Husband new GMB diagnosis

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To say we are devastated is an understatement. From what looked like nothing, but we visited A and E anyway, went from being a mild stroke to a brain tumour in a week.
My hubby is 58, fit and healthy, never had a hospital appointment, let alone having brain surgery. 
They have found signal change all over his brain with one area which showed up brightly on MRI. They biopsied that area using guided imaging and with a craniotomy as it was in an eloquent area.  The initial results came back as high grade but they weren’t sure exactly what. He was then sent to oncology who confirmed it was a grade 4 glioblastoma with diffused area all over the brain. 
He has started TMX chemotherapy last week - all of this has now taken 11 weeks from the initial scan - with no mention of radiotherapy to the area which has shown more brightly. He is really well in himself and once recovered from surgery has had no other symptoms. 
The neurosurgeon showed us scan after surgery and eluded to the fact that he had debulked as much as he could, but the oncologist said it was a biopsy. The letter has finally arrived from the surgery 10 weeks again and no mention of debulking in the letter. We are very confused and worried and starting to feel like we should ask for a second opinion. By the way, the part of his tumour they biopsied was also unmethylated. Although the oncologist admitted that it could even be two different tumours and the overall signal change everywhere in his brain could even be a lower grade. 

We are  both aware that his prognosis isn’t good but we still feel like we should explore all avenues. 

Does anyone have any advice or experience of second opinions as we don’t want to delay any treatment any more than it already has been. 

  • I would delay asking for a second opinion until youve had a meeting with the MDT who decided the treatment and asked all the questions that are worrying you. If you arent satisfied with the answers you could ask for a second opinion but yes, this could cause delays . Quickest way may be to pay if you can afford it. My understanding is the first consultant will ask a colleague to review things. Its a worrying time, but st least your husband is feeling well. Good luck

  • Hi Mumma3

    a warm welcome to the group. So sorry to hear about all that your husband is going through. Life's cruel.

    I can empathise with the journey you are on as I supported my late husband through the three years of his GBM journey.

    I would encourage you to speak to the oncologist to get some clarity around the treatment plan for your husband. Write down all your questions/fears, no matter how trivial they may seem, and take those notes to the appointment. They can act as a script and will help make sure that you don't forget to ask about something that's important to you both. If you are still dissatisfied after that then perhaps seek a second opinion. The key here is to ensure that there are clear open communication channels between you and the medical team and that you understand the plan. It may be worth asking about clinical trials in your area too.

    In our situation, G never had a biopsy. He had an awake craniotomy to debulk the tumour and we got the pathology results of that two weeks later. He was 50 when he was first diagnosed out of the blue and a fitness fanatic/marathon runner. In the space of 3 weeks, we went from the first scans to bringing him home after surgery. It's all so much to take in and process.

    This is a safe and supportive space so please reach out here anytime. There's always someone about to listen who gets it, someone to hold your hand and to offer a virtual hug when its needed. You're not alone. We've got you.

    I personally drew a lot of support from this community and a couple of other  groups -Glioblastoma multiforme brain tumour forum | Macmillan Online Community and Cancer carers forum | Macmillan Online Community

    It’s always good to talk so please remember that you can also call the Macmillan Support Services on 0808 808 00 00 - most services are open 8am to 8pm, 7 days a week Clicking here to see what is available. This service provides lots of cancer information, emotional support, benefit and financial guidance or just a listening ear.

    For now though I'm sending you a huge virtual hug and lots of positive energy.

    love n hugs

    Wee Me xx

    Macmillan Support Line - 0808 808 00 00, 7 days a week between 8am-8pm

  • Thank you so much for your reply. We don’t see the oncologist until the 24th June to see how he is getting on with his chemotherapy. It’s all just been confusing from what we were told in the consultation to what has been said in the letters. My hubby is going to ring his specialist nurse in the morning to hopefully get some clarity. We don’t want anymore delays now he has finally started some treatment. It took 7 weeks to get his full biopsy results so it already has seemed like a long wait. 
    Like you said he is really well at the minute  we are both feeling grateful for that at least. 

  • Thank you for replying. I am so sorry to hear about your journey with your husband. It sounds very similar in terms of how suddenly everything in life can turn on its head in an instance. 


    You are right, it’s such a lot to process in a short period of time. It was like every appointment they changed the goal posts. We went from scan to craniotomy in a week, where we were told it was an open biopsy with guided support. He was wired up with sensors because of where the tumour was. He then can out of that with a 6 inch scar and was told that as much of the tumour as possible had been removed. The consultant thought it was probably low grade but very diffuse. 
    We were then called in 3 weeks later to be told that initial results showed high grade but they didn’t know what type - probably grade 3.
    4 weeks later we saw the onlocogist who said that the ‘biopsy’ had shown grade 4 GMB and was inoperable and no radiotherapy because it was so diffuse. They then set him up an appointment to start oral chemo, he has had one round of this.

    We did have lots of questions but I think we were so shocked as we hadn’t considered GmB so we didn’t ask the right questions! 

    We understand the prognosis isn’t good but we are hoping that as he is fit and well at the moment with no symptoms atm, he will hopefully be at the higher end of that timescale. 
    We have started to process the situation now but that has brought up more questions that we feel need answers. 

    I am also still working full time atm and this is causing me such a lot of guilt as I feel like I need to be at home with him while he is still well. I just need to make it to the school holidays and then I can get a space where I can think properly about how we will manage financially before I make a decision about my job.

    It is so good to even be able to write down what has happened, but at the minute, I feel like we are just trying to process things and at the same time, live as normal a life as possible. 

    Thank you for pointing out the other groups, it’s so good to hear that there is some support out there. 

  • if there's anything else I can support you with, just ask.

    love n hugs

    Wee Me xx

    Macmillan Support Line - 0808 808 00 00, 7 days a week between 8am-8pm