Tamoxifen side effects, pre-existing conditions, reduced radiotherapy sessions and an endless wait.

FormerMember
FormerMember
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Hi everyone

I hope I'm not muddying the waters by covering several topics in one post. I just need a little vent more than anything else, but if people could kick useful information my way at the end that would be nice!

My Mother was diagnosed with stage 2 invasive ductal breast cancer early last year. She had a lumpectomy and radiotherapy. Because of Covid she had a GREATLY reduced set of treatments (I can't remember how many she was supposed to have, but I think it was cut to less than half. Which did worry me, but we were told it was fine.)

She managed to get through it and started hormone therapy, she reacted pretty badly to the first lot, and then the second and then she started tamoxifen a few months ago which seemed to be okay. Then Several things then all happened at once. 

She got a pain in her side which they thought was a blood clot, but after ruling that out they found 'what looks like lesions' on her ribs. We were called in to the Oncologists office, who said a lot of scary words that I struggled to take in like 'metastasize' and 'nodules in the lungs' and 'in the bone'. Here's the rub though, she has a pre-existing condition so the oncologist finished the session by saying they'd need to run more tests, but even then he couldn't say if they could prove anything for certain because it might not have anything to do with the cancer, it could be her other condition!

While we were waiting and waiting and waiting for all this to go one, she got a UTI and had to be put on antibiotics. She had a bad reaction on one kind so was switched to another. She has been feeling TERRIBLY nauseas since! She says now that the nausea started a short while before the antibiotics but it was very mild. Ever since then, however, she has been so sick she can't do anything! 

We are waiting for her to have a PETct scan next week. I know that all we can do is wait...but things just keep running through my mind! 

She had her sentinel nodes tested and they said the chances of it coming back were SO small! How can we have gone from that to the cancer spreading to her bones?

What if this is all just a coincidence? She did pick up a heavy box (and she has soft bones) what if the pain was just that, and at the same time that happened she just COINCIDENTALLY got a UTI which meant she was on antibiotics and the antibiotics made her sick? Some of those lesions are new, but years ago before the cancer she had 'shadows' on her bones that even her specialist struggled to figure out!

I've also read a few posts now about Tamoxifen side effects only kicking in after a few months. How long can it take? Is it weird that her side effects only started months after taking tamoxifen?

Is trying to pin this all down to several coincidences incredibly naive? If it walks like a duck and quacks like a duck, is it terminal cancer?

Did the reduction in her radiotherapy course do this? Has anyone else who had the reduced sessions over lockdown had the cancer come back?

And most of all how are you supposed to deal with this awful, crushing wait. This not knowing. These constant test results waiting to be seen and then called back and told you need more tests. I feel like I'm just staring into the headlights here and I can't move, but I don't even know if I'm going to be hit by car or if it's two motorbikes that are going to pass us by harmlessly and just leave us shaken.

Sorry this post is so rambly. If anyone can shed any light... on anything... I would be most grateful. 

  • Hello UrsaMinor

    Sorry that I cannot be any kind of help that you are wanting. All of us here have suffered the frustrations of waiting for more tests and more results, until the medics can tell us anything definitive. If you scroll though posts you will see that is probably the most common recurring theme.

    Unfortunately, there is nothing for it but to wait to have the tests and then for the results. The good thing is that they are doing more tests.

    With respect to wondering if this will now be terminal cancer, I have seen that there are a number of ladies who post here who have secondary cancer with lesions in bones etc and who are doing fine on long term treatment for what for them has become a chronic disease. I read about one who is around 10 years in and still able to work. I hope that you get some results for mum soon and that your worst fears are not realised and that some of what is causing you such alarm today turns out to be artefacts or the other condition that you mention.

    It might be worth calling the McMillan help-line to talk your concerns through with someone who has specialist knowledge.

    Call the Macmillan Support Line on 0808 808 00 00. Chat to our information and support specialists online. Visit our Online Community to talk to other people who have a family member with cancer.

