Advice or reassurance?

Former Member
Former Member
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Hi - I have read pretty much every thread on the Oesophageal forum by now. My Dad has recently been diagnosed. Told at endoscopy there didn’t appear anything sinister and diagnosed with oesophagitis but biopsies taken as a precaution. Consultant called a week later to confirm he had reviewed the endoscopy and could see no cause for concern - advised he was still awaiting the biopsy results but he wasn’t expecting anything to come back so not to expect to hear from him again. 

Unfortunately he rang back a week later to say one of the biopsies had came back positive. He actually said he was extremely surprised by the finding and reiterated this in his follow up letter.

Dad was sent for a CT scan which he had last week and they rang to say the CT has shown no signs of spread so he is now awaiting a PET scan to confirm the cancer is only in one area before treatment is decided. We have taken this as good news and hoping that this news together with the consultants initial shock at this diagnosis meant/means that it has been caught early however the letter from the consultant which confirms the positive biopsy mentions that he has signet cell adenocarcinoma and from lots of Google searches (stupid I know) it appears that this particular type (signet) doesn’t always show on scans and is good at “hiding” - hoping for some reassurance or real-life stories that the CT would have picked up any spread?

Surely the medical professionals know what they are doing and wouldn’t have referred for a CT scan if they knew it wouldn’t pick anything up. I’ve also read that sometimes you are simply told you have adenocarcinoma and not told the subtype therefore the data on signet cell isn’t always accurate if that makes sense. 

Appreciate any replies 

  • Whilst still scary, it does sound as if they have caught whaterevr it is really quite early. The PET scan should give a much more detailed view, and you can be sure it will be inspected closely.

    Best of luck

  • Hello Worried52022

    I can only imagine that you having read almost every single thread in the OC forum, that you are none the wiser and possibly even more confused.  Everyone diagnosed with OC has a different journey, maybe some have similarities and as you will have read there are positive stories and sad stories and other stories in-between.  

    You don't mention why you Dad had the endoscopy in the first place, but it does sound from what you have written that he has been very fortunate to have had his particular cancer located and very quickly the best treatment will be prescribed for him.  No matter what that treatment, how he copes with that will be specific to him, and from most posts I hope that you would have taken the message of remaining as positive as possible as part of the next steps.   

    OC is a complicated enough cancer without having signet cell clusters, CT scans and MRI scans are only part of the investigative process alongside, bloods and biopsies  which are all part of the process to eliminate or confirm; and it seems to me that your Dad's medics are being thorough in ensuring the correct diagnosis for him.  Medical advances with OC even over the past few years have been amazing and I do hope that your Dad has had his cancer caught in time. 

    Sending you all Strength at this time, alongside a note to say the Macmillan team are available for Dad on the number shown in my signature. 

    Lowe' 

    Call the helpline for free on 08088080000, 8am to 8pm everyday.
    Tomorrow is not promised but it always has potential. Aim for your potential!
  • Former Member
    Former Member in reply to Lowedal

    Hi. Thank you for your reply. He had the endoscopy as he was having problems swallowing, along with frequent hiccups. Part of the reason we are so confused is that on the day the endoscopy was performed they said there was nothing to see - ie no blockage or visible tumour and he was diagnosed with esophagitis. Fast forward a week later the consultant rang to cconfirm that there was nothing suspicious visible on the endoscopy and that the swallowing problems he had been having must just be related to inflammation from the esophagitis. So we are wondering if he’s just been “lucky” in a sense that it has been picked up in one of the precautionary biopsies that were taken. Only one of the biopsies came back positive.

  • Former Member
    Former Member in reply to Former Member

    My husband was told the exact same - doesn’t look like cancer - but it was. The pet scan picked up a completely separate cancer in the bowel. He had 4 rounds of chemo, the oesophagus removed and part of his bowel (back to back operations). 2weeks in hospital followed by another 4 rounds of chemo.

    I won’t lie, it’s been 9 months of hell, but he started his phased return to work yesterday, he looks fantastic (he is now the weight he was when I met him at 17) and can eat much more varied food (and larger portions) than we thought he would. We won’t know if he’s clear until he’s 5 years from the operation but we are just happy to be getting some normality back. We’re off to Greece in 3 weeks. 

    Be strong - think positively, the fact they thought it wasn’t cancerous hopefully means it’s early stages and operable. I have everything crossed for you Fingers crossedFingers crossed

    Cathy xx 

  • Former Member
    Former Member in reply to Former Member

    Thank you for your reply. Was it the same type your husband had? 

    So the cancer in his bowel unrelated rather than one of them being a secondary? Also did he have a clear CT scan before the PET picked that up? That’s one of my worries how reliable the CT is.

    Thats amazing that you are starting to get some normality back - I keep everything crossed for you that things go smoothly for you from now on and hope you have an amazing time in Greece. 

  • Former Member
    Former Member in reply to Former Member

    It sounds exactly the same as your dads. The oesophageal cancer may have saved my husbands life Fingers crossed as they wouldn’t have found the bowel cancer without a pet scan cos it was such early stages.  It did not show up on the Ct scan.
    the bowel was completely unrelated - just doubly unlucky! I think the spread tends to be stomach or lungs but just try and stay positive- tackle each step one at a time - I tried to think of the whole journey and got completely overwhelmed so had to think next step scan, next step chemo etc you can’t eat an elephant in one go!