Hi, i am a 60 year old man in reasonable health, apart from Hypertension (controlled) slight difficuilty swallowing about 2 months ago, went to G.P saw consultant one week later, had gastroscopy 10 days later, waited 2 weeks for result which shows poorly differentiated adenocarcinoma in the lower oesophagus, i had a CT scan on monday to determine whether surgery is possible, i am frankly petrified myself and my wife is also distraught....playing the waiting game again.
Hi I know you are terrified and your wife distraught as I was that wife and my hubby was you. The waiting in between all the tests seems like forever and unfortunately there are still a barrage of ts for you to go through but it is all to make sure you get the right treatment to give you the best chance. I hope you have had the results of your CT scan now if you haven’t try contacting your CNS and ask for them just so you’ve got an idea of what is happening, I think our CNS was fed up of me when all the treatment was over !!
you will still need a possible PET scan, a laparoscopy and an EUS as these all determine the extent of the tutor and how best to treat it. My hubby had T2N3M0 and was treated at Birmingham Heartlands Hospital with 3 chemo then major surgery and 3 more chemo. I know your wife is distraught I was exactly the same and I through myself into getting him better, eating properly and enquiring into this terrible disease to help us through it. If you have any questions please ask away, we probably went through it all. From one loving wife to another look after each other. Love Helen xxx
Sorry to hear of your diagnosis. I was 61 when I had a similar diagnosis in October 2013. I too thought my world had fallen apart, thinking it was a death sentence. My son was getting married in six months... would I be there? The fact that I am writing this some six years later is testament to what the NHS can do.
Strangely I soon adopted a positive attitude and this helped me through the whole treatment process. And the later recovery period. It helped that I have a clinical background so could understand most of what was going on, but nevertheless my wife was an incredible practical support in accompanying me to hospital visits and being another pair of ears (especially as my ears aren’t too good!).
Very soon after you have had your CT scan and probably a PET scan as well the MDT will meet and they will be able to outline your treatment pathway. And if surgery is an option you’ll meet the surgeon who will tell you how they will do the replumbing.
How’s the eating now? Are you managing to keep your weight up? It’s good that you are in good heath otherwise, but you need to pay attention to your fitness. Get down the gym!
There are a number of us survivors who contribute regularly to this forum (there are a greater number of survivors who don’t write here, they just want to get on with their lives and put all this behind them I imagine), so if you have any specific questions or want to let off steam, then you know you can post here and get a sympathetic response from people who have been through what you are going through.
Counting the days, making every day count.
Brent
Hi Brent, sorry for jumping on your reply here,
does everyone get a PET scan? My partner has had a CT and endoscope with biopsy but we were told the next thing was MDT then they will contact us. Does this mean they think it’s too advanced for treatment?
Hi RGML,
My husband had Biopsy, CT scan then PET scan, sorry I am unsure if this is the same for everyone. I know the wait for information is torture, I hope the MDT meeting is soon and you can move forward with a treatment plan. My very best wishes to you both X
Hi, I think everyone gets a PET Scan usually the last test if I remember correctly. It's a radioactive material that you get through a canula and I think it also contains glucose. The idea is that cancer cells are active and will digest the radioactive glucose which will then show up on the PET Scan and show if there is any other cancer cells in the body and lymph nodes. I think it is after that they give you a staging, it's not a death sentence. Your mind will be running riot and the waiting is the worst. Good luck and kind regards Frank.
I don’t understand why they haven’t done it yet then? Why have we to wait for the MDT. They must not think he is suitable for treatment or they have messed up?!?!
I wouldn’t read anything into the wait. It’s unfortunately just how it works and is something I found incredibly frustrating too. At my hospital I never heard about the next step, test or scan until after the MDT. If the scan results were ready in time for the MDT it meant each next step was fast but there were a couple of times were it was obvious that the scan results arrived too late for the MDT and I didn’t hear anything more until a week later.
My full staging process was something like endoscopy with biopsy, endoscopic ultrasound, ct scan, mri (I’m not sure this one is standard, the doctors noticed something on my liver that they wanted to investigate but it turned out to be nothing), then a pet scan and finally a staging laparoscopy.
I appreciate it’s a very stressful position to be in but try to remain as positive as possible. I found one the MDT had reviewed my test results the next steps were always quite quick and I’d be receiving calls from the hospital to arrange the next scan in a few days.
I Had some sort of investigation every week for several weeks. The MDT meets every week so they probably review results as they happen. If it was advanced they’d want a PET scan to see if it had spread.
I would recommend you get in touch with your specialist nurse rather than worry about something that hasn’t happened yet. They will be able to give you an idea of the sequence of things.
For most people it is about six to 8 weeks from diagnosis to the start of any treatment.
Remember that being positive really does affect the outcome. (Easier said than done, I know). So find out what you can about the upcoming scans and tests and rest in the knowledge that your clinical team are going to do the best for you.
Counting the days, making every day count.
Brent
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