    Thinking of you 

    WallyDug

  • FormerMember
    FormerMember in reply to WallyDug

    Thank you WallyDug. While that isn't a negative test result, that is the MOST comforting thing I have read for weeks. Thank you for that number too, if there's any chance this worst case scenario isn't as bad as I think it is, I reckon it's worth me giving them a call. I can only say again from the bottom of my heart, thank you.

  • Hi Ursaminor, I’m sorry I can’t offer any advice about some of your post but I can share how I have felt on Tamoxifen.  I have had nausea and it was at its worse several weeks after starting taking it which I found strange too.  Some people on here said different brands can affect you in different ways so is your mom on a different brand to her first pack for example?  What helped me was changing the time of day I took the tablet.  I changed from morning to evening and I have felt much better since then.

    I have also had the reduced number of Radiotherapy treatment but was advised that although 5 sessions instead of 15 you still have the same total amount, just 5 more intense sessions.only finished treatment beginning of October so can’t help regarding success of it but I was grateful to only have 5 sessions not 15.

    hope you get results through soon, the waiting is definitely the worst,

    Chelle

  • A couple of things I would like to add - I also had the reduced radiotherapy sessions (5 to whole breast and 5 booster s it was so near my chest wall). You get the same amount of radiation over that period and the trials for this have been going on for years. Results are just as good, but with covid, alot of places just decided to roll it out to everyone. As part of the trials. they also found people were more able to complete their course as daily commuting to radiotherapy was really tough for some people over many weeks. They also think it makes people a little less tired, again as you don't have those weeks of commuting on top. I was delighted my rads were only 2 weeks.

    I absolutely hate antibiotics and had to take them recently. My whole system goes out of whack, including my mood. I would suggest a course of probiotics or drinking kefir to try and repopulate the system with good bacteria. That may sort out her sickness. She could have been feeling sick before taking antibiotics from the infection, so all that could just be lumped in to one issue. I'm probably only just starting to feel back to normal a couple of months later and I've been doing what I suggested all that time.

    As for the endless tests, it is is really good thing that your mother is getting so thoroughly checked out but I don't think there would be a single person on here that wouldn't empathise with the endless waiting for results, It's awful, and not much anyone can say to make that better. The only thing you can try and do is stop your mind going into overdrive. No-one knows anything until those results are back and there is just no point in trying to figure out what it could be. No-one knows, not you, not your mother's medical team, not anyone here with a similar experience because they are not your mother. You all just have to sit tight until you know more, though has given some great info about secondary cancer to try and ease your mind a little.

  • FormerMember
    FormerMember in reply to Chelle1309

    Thank you Chelle, I read this a few days ago, I'm sorry I'm only just getting around to replying now. Thank you for sharing your experiences on Tamoxifen, I feel MUCH better for reading that you struggled too a few weeks in (though of course I'm sorry they are also giving you a tough time!) Mom is also reading this thread, and she is much relieved at even the idea that changing the brands could help. So we will talk to her oncologist at the next appointment. I was freaking out pretty badly last week, but I am glad that Mom didn't have to suffer any more radiotherapy sessions than was absolutely necessary. The travelling was tiring, but her back was so sore the whole time! Everyone has said the reduced sessions are just as safe... but it is easy to lose perspective with this long wait. Thank you again, I am very grateful for your input.

  • FormerMember
    FormerMember in reply to Beatthebreast

    Thank you Beatthebreast, and apologies too for taking so long to get back here. Everything you have said is perfectly sensible... it's just so easy to get lost in senselessness when you're panicking. I guess the only good thing about waiting is that while it gives you time to freak out, you also have time to calm back down! Your post has been a great comfort though, thank you. I hadn't thought that perhaps Mom is just a little depleted with good bacteria, I'll bring that up with her now too! Sitting tight is hard... but it is very much all we can do. I am just so grateful for this community, I was really spiralling out. Although Mom isn't one for worrying, she too is feeling MUCH better for reading these posts too. So again, from the bottom of my heart, thank you.