xx

  • Dear Matilda,

                           thankyou so much for your reply, its a relief to find im not alone in this with the long term effects. 

    I have looked up the Fenton procedure on google.

    Maybe I can live with the stenosis but I worry that my womb has no outlet, not that it is used or ever has been. I'm single, child free and have passed menopause, but I am looking for love and feel like I dont have the full quota of requisites !

    Don't women who have breast cancer have an option of restructuring almost built into their treatment from the start ?

    Anal cancer is much rarer so generally practicioners know less about it unless they are specialists.

    Thanks for passing your information on, it's much appreciated.

    I'm one year on from my horrible week at the end of treatment and grateful to be alive.

    all the best.

    Sarah

  • Hey,  its so good to connect with others fighting the same battles. (although sad that we find ourselves in this situations at all) xx

    This such a good point.    Breast cancer automatically comes with the reconstruction of a new breast built into their treatment plan yet for anal cancer and the destruction of the vagina in the process we have to search this info and beg and rely on others telling us what options are available to support any kind of hope of a normal sex life or smear test ever again .!!

    You sound so positive and amazing I hope you find the love you are looking for   


    I am 2 years from when my treatment all began and ever grateful to be alive xxx

  • Yes, I suppose at first we are just pleased to have been treated but once you are finished and trying to heal, the damage that has been done becomes more obvious. 

    Maybe you should see GP about Fenton procedure if you are interested in it, or see if they can suggest anything else - there must be specialists in sexual health who have seen this before and have some ways to help. It would be a shame to stop your search because of this.

    There are many guys with prostate issues who have problems too, so there must be some avenues of help for those of us who don't feel quite like just giving up quite yet!

  • Wow, I am amazed to hear that so many people have been misdiagnosed, including myself.  I have had nearly 2 years of unbearable pain and the only thing the NHS did was to offer paracetamol or give me an operation to inject botox.  Its something that I really struggle with, the thought of getting back all that pain and no one taking any notice of it.  Anyway, on a positive note I feel so lucky to be 5 months out of my treatment and things are healing nicely.  Once I was diagnosed and sent to St James In Leeds they were marvellous.