Hello. First post here. Sorry it's a long one.
I was diagnosed last month. First had symptoms over a year ago whilst pregnant with my second, and was basically told by the gastroenterologist that it wouldn't be cancer at my age (36) so let's check for colitis after I had the baby. Then colonoscopy arranged in March was postponed due to Covid, so fast forward to the end of July when it was rescheduled and they found a bloody great malignant tumor in my sigmoid colon.
Was rushed through CT/MRI etc under the 2ww and told by the head of colorectal surgery that it was operable without shrinking it first and had surgery scheduled. Then had a call from the CNS 6 days before the planned surgery saying they've looked at the MRI again and have changed the plan to chemoradiotherapy first because my actual surgeon, having done a pre-surgery Colonoscopy, wasn't convinced there was a clear enough margin/it was too close to lymph nodes etc. I've been very pragmatic about it all up until now, and even though it sounds like it's all for the best, the last minute change of plan has hit me like a ton of bricks. I've got a 4 year old and a 7 month old and having been told one thing by the head surgeon then another thing 3 weeks later by ostensibly the same group of people sitting round the same table has completely rocked my confidence in the whole process. And obviously it's pushed everything back by at least 3 weeks as well, which feels like a real kick in the teeth having finally thought I had some clarity for the first time in a year.
I'm really worried about how it's going to be with the kids while in treatment. Not being able to lift the baby for 8 weeks after surgery was a huge worry to start with, and from what I've read the potential side effects from chemoradio are likely to make things pretty tricky too. Has anyone been in a similar situation and can reassure me? (Or, equally, confirm that it will be pretty much as bad as I think but that it'll pass eventually..?)
Hi ,
Big welcome to the forum and glad you reached out to us . I am going to leave others to address the chemo radiation side effects as they will do a better job . This is however a well recognised approach to treating cancer located in this area and can gets good results . We have even had people on here who have a complete response to this . Others can get shrinkage which as you will have worked out gives a better resection margin . Getting that clear margin is everything in bowel cancer so they do err on the side of caution . It does sometimes happen that they think they can achieve it but closer inspection they decide against it depending On who is in the MDT !!! However you must be close to achieving it already !
I also want to reassure you , I hope they pop on in person if they happen to be reading , that quite a few others have been diagnosed around pregnancy or afterwards and have come out the other side with this firmly in the rear view mirror . The good problem is they leave here and go on with their lives . But harder to get direct experience sometimes to help others .
Do you have extended support that will give you some assistance?
In terms of surgery recovery watching my mum each week made a big difference. Certainly by six weeks she was out on open seas kayaking . Not doing too much of the work but she was there with her wee wet suit on ! She was 67 at the time.
It is understandable to feel thrown and confused by clinical decisions. I think over the years we have become a bit used to them to be honest but getting that clear margin is the gold standard . Others are currently on the forum experiencing the exact same situation with a last minute change in plans that has caused considerable distress . I often think a bit better communication at the outset with possibilities raised would help this situation . I am not sure if people realise just how much patients hang on their ever word . It’s a frightening and insecure time that people need to understand. Do I think you are going to come through all this ! Absolutely , and we are here to support you . Give you a safe place to rant or get advise and before you know it you will work your way through each process .In a matter of months you will have already done most of it .
Take special care and give those children of yours a big hug from us .
Court
Helpline Number 0808 808 0000
Thanks Court - that's actually really reassuring on both counts (with your mum - who sounds amazing! - and also that people move on and get back to normal).
I'm very fortunate in that we moved much closer to family about 18 months ago so are now about 20 mins drive rather than 2 hours which is going to make a huge difference to everything rather than it all falling onto my partner's shoulders while he tries to carry on earning a living too.
I think the biggest thing really is that I now know that even if someone very experienced tells you something is definitely the case (as I was initially told it was most likely to be chemoradiotherapy first, then told after MDM it was definitely not needed, then the question was raised by the surgeon and I was reassured the plan wouldn't change and then the next MDM changed the plan!) that they might not be right, which is probably a good lesson to learn early on in the process.
Feeling a lot more positive now it has had a bit of time to sink in, and it weirdly helps a bit to know other people are in the same boat even though it's crap for everyone.
Hi ,
That is so good your parents will be able to help . Although only temporarily required it will make a big difference to your recovery .
You have the MDT process sorted out now and know what to expect !! They will want the very best outcome for you and will take really good care of you .
My mum had a totally different staging. you will be heading back out this system to raise your lovely family very soon . They have a robust scanning process for the first two years then it tails off .
The staff will help you through each stage and the specialist nurses seem to be a lifeline too. We also have a helpline for chatting through any aspects and then there is is here on the forum . Ready to respond to any side effects that pop up or encourage people through the process . Some come back and say Hi again and give us an update on their new adventures well away from hospitals .
Reducing the isolation and fear is what we are all about .
Hope you have a great weekend with your family .
Court
Helpline Number 0808 808 0000
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