Recurrent BC in pelvic area

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LAR Surgery in 2014 after chemoradiotherapy removed the tumour and after 9 yrs it has returned to sweep up most organs in right pelvic area. After refitting an illiostomy due to incontinence a large tumour was eventually located.  I have been hospitalised 3 times in last six months with sepsis (first time I was very lucky to survive) which necessitied a nephrostomy tube inserted in my right kidney to drain it. It seems the tumour is causing this kidney to fill with infection so this is now for life. 

Recently successfully completed 10 sessions of radiotherapy to gain pain relief from impact tumour has on sciatic and spinal nerves.

Next up should be palliative chemo to control this tumour and it's impact on my prostate, bladder and kidney as the main attention. My concerns are 3 weeks on from completing the radiotherapy the numbness has started to spread again but I don't seem to be able to speak with anyone (I know they are extremely busy) about starting the chemo.

Has anyone experience of commencing chemo after a course of radiotherapy that could help me understand the delay?

I am aware from previous time the radiotherapy continues to work for a period - last time I was left incontinent but fould a way to manage it. This time I am now trying to find a way to get control of an 'aggressive tumour'. I have said I wish to know all the facts, having come to terms with life expectancy, and how I can use my experiences to help others in whatever time I have (including my dark humour)

Be great to hear from you. 

  • Hi  

    Welcome to the forum . My mum is a stage 4 patient and been in and out of treatment for 14 years but never actually had radiotherapy .

    However restarting chemo  has been on the cards . I know between chemo and surgery they like six weeks roughly but not so sure about radiotherapy and chemo as it’s often given together . Have you got an oncologist referral name ? I take it your surgeon referred you for radiotherapy and chemo ? You could ask their secretary for the name of the oncologist you were referred to . Then approach their secretary to ask for an appointment.

    Its not inappropriate to ask and see if you have a specialist nurse .

    My mum’s oncologist insisted there was no such thing as emergency chemo and asked her if she wanted a holiday first . However I think there is a psychological aspect to it that a holiday does not always resolve so she opted for treatment . It took roughly 3 to 4 weeks to get up and running each time she has gone back on treatment. 
    The other aspect we held onto . Due to the rate of cell division sometimes chemo is more effective on faster growing tumours if the person is chemo responsive . That’s how it was explained to me . My mum had fast growing liver tumours and got a great response but when it went to her lungs it was so slow growing she only had surgery .

    Our helpline staff could also guide you on timescales on 0808 808 0000

    take care ,

    Court 

    Helpline Number 0808 808 0000

  • Hi Court, 

    Thank you for your message. As surgery was ruled out along with radiotherapy by the surgeon due to extent ot tumour. The oncologist decided on radiotherapy to relieve the pain from the sciatic and spinal nerves.

    Other organs involved are what I am now worried about - and if it spreads to my lung.

    I have been trying to get hold of the specialist nurse with no luck so far.

    Thanks, Paul

  • Do you have the consultants email ? 
    Or phone the switch board and ask to get put through to the consultants secretary. If you have no success with any of that your Gp may have it .

    If all else fails you can ask PALs to provide some advocacy on your behalf . 
    These are real stressors and you need to have someone to raise this concern with .

    I can totally understand your concern . A timescale is required and allows you to plan also .

    You should not have to but sometimes it’s necessary to keep speaking up for yourself . Are you affected by the strikes ?

    Take care ,

    Court 

    Helpline Number 0808 808 0000

  • https://www.nhs.uk/nhs-services/hospitals/what-is-pals-patient-advice-and-liaison-service/
    Hoping you don’t need this but for your information just now .

    Court 

    Helpline Number 0808 808 0000

  • Oncology consultant is Dr Henry. He was my oncologist in 5014 as we. I have spoken with his secretary and she referred me to the Mcdermott Unit at my local hospital operated by McMillan. I tried several times today to get through but no answer.

    I'll try again tomorrow. GP app next Monday. 

    Its the plan and time line I really want so I can make decisions about arranging some trips away to keep on top of my mental health. I can only do this with a time line.

    Thank you again, Paul

  • All the best today and hope you can get through .

    There is a lot of planning around treatment . Mum is a year into this fourth recurrence and nine months in treatment. We like to get things in order around holidays and the day to day management of who is taking her , organising support for the following days . It’s a lot of work but very doable when you can take some control over that aspect .

    Maybe early doors before they head off to other tasks . So frustrating.

    Court 

    Helpline Number 0808 808 0000