I haven’t updated for a while, so thought my two-year milestone might be a good time to stop by.
Two years ago today, 11th August 2023, I received the news everyone dreads. Following a colonoscopy (as a result of a positive FIT test) I was told I had a 4.7cm rectal tumour situated at the anal margin. Things happened very quickly: A CT scan took place on the same day as my colonoscopy and an MRI took place six days after that. Thankfully, there was no spread and I began my radiotherapy sessions and Capecitabine on the 11th October. My final radiotherapy took place on the 14th November and I had three rounds of Chemotherapy which ended on the 29th January 2024.
My post-treatment scans showed that there was something remaining at the site of the tumour, so my Colorectal Surgeon told me that my destiny was to have a stoma. Naturally, I was reluctant to have life-changing surgery, but I was mindful that although life-changing, it was life-saving. I was told that what remained at the tumour site was “too small to measure”, so I requested a referral to see Professor Myint at Clatterbridge Hospital, to see if what remained could be treated with Papillon. A referral was made, but I was told I would need a biopsy so that an accurate account could be sent to the Professor before an appointment was issued.
On the 10th March 2024 I was admitted to hospital for a biopsy. On the 28th March I had an appointment with my Colorectal Surgeon to receive the results. My Colorectal Surgeon told me that a number of samples had been taken for analysis, and everything had come back clear. I had, fortunately, had a complete response to treatment. What was showing on my scans was scar tissue. I was offered the option of having a stoma just to be on the safe side, but I elected a ‘watch and wait’ process instead. I have regular CT scans, MRI Scans and follow-up appointments, but so far, thankfully, my complete response to treatment is maintained. I have six-monthly appointments to see Professor Myint and he tells me that if I should be unlucky enough for the cancer to return, he will treat me immediately with Papillon. I’ve been told that I’m not completely ‘out of the woods’, yet, but two years is quite a significant milestone.
I hope my story gives encouragement and hope to others, and I wish everyone the very best of luck in their own journey.
That’s fabulous news Susie64 Yes I was told that most recurrences happen within the first 2 years so that’s a great milestone to have under your belt.
Take care and I’m looking forward to your 3 years update!
Karen x
Very interesting! My OH is waiting for APR surgery after radiotherapy + chemo and CAPOX regimen.
apparently the tumour has gone from his bowel and some cancer remains in one lymph node. Hence the need for surgery. But if he could avoid surgery …….. food for thought for us. Thank you for sharing.
Glad to see you are doing well.
My dads in a similar position. He had radiotherapy and chemotherapy and had a good response . He then got liver mets so had an operation to cut them off and in the meantime the tumour grew back. Hes now had 8 cycles of folfox and his liver is clear and his tumour is no more.
Here where his story differs to yours though…
Theyve told him he needs a full pelvic clearance surgery to take away bladder , prostate rectum with 2 bags colostomy and urostomy for if ‘some cells are left behind’
I asked about Papillion and they said no because hes already had radiotherapy a year ago and you cant have both aparently.
can i ask are you based at clatterbridge or have they referred you there? Thanks charlie
Hi.
My radiotherapy sessions (25) and my chemotherapy was carried out at my local hospital. My referral to Clatterbridge was done at my request – it was not offered, I did my own research to find out what, if any, alternatives were available in an attempt to avoid a stoma. My tumour was quite large – 4.7cm, and I knew that Papillon was only used on small tumours. The first thing I did was ask my Oncologist if I could be referred to Clatterbridge if my treatment resulted in shrinkage of my tumour. This was agreed. However, my Colorectal Surgeon had already put me on a waiting list for a stoma and arranged an appointment with the Stoma Nurses before my treatment had even begun. I refused the appointment, saying that at this point, no one knew how I would respond to treatment. I always kept in mind that should it be necessary, a stoma might be my only option, but I was determined to explore every alternative first. In fairness to my local team, they honoured the commitment to make the referral to Clatterbridge, even though I had had a Complete Clinical Response. Professor Myint is a truly remarkable person. He assured me (and continues to assure me) that if the cancer returns, he will treat me immediately with Papillon. At no point, ever, have I been told that radiotherapy would prevent me from having Papillon. My monitoring is very intense, and I am grateful for the close scrutiny and the support I have had with my decision. Everyone’s journey is different, and decisions are a personal choice. I could only suggest that you and your dad ask as many questions as possible and search as deeply as you can for the tiniest bit of information. There is a lot of information about Papillon on the Clatterbridge website, and some Patient Stories which make interesting reading. I think Professor Myint holds an annual patient forum where lots of useful information is shared. Wishing you and your dad lots of luck.
Thankyou so much for your reply.
So basically Dad had a 5cm tumour that was long rather than round and it had gone through the rectal wall and said it was ‘possibly’ near the prostate. They then said they wanted to remove bladder prostate etc. major life changing surgery. They agreed for him to go on chemotherapy which he has had a complete response to. I asked if he could have radiotherapy again they said not and papillion cant be used if youve already had radiation, they are insistant he has this major op which he is refusing anyway.
When hes finished his 12th cycle (they still wanted him to continue with the rest of the cycles) they are going to scan and take from there but i will ask to be referred to clatterbridge or the nearest papillion place.
Thankyou so much once again. Bad that we have to advocate for ourselves so much really x
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