Hello to everyone,
This question concerns my mother who is 83.
She underwent 20 doses of Radical Radiotherapy with the last dose on xmas eve 2020.
She had a PEG feeding tube fitted prior to the therapy.
Again, prior to treatment, she had a CT scan, a PET scan & an endoscopy.
A tumour was found in the upper oesophagus, very near the top.
We were told these were Squamous cells that were infected, & Radical Radiotherapy was the way to go.
But they also found nodules that were benign on the lungs.
Recently my mother had another Endoscopy with biopsies taken. The cells were clear of cancer & the tumour had disappeared.
Now it gets interesting & very worrying.
There was a 5 cm stricture at the base of the oesophagus that stopped the endoscope passing through.
So she had another CT contrast scan, & today we received news that these nodes had grown.
Unfortunately I don't know how much larger the nodes are, but if they are growing it seems that there is a cancer on the lungs.
Our liaison at hospital would not divulge any more details, did she not want to give us this horrific news, & would she rather our oncologist tell us.
We are due to meet our oncologist next Tuesday. & we are both terrified at what he might say.
After a little research, I found that when the nodes are still growing that cancer is a high possibility.
This research told me that the cancer has a 40% probability of being malignant.
Has anyone had this diagnosis?
And what was the prognosis?
Is it down to palliative care for my mother?
Or are there ways that can fix this?
I really think she would turn down any major surgery, she stated that when the initial cancer was found.
Could she be looking at months, years, or is it down to the individual?
She does not want to be undergoing any operations or invasive techniques if this is terminal.
I would really like to know what options she has, & what to expect.
Thank you to everyone for reading my story about my mother.
I'd love to hear from people who recognise this content.
Regards,
Graeme.
Hi,
Im posting a response because I see no one has yet, my mum is currently going through chemo and radio too. I know its easy for me to say but it seems you will just have to talk to the oncologist. Try not to worry until its time to worry, easy for me to say but that's how im trying to cope.
All I know from my extensive research is there are many variables and options so it would be totally wrong of anyone on here to say one way or the other. Ive been through cancer myself and I know they always leave it to the specialist, its standard practice, im actually surprised they said anything because obviously its caused you great anxiety.
Try not to worry and stay positive, as I said, there's lots of tools in the box to tackle whatever comes
Chris
I'm so very grateful for your reply Chris. You are absolutely correct, we need to leave this to the oncologist. I'm trying not to worry as I don't know the extent of the nodes growth. And again, plenty of tools to tackle whatever comes. It took a lot of phoning before I got an answer from the liaison for the different departments. Even medical websites have differing opinions, ie: 5% malignant, 40% malignant & 2.5% malignant. So I shouldn't really ask on this forum, we are all individual & unique.
I want to wish your mum a successful outcome as she is having chemo & radiotherapy. That is more than my mother had to endure. Please pass this on to her because you found time for my mother even though you are in a similar situation.
My very best wishes to you & your mum,
Graeme.
We have had the worst possible news regarding my thread. Mum's cancer has spread to lung nodes for which there is no cure. The Oesophagus is clear but it found its way to these nodes which have grown. We've been told that mum has between 9 & 18 months left. They offered chemo as a palliative measure but that will only give mum 3 to 4 months extra. And it will make quality of life awful. So it's not an option we want to take up. The only "good" news is the node growth won't hurt, mum won't even notice. The oncologist will phone us in 4 weeks to check how mum feels.
Can anyone tell me that at the end she will be in a hospital bed, maybe ITU?
Thank you everyone.
Graeme.
I am so so sorry to hear this news, my thoughts are with you and your poor mum. This may not be the time but I suggest looking at the clinical trials on cancer research:
https://www.cancerresearchuk.org/about-cancer/oesophageal-cancer/research/research-oesophageal
This may not be a good time now, but definitely worth looking through. The research into treatment might offer some alternatives, I don't know.
Im sorry but I don't know anything about next steps but I do wish your mum all the best and my thoughts are with you.
Can I ask one question - Has your Mum had any chemotherapy to date, its just I wasn't aware of radiotherapy only treatment for this cancer.
Take care
Chris
Hi Chris,
Thank you for your kind words.
Initially mum was offered a combination of radio & chemotherapy. But the oncologist was very worried about the chemo side, because as you know chemo destroys good & bad cells. And as my mum is 82, he advised strongly that she have the Radical Radiotherapy only. This process aims the radiation directly at the tumour, & mum had a mask made so the therapy wouldn't / couldn't go anywhere else.
What has shocked us is the life expectancy. But you my friend have given me a ray of hope. Clinical trials. And tomorrow my mothers GP will be phoning us with regard to todays events. She has said "We will try to do something whatever the results are". She treats my mother like she would her own mother, & she gives us all the help we need. So I am going to mention clinical trials to see if she has any insight. Because she will not see my mum as a lost cause.
