Hi there all
I’m caring for my incredible husband with Stage 4 bowel cancer with liver and lung mets. He was diagnosed with Stage 3c in Jan 2019 but we now know at that time his 7cm tumour, very close to the rectum, has spread its microscopic seeds.
He dealt with 6 months of radiotherapy and also Capecitabine and Oxiplatin. Then a resection to give what we hoped was a temporary ileostomy. All through this he worked and kept up a rigorous fitness regime - he was 49 at the time of diagnosis.
The following year -2020 - was fantastic - pretty much full quality of life except that sexual function had been severely compromised by the radiotherapy and he had some peripheral neuropathy from the Oxiplatin and he struggled emotionally with the ileostomy which was hugely disruptive to sleep
Then came the scan and the totally devastating news his cancer was now incurable as it had metastasised to both liver and lung and recurred at the original site. He sailed through a lung resection and a liver resection and was out of hospital in around 24 hours following both those keyhole procedures and back running!
6 months later - in Oct 2021 he has a massive abdominoperineal resection which removed his anus, created buttocks from his thigh muscles, and changed his ileostomy to a permanent colostomy. He was off pain killers within 4 weeks and back snowboarding by Jan. Sexual function completely gone and urinary control drastically altered. He is is some pain but he isn’t on any pain meds and he’s currently running or doing yoga every day. The colostomy is 10 x better than the ileostomy and he’s meticulous and has had no problems with it at all. He’s slim, muscular, extremely fit and currently earning a great salary as a software developer for investment banking! Pretty much full time still.
But, the cancer is back again. Scans this summer have revealed many spots of activity, 3 in the lung, 2 in the liver and more in the pelvis. We are beginning 2nd line chemo in Sept and I am absolutely terrified this is going to be the last leg of the journey. I read that secondary chemo isn’t great at stopping it returning in the future and also that Folfiri and Cetuximab will affect hair, skin, weight, and make a person quite ill and possibly not be tolerated in which case there might not be further treatment options - though it seems there is Lonsurf as a third line chemo. Obviously I keep hope high for my husband and remain positive for long life for his sake though it sounds increasingly hollow when we discuss our long term future together. My husband alternates between extreme panic and huge mental anguish and then will be very very positive and say he is hopeful of living with this many many years.
I have not read of many stories at all where the person has been living with Stage 4 colon cancer more than 5 years, obviously our incredible Dame Deborah James got to 5.5 yrs, and there is one other man I’ve read of who is now at 7 yrs but he is very poorly indeed and may not have much time left as his treatment is over.
if there are any long term stories here for stage 4 colon cancer please share or point me in the right direction. Thanks for reading.
Hi Always
Welcome to the forum .
My mum’s very wise surgeon said that two years into heavy treatment even the most robust defences become depleted. The whole process of continuing treatment must be so hard on the person going through it but watching it is one tough process too.
I honestly don’t think you need to be positive about such a sad situation but I do agree it’s a fine art making sure you don’t become an additional layer to the person going through this .
Building support structures in for yourself locally is really important as you need somewhere safe to say how you are really feeling . Macmillan helpline can chat some of this through with you confidentiality on 0808 808 0000.
We also have a forum for relatives of patients who are dealing with a palliative diagnosis. Reaching out to people who are enduring the same set of circumstances can really help reduce the sense of isolation .
It really depends what works for you . I had daily PMs from a few gentlemen who used it as a safe place to say how they were really feeling knowing that someone was just giving them the time and space they needed to be heard . It’s really about what you need to get through each day .
Your husband actually sounds as though he is tolerating lonsurf really well . My understanding is for the subgroup who it actually works for it works really well at stabilises the cancer . But a lot find it hard to tolerate . Sounds as though your husband is going ok on it .
One ladies husband was doing well on it the last time I communicated with her for over the year mark . However not many seem to speak about it much .
I will link in the groups that might help you but need to drop the car off at the garage .
Take care ,
Court
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