Bowel Cancer/liver metastases HELP !

FormerMember
FormerMember
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  • Hi Everyone 

    First time posting this and looking for some guidance or assistance

    I am 36 years old male and diagnosed with bowel cancer July 2020 with Liver Metastasis stage 4

    I have had a bowel resection and lymph nodes removed, i was then put on chemotherapy 

    The chemotherapy FOLFOX didn’t work for me and I went from 1 tumor to 8 on the liver in the space of 3 months. 

    Changed chemotherapy drug to Irinotecan and panitumumab and dramatically reduced tumors down in size so that I could have surgery on the liver. 

    I had a liver resection to remove the tumors and 1 lymph node on the 21st June 2021 there was one lymph node left in with cancer as they couldn’t take it out due to it being too dangerous and complicated.

    During recovery from the operation I had a blood test to see how my tumor markers were doing aswell as my liver function this took place on the 29th July and everything was normal as well as my CEA results at 1.5 

    The plan was to get referred for target radiotherapy asap for the last lymph node. The referral took 6 weeks 

    To start the referral that hospital insisted that I have a new PET scan even though I had a pet scan the week before my surgery 

    The results have come back this week and I have been told that there are 6 more spots in the liver and spread to lymph nodes at the back of my tummy. 

    The oncologist was very sincere and disappointed in the results, he informed me that the liver surgeon has said no to doing another resection they also said no to carrying on with panitumumab that has been the best drug to shrink the previous tumors but because it cost the nhs too much money they won’t give it to me again this also means no to radiotherapy and no to any further operations.

    He also said that there is what looks like scar tissue on my right lower side and this could be from the operation but as your cancer has spread it’s likely to be a tumor even though I said well the drainage hole reopened at home and this could be the issue. 

    I was then advised that it’s incurable and that if I don’t take chemo I have possibly 6 months to live or with chemo maybe a year or 2 

    I even explained how well I am now and feel so much better but that was not taken in consideration 

    The oncologist attitude was like he had given up on me and just given me drugs to manage the symptoms or prolong life which is really sad. When I mentioned about going private then ears pricked up and he was very enthusiastic over it all 

    it’s now going to take 3 weeks to go back onto chemotherapy and god knows what more damage is going to be done 

    Myself and family feel completely numb with the news and in limbo of what to do in terms of next stages 

    1. Do I pay for 2nd opinion 

    2. Do I challenge the oncologist on the panitumumab

    3. Do I go private instead of nhs 

    4. Do I look at a private clinic named ‘ Care Oncology Clinic‘ in London 

    Not really sure what to do next

    Gareth x 

  • https://www.cancerresearchuk.org/about-cancer/bowel-cancer/advanced/treatment/targeted-cancer-drugs/about

    Hi 

    So sorry to hear that ! Having a bit of a break from the forum just now but just wanted to reach out to you . Phone the helpline and see if they can offer some assistance.0808 808 0000.

    I am not sure but I think it’s funded as first line treatment but that may change when it goes to second line treatment ! I am merely a volunteer here so please be aware I am only sharing the information I have to hand and not responsible for the process ! 
    However I know some dispensations  have been made for another targeted therapy over corona. Not sure it it’s still available but the Helpline staff should know !

    Can I ask if you have been tested for lynch syndrome or have MSI ( microsatellite instability) as that may currently open doors for Immunotherapy? You might want to check it out with your team !

    If you pop over to Bowelcancer U.K. forum they will put you in touch with a group of stage 4 patients who are pretty knowledgeable on the options but also how to access  things which also might be a help to you !

    Also click on my user name ! You will see my mum has more micro disease surface straight after a resection . It was difficult to pick herself up again and move forward but she got there .
    If you are in England the funding is governed by the Nice Guidelines . They take responsibility for that. They are public so you can goggle them to see exactly what is available! You might want to ask if there is another targeted drug you can access !

    But get in touch with bowel cancer U.K. they will get you the information you need !

    My mum had around five mets show up in her liver the second time . So far she has seen over ten mets brought under control . I wish the same for you .

    Take care ,

    Court  

    Helpline Number 0808 808 0000

  • https://www.macmillan.org.uk/cancer-information-and-support/treatment/your-treatment-options/what-you-can-do-if-a-treatment-is-not-available

    This leaflet from Macmillan let’s you know how to go about challenging the system for funding and how to go about it ! Given you have had a strong response you are in a better position to evidence your claim !

    Court 

    Helpline Number 0808 808 0000

  • Hi Gareth, so sorry to read your post, you have been through so much already.  

    The rules are relaxed for panitumumab until 1st October but as says, I'm not sure if that is just for first line treatment so def worth checking and challenging.

    I also have bowel cancer with liver mets, I have been told by my local surgeon they will not operate due to the location of the tumours.   I am seeking a second opinion from a different hospital on the NHS and also getting a private consultation (he will obtain all my scans, review them and give me a telephone consultation for £350.

    I'm also on the bowel cancer uk forum, there are loads of stage fourers on there, I'm sure there will be someone with the same experience. 

    Very best of luck.

  • https://pathways.nice.org.uk/pathways/colorectal-cancer

    Here is the Nice guidelines on the treatment pathways. It covers all the potential treatment possibilities.

    If I was looking to get a handle on your situation I would start by finding exactly what cell type i was dealing with . If it was a Ras mutation you might like to ask your team what treatment options are on the market , then what’s available and how to access it . Then I would look into a second opinion from an oncologist out with the current health authority to see how they would manage it !

    Court 

    Helpline Number 0808 808 0000