choice of radiotherapy for an older person

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Hello

New to this group - thanks for reading. My relative is 85 but independent and has developed muscle invasive bladder cancer with no spread thankfully. The urology doctor suggested that palliative radiotherapy might be the best option with an outcome of less than 2 years if she did nothing. The oncologist however suggested that she could have radical radiotherapy with the potential to cure it but we are concerned about possible side effects and impact on quality of life. She has been told she could consider the 6 dose over 2 week palliative option or the lesser once a week for 6 week option or to do nothing. Its a difficult dilemma as at the moment she has no symptoms but some difficulty bladder emptying. Does anybody have any experience good or bad with this treatment in an older person? Would be grateful to hear so thank you for reading this post!

  • Hi reeneew 

    Not had any experience of radiotherapy myself I went the chemotherapy route. Iam sure someone will be along soon who has the relevant experience. 

    Best wishes

    Mark

  • Hi  and a welcome from me. I was 63 when I went through radiotherapy . I had daily radiotherapy sessions for six weeks and tolerated it quite well. The latest protocol if your relative goes that way is now 4 weeks. Side effects were tiredness which lasted for several weeks and erratic bowels for a while. So far no long term effects. I hope all goes well whichever way they choose. Best wishes.

    Best wishes to All,   rily.

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  • Thank you so much for your reply.  Really pleased that all went well.  Best wishes for continued good health!

  • Hello reeneew,  I was about 68 when diagnosed in mid 2017. My path was initially planned to be a TURBT but during pre-op assessment a heart problem was found, causing radiotherapy to be given instead. I was given three radiotherapy options but things may be different now and different hospitals can develop different strategies. The first two options were 1 week, high radiation dose, palliative, or 2 weeks, medium radiation dose, palliative.  The third option was 4 weeks at 'curative' radiation dose but Oncology said that to really have curative potential it should be followed by chemo. I could not have chemo because of the heart problem. I chose option 2 after discussing the pros and cons with my Macmillan nurse who acted as a go-between, tracking down the very busy oncology and radiography consultants to get answers to my questions and generally obtain a clearer basis for my decision. The 2 weeks course was completely painless with only a slightly disturbed bowel for about 3 weeks, starting during week 2. A CT scan confirmed that the radiotherapy had destroyed 95% of my 7cm tumour, leaving scar tissue. Two TURBTs followed in 2018 to deal with the troublesome remaining part of the tumour. Radiotherapy can be very effective and has the huge advantage of being non-invasive and usually without any pain. Side effects vary patient to patient but every effort will be made to tailor the treatment to give the best outcome vs side effect balance.    

  • That is reassuring to hear - thanks for your support - Hope you continue to remain well!

    Best wishes