Stage 4 Cervical cancer

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  • I've was diagnosed with Stage 4 Cervical cancer (spread to ovaries, lymph nodes and a spot in my chest) about 4 months ago and am currently undergoing chemotherapy treatment, three more sessions to go and then radiation and brachytherapy all going well and to plan, fingers crossed. I have had amazing support at Guys Cancer centre and feel so grateful to be treated there...BUT... no one will tell me whether it is realistic to hope that I can beat this, or is it just a foregone conclusion that I am going to die, just a matter of how long we can drag things out. So sorry to sound dramatic and I totally get that the Oncologist and team cannot commit to anything at this stage and that every case is individual but the overriding daily fear is becoming a constant in my life. That together with managing friends and families expectations/emotions, "you are so strong you have got this", together with work/job security becoming increasingly precarious ( I was recently told that continuing to employ me was unsustainable and maybe I should claim.disability...but pls dont come into work...focus on getting better...anyone else confused?),  is making staying strong and looking for the positive increasingly impossible.  I know I should be grateful for everything I have but feel totally trapped and lonely. Have read this and can see how negative this all sounds but if I cant be honest here where can I be lol. Thank you for listening and am sending all of you going through your own journeys all my love and best wishes for full recovery!
  • Hi  and welcome to our group!

    Its so tough dealing with your own diagnosis and also trying to manage the feelings of others. Personally I found it very unhelpful to hear the ”you got this” stuff from people who had no idea what advanced cancer entails. And people telling me my partner was so strong and I could do this because I had them by my side. Made me feel like I was useless and weak, but people usually can’t think of the “right” thing to say so they think they’re encouraging you to be positive and “fight”-something else I hated.

    You can say whatever you feel in this group-don’t worry about sounding down or being negative-you can express whatever you want and need to say. Doctors I think are reluctant to commit to firm statements as everyone is unique and reacts differently to treatment. I don’t personally use words like cure and beating the disease, but I appreciate others do, so hope I don’t upset you saying that. I also don’t use the word terminal.

    I suppose the real truth is that no-one knows. Stage 4 would be classed as incurable but treatable and everything depends on how well your body responds to chemo and the other treatments you will have. Are you on the chemo cocktail first? A mix of drugs before starting radio? That can have a very good effect on the spread in addition to the primary site, and I have seen ladies do very well on this. It seems like they are throwing everything at the disease for you, and therefore the hope is that you will react well to it.

    I wasn’t re staged when my cancer recurred but it was treated as stage 4 -I had spread to my womb and bladder and generally all around in my pelvis-but I didn’t ever focus on a stage number, just getting through everything that needed to be done. I wasn’t always amazingly upbeat and positive-I had some very dark days but just tried to get through one day at a time and not look too far ahead, an hour at a time sometimes. You can’t be strong and positive all the time. There were a couple of occasions I wasn’t expected to make it-when I had a pulmonary embolism, and then my surgery (my story is in my profile if you click my name) but I did make it through, much to doctors astonishment! 

    There are never any guarantees in life about anything-I’ve seen ladies at stage 4 living for years, and ladies at stage 1 pass away within 2 years. One of my friends is stage 4, still in maintenance treatment 5 years on who has no evidence of disease. She lives a very full life! So it’s possible.

    I would just put all my focus on getting through treatment, and not on what might or might happen in the future. Try not to let the fear and worry overwhelm you..I know how easy it is for that to happen. You are living with cancer, getting good treatment, and that’s really all you can say at the moment. But it’s tough and a lonely place to be, I know that.

    The group seems a bit quiet at the moment but there is a lovely group of ladies here and I hope some will come along and say hello. Please stay with us and let us know how you’re getting on-there’s always someone to listen.

    Sarah xx


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  • Hi Nici73 and welcome but sorry you find yourself here.  I am a Stage 3C1 lady and I know that the medical team are always very cautious.  I was told that they were treating to cure .....quickly followed by, but there are no guarantees.  Treatment, as Sarah has already said is very individual to each person.  I have had a very good response to treatment so far but I don't think I would ever consider myself cured, more "stable, but under observation".  I tried to take control of all the things I could to help me be as fit and healthy as I could be to withstand the treatment.  I felt that at least I could control that.  I have heard many Stage 4 success stories but I like you and Sarah still have some very dark days, it is only natural.  Please feel free to ask any questions and just chat if you like.  Let us know how you are getting on xxx

  • Thank you so much for taking the time to respond, I really do appreciate it and know that nothing is guaranteed,  just to take it one day at a time. I have read your story and take my hat off to you, you are a very brave lady!

  • Thank you so much, I appreciate the support and truly hope that all goes well with your treatment and progress!

  • I think every one of us is brave. Heart️

    Sarah xx


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  • Sorry to jump into your convo Julie but you've just described how I feel about my final prognosis! Not cured but stable and under observation! I wish they had worded it like that in the letter instead of "satisfactory appearances" which is a very open ended phrase! I'm sorry if you've told me before what was said in your final letter/ consultation? But can you remind me how it was worded for you please? I'm still struggling with all this. Thankyou

    Angela xx

  • I’m jumping in now Angela just to say this is NOT your final prognosis! ! You’ve had one scan 3 months out of treatment-nothing is final at this point. I still think you should ask for an explanation of what it means, otherwise you will be forever wondering and stressing. Sorry, I know you asked this question of Julie. Would you feel better with stable and observation?  

    Sarah xx


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  • Hi Sarah

    Do we ever get a final prognosis then? And yes I would have loved to hear "stable but under observation" as this is a very transparent phrase.. when I told my kids/family and sent a screenshot of the letter , every single 1 of them asked me "well is it gone or not?" And I had no answer bcoz I don't know.! And I know your 100% right that I should ring up and ask for clarification but I'm a basket case and can't get my anxiety under control enough to make the call and I've heard absolutely nothing from my GP so I'm none the wiser so I'd just like to hear what other ladies have been told at the end of treatment. Thanks for reply.

    Angela xx

  • I’ve never heard from my gp since I was diagnosed, except for a phone call to see how I was doing. Everything here is dealt with by your consultant in England and you are under the care of your consultant so the gp has no involvement in your care. 

    You won’t get a prognosis unless you ask for it. I never have, as I don’t want to feel I’m on a countdown clock. I will never ask, even after being through this twice.  I can’t ever imagine a scenario where I’d want to know when I was likely to die! I don’t read statistics anyway, as they are immediately out of date, so it would be of no value. 

    At the end of treatment for me the exact words were “you’ve had a complete radiological response to treatment”. In other words they could not see any cancer. But there are no guarantees. Clearly despite the response to treatment, my cancer was still there but too small to be seen. “Stable but under observation” to me would mean the cancer hasn’t gone yet, but hasn’t got worse. 

    The usual phrase is “no evidence of disease”, which I would expect a number of ladies have been told unless they need further scans or treatment. I’m sorry you feel you can’t ask-that must make your anxiety even worse. Could you give a family member permission to speak to your consultant or nurse on your behalf?

    Sarah xx


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  • Hi and thanks for reply..even though there is no guarantee of no recurrence I can't help feeling that my letter means it's NOT gone but they're happy enough with how it looks?? Anyways il see if my friend will ring for me, I've taken up enough space on this subject til I feel like a broken record! I was hoping some ladies would come in and say they were told same thing as me! But it seems so random..maybe it's a country thing since I'm in North of Ireland? Mayb IL see if there's a group specifically for here? 

    Angela Xx