I'm newly diagnosed so this is to say hello

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hi I'm an older single woman and was diagnosed with AIN3 on 3rd October, following a biopsy. Fortunately for me CT scans and MRI plus examination under anaesthetic showed no internal growths in the lymph nodes or any where else. I am down for a second deeper biopsy on 26 October to determine the margins of the cancerous cells and the treatment pathway. This is expected to be mostly radiotherapy. I also have a referral for gynaecological endometrial cancer investigation.  

So far I've been calmly pragmatic because I felt mostly relieved that I had asked for a private consultation back in July because I had self-diagnosed as having a haemorrhoid in lockdown - not knowing what other explanation there could be for the lesion outside the anal sphincter running down my buttock. The problem with self-diagnosis off the NHS website is that the NHS discourages people from bothering their doctors. Unfortunately my GP practice had nearly broken down post Covid with retirement of the old cohort of GPs, staff shortages at all levels, sickness and a major move to a new surgery amalgamated with another practice. So since January 2022 when I began to think I had to see someone about a growth that was getting bigger the GP practice has been issuing notices that they could only deal with emergencies and the only phone consultation I had was with the APN. Because I asked for a referral to a colorectal specialist she did do that immediately and I saw a consultant at the private hospital 19th August. Thank goodness I spent £250 on that and was prepared to spend several thousands of my savings on having the growth removed. The consultant  immediately put me back on the NHS track because I was self-financing and booked me in provisionally for a biopsy on 19 September. I'm grateful that the biopsy went ahead despite the Bank holiday for the Queen's funeral  and that the diagnosis has been swift. 

Despite some tough months ahead I hold on to the fact that a stage 1 anal cancer should be cured. I fit none of the risk categories such as immune deficiency, HIV or even any family history of cancer among my 50 cousin or aunt/uncle relatives. I am keen to know as much as possible about my disease as i find that makes me feel more empowered and takes my mind off future unpleasant experiences. 

  • I am so sorry about your diagnosis and also that you had to resort to self-funding for treatment and a diagnosis.  Unfortunately there are a few on the forum who have shared your experience regarding accessing a proper investigation and your outlay on swift treatment sounds like money well spent (but unfair on you).  Coincidentally there have been two new forum members in the past few days who have been diagnosed with AIN3, if you look at very recent posts you can read about their experiences and treatment.  

    The radiotherapy (normally combined with chemotherapy) is an intense treatment and can lead to painful sores in the early days after the end of treatment but the team treating you are fully aware of the various side effects and will keep you well supplied with medication to help you through this period.  There is a shopping list of 'essentials' for those undergoing pelvic radiotherapy, but if I had to choose, no 1 would be a Sitz bath which I used to soak in to relieve pain, eventually I used it to pass stools in (having a bowel movement is much less painful under water).  No 2 was my cushion to relieve my painful nether regions as I sat in the car journeys for treatment.  By now you may have an inkling that nothing is off-limits here when you need to talk about what is happening to your body; we have all been through it and know only too well what it is like and are happy to share our coping strategies.  The blessing is that the treatment is fairly short and sharp; a few people sail through it relatively unscathed but I spent most of the time sleeping, the body is trying to recover from the treatment and can take every ounce of energy you have.

    You sound in such a positive state of mind, that is such a good starting point - very best wishes.

    Irene x 

  • Hi Ruggero, sorry you've found it necessary to find this forum, but it's such a blessing. I wish I'd known about it prior to treatment.

    Your calm pragmatism is also a blessing, and just the right reaction. I'm sorry that you too had to run the gamut to get a diagnosis but glad your team is on the ball now.

    Knowing yourself well enough to know whether information will empower or overwhelm you is also a great attribute to have! I've got (or had!) a similar cancer to yours and am feeling really good now, 6 1/2 months out of treatment. I'll find out when I get my next round of doctor appointments and scans. The treatment is tough but if it kicked my cancer out of my ass, it's all worth it.

    Suz

  • Hi ,

    I’d like to offer you a warm welcome to our little corner of the Macmillan online community although I’m really sorry that you’ve had the need to find us.

    It was definitely the best move to spend that initial £250 to get a private consultation & an even better one that you’ve now been referred back to the NHS for further testing & your treatment etc. I too was diagnosed with stage 1 anal cancer, if you click on my username you’ll be able to read a little about my journey there. 

    Although anal cancer is classed as a rare cancer unfortunately cases are on the rise, having said that it is a highly treatable cancer & the ‘cure’ rate is high especially when caught in the early stages.

    I’ve never been told that my cancer was HPV related, I’m not immune compromised either, I’m aware that during menopause our immune systems can deplete & sometimes completely crash so I do wonder if that’s why many of these incidents of anal cancer occur in women in their 40’s, 50’s & beyond? I do understand this doesn’t explain cases in younger women or men either but for those with no other apparent risk factors it has made me wonder. 

    Please feel free to ask any questions you have no matter how personal they seem, we’re an open minded bunch here that have numerous conversations about bottoms & toilet habits. 

    Nicola