Diagnosed and devastated

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Hi  all,

Apologies in advance for the long post, I’ve tried to break it down into sections and if anyone can offer any views, help, insights or advice on anything I’d be so grateful.

DIAGNOSIS:  Recently my husband was diagnosed with Oesophageal cancer (adenocarcinoma).  It’s stage 4 – T3 N3 M1. 

My husband has private medical care through his work, so when he noticed he was having some trouble swallowing he was referred from his GP and from there tests and scans etc followed quite quickly.   The way we were told could almost be described as clumsy.. the doctor had the biopsy and scan results, told us it was adenocarcinoma and there was a lesion on the lung, and only when asked told us it was stage 4.  There was no nurse in the room, no contact left for us if we needed.  I asked the doctor if he had reached his diagnosis as part of an MDT but it seems it’s just him looking at scan and test results with no discussion with others.  Whilst I would rather that the doctor was highly qualified and experienced rather than have a good bedside manner, I still want to seek a second opinion.  Am trying to find out what the process is for this –whilst I don’t want to delay the start of any treatment I do  really want to have this done – did any of you ask for a second opinion when you were diagnosed? 

 TREATMENT: The chemo we have been told is Cisplatin and Capecitabine- I don’t have any knowledge of chemo drugs for OC, so if anyone has any insights or experience on this please do let me know.  It’s just so odd that even now he physically feels completely fine, is eating well although he has lost a little weight, and apart from paying attention to chewing and swallowing is really not feeling unwell. 

HELP:  Since this started I’ve been and read everything I could find and ofcourse you can’t help but to look at mortality rates.  At the same time as I see such a small perccentage I want to keep fighting, be positive and try and be part of that small minority, I would love to hear from others on any success stories and remission

Finally everything I’ve read says there is no ‘cure’ as such but I saw somewhere in the US where stage 4 was treated and then operated on successfully.  I don’t even know if this is a possibility but it gave me some hope, I think at this stage I am just reaching out for any help or advice anyone can offer. 

Thank you in advance

  • FormerMember
    FormerMember

    Hi I was diagnosed in Feb have had chemotherapy and radiotherapy luckily no bad effects after treatment felt great could eat anything also put on weight had surgery on 25/7 spent 9days in hospital after 10 more days had stables removed surgeon came in to c me and after all biopsys done during operation was now 100% cancer free just recovering. now from op c surgeon next week am now looking to book holiday for Oct good luck for the future hope everything goes as smoothly for 

    John

  • Thanks John - May I ask where you were treated and what your diagnosis was?  Regardless, it is good to hear your story and especially that you're 100% cancer free. Wish you lots of luck in your recovery and thank you so much for your message.  

  • FormerMember
    FormerMember in reply to Yani10

    Hi Hani I had stage 3 oesophagus cancer with a 4 cm tumour luckily it had not spread or broke through the wall seen by the scans I was treated at Aintree hospital Liverpool who were brilliant don't read the internet for mortality rates I done all that it doesn't give u any hope my nurse at anitree told me only read NHS website all the best for the future

    John

  • The standard chemotherapy regime used to be ECX 

    • epirubicin (also called Pharmorubicin)
    • cisplatin
    • capecitabine (also called Xeloda)

    but it now there is a move to FLOT which has been found to have better outcomes but is more aggressive with more side effects.

    All chemo is poison, but the dose is adjusted so that it doesn’t actually kill the patient, just the tumour. 

    I had ECX preoperatively, which I tolerated quite well. Actually Cisplatin is quite ototoxic (can cause hearing loss) and as I am severely deaf this was switched to Carboplatin, a very similar drug of the same class of drugs. It didn’t affect my hearing at all.

    The good news is it did shrink the tumour, the not so good news was that I didn’t tolerate the post op chemo at all and it had to be stopped after three days! However over five years later I am doing well with no sign of recurrence.

    I was lucky that my cancer was found early enough for mr to have surgery. Someone I know was diagnosed about the same time as me but couldn’t have surgery. I still see him at the occasional dance and he is doing well; his mets have disappeared and he is enjoying a good quality of life - five years on. He is such a positive person, with a a wicked sense of humour and great fun.

    So yes it is devastating but it is not the death sentence that many people think it is. Don’t worry about statistics, they are out of date and cannot be applied to an individual. With a positive attitude, especially as your husband is feeling well, you have to believe you can beat this together - as a team. I can see that you haven’t given up and you are very much on his side, so you have every chance of a continued good life together. Do remember that there is still a life to be enjoyed so make the most of every day!

    Counting the days, making every day count.

    Brent

  • Hello Yani

    Sorry to hear of your hubbys diagnosis

    I was T3N2M0 pre op Chemo and then T2N1M0 pre op - like Brent I had ECX for 9 weeks Pre though could only manage 8 weeks post as it's a tad more difficult - well I found it that way.

    Here's a link to my Blog that's just been updated by my daughter . It's an A-Z that hopefully could help you and others out as you navigate your journey .

    myoesophagealcancerjourney.wordpress.com/

    Very Best Wishes

    Ask anything anytime - you have a great bunch of people here only to willing to help 

    Peter 

  • Dear  

    So sorry to hear about your husband. What other organs has his cancer metastasised to?

    Your husband should be a candidate for clinical trials. You should ask your oncologist about this. Some of these can be successful in curing cancer and I think that there has been some success with Car-T cell therapy in treating Oesophageal cancer?

    Anon613
  • Thank you all so much for your replies, I really appreciate it.  

    John - am definitely keeping the hope - hope you have a fab holiday

    Brett - Really appreciate the info, and thank you for your support.  Especially pleased to know about your friend 5 years on - long may it continue.  

    Peter - love your blog, lots of info there and might get the book you recommend! Very well done putting it together with your daughter.

    Anon - we were told there is a lesion on the lung, and it has possibly also spread to the liver (there was no need to do an mri we were told as this doesn't change things). 

    As an update to all, he was tested HER2 positive (which I think means that the tumor grows/spreads faster) so the chemo now will be HCX... starting in a couple of days.  Whilst this whole thing has been such huge blow and such a hard time, we are trying to stay positive.  For the moment have been trying to increase his weight ahead of chemo, so far working well.  Taking it all one day at a time, scared but strong

    Sending love and positivity to all