I will of course let you know what she has to say in my posting tomorrow.
Again, you sir are a gentleman & I thank you from the bottom of my heart, even more so as your own mother is having treatment. So please give her our best wishes for a full recovery too.
Thank you Chris,
Graeme.
Hi Graeme
I am so sorry to hear of your Mum’s diagnosis. My Dad has had a virtually identical diagnosis this morning. He seemed to be recovering well from oesophageal cancer which was lower down at the junction with the stomach. The intention had been for him to receive chemo then have surgery however he had a seizure after the first chemo session so they changed his treatment to another type of chemo and radiotherapy. He completed this in August 2019.
He had a PET CT scan in October 2020 which was clear. At the start of this year he had started suffering some pain in the lower abdomen and a friend who had lost her Mum to breast cancer said to push for a further scan. We were told that he had cancer in the lymph nodes and this morning we saw his consultant with a view to starting palliative chemotherapy.
Dad was told the same as your Mum he would have a maximum of 18 months and the Xelox chemo would only give him 3-4 months longer. The side effects sound horrendous and are such that as he is still quite active and is eating well we do not feel it will be of any benefit. We’ve decided it would probably give him less quality of life and not to go ahead.
I would also like to thank Chris for the link to the clinical trials. I am going to ring Dad’s nurse practitioner in the morning to discuss this.
I just pray that there can be some hope of recovery for both of your Mums
Jackie
Hi Jackie,
I will send you a message later today as In the mornings I am so busy with the jobs mum cannot do. And of course her medication & feeding via a Peg Tube.
I promise to get back to you.
Best Wishes,
Graeme.
Hello Jackie,
I'm so so sorry to hear that your dad has had this diagnosis & prognosis. It's just so shocking.
I & my mum agree that palliative chemo doesn't give enough extra life to warrant having it. Chemo will just make things worse & the patient wouldn't want that when time is short. I have been told that although these nodes continue to grow, the patient will not notice, it will be pain free. It's the final few days that pain relief is needed. I have had a very high recommendation from a friend who lost her husband to brain cancer. She strongly advocates calling your nearest hospice. They give superb help, they visit 24 hours a day, they give people private rooms if things take a turn. They can & do supply any medical apparatus or medications, including foods. But most of all, she said they are just so nice & you don't get pressured into anything you wouldn't want. As an example, a person can go in for care way before end of life. They can stay or discharge themselves whenever they want to. And the care is around the clock. She said all you need to do is ask your GP or your oncologist for any future referral But the best part is you don't have any limitations on visiting hours, your in a private room so it wouldn't disturb other patients.
In 2006 my dad had a grade 3 tumour where your dad's is. He managed to cope with 4 weeks of chemo first, then he had a 9 hour operation to cut out the tumour & reattach the stomach to the healthy oesophagus. We counted 13 tubes in him while he recovered in hospital, he was literally butchered (in a good way). But he beat the cancer & was in remission until he passed away in 2013. His passing wasn't cancer, he had a fall down the stairs & broke his C4 vertebrae with trauma on the spinal chord. He'd still be here today if that hadn't happened.
I am also in Chris's debt with regard to clinical trials. But they only do certain types at certain times, so we have to hope lung cancer patients are being trialled when we need them.
I'd like to join you in prayer that something, anything can extend life significantly, medicine is always progressing so fast. We still have hope.
If there is anything, absolutely anything I might be able to shed light on, please please just ask. (I had no idea that the chemo drug was called Xelox, so you knew something I didn't).
And please look after yourself too.
My very best wishes to you & your father for a positive outcome.
Graeme.
Thank you for your kind words Graeme, my thoughts are with your Mum and You and I really hope you find a way through this terrible disease. Always have hope, always stay positive.
Chris
Hi Graeme
Thank you.
It is extremely reassuring to know that the pain is minimal at least until near the end. The last thing anyone wants is to see a relative going through months of suffering.
We are fortunate that we have a hospice just a couple of miles down the road and I will definitely approach them. That option sounds better than Dad passing in a stark hospital room and our family being restricted on visiting.
I’m sorry about your Dad he must have been an incredibly strong man as I know the surgery is brutal on the body. My Dad was told it would take 12 months to recover if he had the surgery. It seems very cruel that your Dad passed the way he did.
I have spent many hours on the internet looking at treatment options one particular Stereotactic body radiotherapy is something that has given reasonable results in oligo-metastatic cancer patients affected by lymph node metastases. This treatment resulted in 43% of patients alive at 4 years. I have attached a link for the report.
https://core.ac.uk/download/pdf/212389382.pdf
It may not be something that is offered here in the UK however I believe SABR is a method that is available and is similar in that it involves the precise delivery of high dose radiotherapy to the nodes.
Please look after yourself too we need to keep ourselves in good health to take care of our respective parents.
I will be on regularly and update on anything that may help anyone on here that finds themselves in a similar situation.
Best wishes
Jackie
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