Today I saw the genetic counselling doctor. He was very nice, helpful, and sympathetic. I won't give a long explanation of what we discussed, but a brief summary:
1 - of the two genetic abnormalities they were looking for in me, both have been firmly discounted. This is excellent news. One was a condition that causes a huge proliferation of polyps, but since I have never had any at all as far as I am aware, that was excluded quickly. The other was Lynch Syndrome, which sounds really very unpleasant. But that has also been excluded. Relief!
2 - there is a family history of cancer that rings a few alarm bells, but none of those other cases were bowel cancer, and they were none of them early onset. This also suggests no genetic causes.
3 - My lifestyle and environment were very good, for the most part, so it is difficult to really identify any environmental triggers that could cause early onset bowel cancer.
4 - The conclusion seems to be that i am not genetically inclined to bowel cancer, which improves the odds of a recovery without relapses. However, I will keep on having the usual management and examinations.
5 - Because of my many other health issues, I am an interesting subject, and the doctor asked if I would be willing to be part of his research project as a subject for study. I said this was fine, and I'd help in whatever way I could.
6 - My two brothers are going to have to have some tests done at certain times over the next few years, to be sure they do not show signs of bowel cancer. It is unlikely, given there is no obvious genetic link, but it is better safe than sorry.
7 - On the other hand, the history of early onset alzheiner's in my father's side of the family is a cause for some concern, so that needs to be examined. I am to ask my father if he is prepared to provide samples for examination and comparison with myself and my brothers, to see if there is something going on in that area. So, that could be interesting.
Overall, a positive outcome. Next step: final examination and ultimate discharge by the surgical team later this month!
Keep fingers crossed!
Robin.
Hi Robin,
That sounds like reasonably good news.
I'm still waiting for my genetics referral. Apparently the first request was not received, and more recently for the second one they asked me to provide family history of cancer (six in total, one bowel at the age of 78, and 3 of the other 4 diagnosed in their 30's and 40's). So now it is wait and see.
Last year my surgeon did recommend that I should speak to my sister about symptoms etc (living in South Africa and with private medical insurance; they routinely perform colonoscopies for people with e.g. IBS-type symptoms in order to rule out bowel cancer). I was hoping to have the genetics results before I speak to her, but will speak to her at Christmas anyway, genetics or no. As you said, better safe than sorry.
All the best,
Yolande
Hello Robin.
My partner had various tests on his tumour when it was discovered that he had bowel cancer at age 42. Because he was young they checked for lynch syndrome and something else, can’t remember what. All came back saying no genetic links, but advise that our sons start having colonoscopy’a 10 years prior to the age that he was diagnosed, so at 32.
obviously it is a huge relief to us that it is not genetic but also part of us felt angry to think this horrible disease struck purely out of bad luck. He has always kept himself fit, Always taking part in some kind of physical activity, never been overweight, never smoked, doesn’t have a bad diet, eats things within moderation and drinks weak larger occasionally. So why him? He would be the last person you’d expect this to happen to. Cancer really doesn’t care who it targets.
Lena x
Thank you, everyone!
I've spoken to my brothers about this. As it happens, my older brother is a doctor, so as soon as I was diagnosed, he had himself checked out. All clear for him, at this time. My younger brother lives in Spain, so he is going to find out what he needs to do to have this examination there.
I am glad there is no genetic link that anyone can find. I have several conditions that might have such ties, but the cancer being entirely incidental and not genetic is a great relief. But as Lena says, cancer is not given to being generous or sympathetic - it will target anyone! In my case, with other health problems, I was not wholly surprised. One thing that did occur to me is that I was told, some time ago, that I should not have any more abdominal X-rays, as it is a cancer risk. I have had a huge number of them - I have ongoing chronic kidney and prostate problems. It is all over my notes that further x-rays should only ever happen in emergencies. Then I discover I have cancer in precisely the same region that has been given all the x-rays...
It might be a link, or it could be entirely coincidental. Ironically, when I went into hospital with suspected appendicitis, the instructions not to x-ray me meant that none were performed. If they had done them, they would have likely seen that my appendix was fine, and that the issues was bowel cancer. Life does like to have a laugh at my expense, it seems...
R.
Great news that you have no genetic link but just wanted to add as a Lynchie myself that it's not a death sentence, and means that any cancers that may occur, hopefully will be caught early and that colon cancer usually stays within the bowel longer than sporadic cancers. Not all doom and gloom, knowledge is power.
Hope treatment is all going well.
Love Hell xx
Thank you Hell. :) Knowledge is indeed power. I need some of that at the moment, as I am exhausted
R.
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