Hiya, new to the group … just saying ‘hi’
I have stage 4 RCC… I had my L kidney removed in June … I was referred to Guys as the cancer was creeping to the renal vein…. I thought I had arthritis in my left knee, but following my kidney surgery I was referred to oncology who then told me I had lesions on my hip …. So my leg was x-rayed and MRI’d and I had a tumour in my left femur… was urgently referred to Royal Orthopedic Hospital in Stanmore and had a femeral distal replacement …. (I think that’s what is was called!!) I basically have a metal rod from the top of my femur down into my tibia and as my knee disintegrated during the surgery they replaced that as part of the deal …. They were amazing… booked me in for surgery a week after I saw them …
I started immunotherapy with an infusion and daily tablets every three weeks… all ok for first couple of months but month three… horrid side effects of vomiting, diarrhea and nausea … ended up in hospital for 7 days with my right kidney in distress …..
Reduced the tablets and same thing again … ended up back in hospital…
Now on tablets only but my Gallbladder has got a huge stone and has caused infection resulting in yet another stay in hospital with huge IV antibiotics, pain relief and other fluids to support ….
so…. Currently on no treatment (as that was stopped for last hospital admittance)… waiting on a list for gallbladder removal… was due to see my oncologist today, but due to sickness that was cancelled and I now have a phone consult next week ….
I have only had 3 weeks of treatment in the last 3 months and that scares me….. I was told by my oncologist that my life expectancy without treatment was 7 months and with treatment 3-4 years…… sorry not sure how effective 3 weeks in 3 months is….
sorry … didn’t mean for that all to come out …. Was just gonna say ‘Hi!!!’ lol
Sandra (on the south Kent coast)
Hello Sandra-on-the-south-Kent-coast,
Wow - that's some history!
I wouldn't believe these life expectancy figures. They are all based on average responses and they are all 5+ years out-of-date. Whilst, in the meantime, you have been able to have the latest treatment - the stats for which will be published in 2031+. Also stats can't take into account how well you respond to the treatment.
I would also add that immunotherapy is beneficial (if it works for you) for however long you take it. The optimal is about 2 years, but even if you only mange one cycle of treatment, you've still had some positives (we hope) from it. It seems like you've had 3 months of treatment so that's a good foundation. I get three months from this sentence:
all ok for first couple of months but month three
Do you mean you've only taken the infusion /tablets for 3 weeks ? It doesn't matter, it's the duration that matters. They work on the non-treatment weeks also.
I have only had 3 weeks of treatment
In fact, immunotherapy keeps on working even after you stop - at least for 2 years.
There's a lot of research going on with immunotherapy at the moment to define what is the ideal dose and duration. The oncos know they are over-treating people. My onco is involved in some research on it.
I got told 2 years without treatment and 5 years with. And that was in Nov 2021 so it's a big event for me in Nov this year. Then I came on here and learnt all about how they calculated life expectancy and never bothered asking again. Now, I read the room, instead and I know the signs to look for. ,
I have stage 4 RCC too. I've stopped immunotherapy now because I decided I had to stop before I got the side effect from h3ll I stopped in June 2024.
Finally, I have to commend you on your cheery attitude!
Welcome to the group and I hope you find lots of help and support here.
Wow!!! Thank you …. That has calmed the mind a little for sure!!!!!
I probably disn’t explain my treatment pattern very well … it’s a 3 week rotation… it was infusion and tablets… started in September …. And on the 3rd round I got the nausea/diarrhea/vomitting and ended up in A&E for the first time ….. Then no treatment until end of Feb as they put me on massive steroids to build me back up …. As I finished the steroids I was back in A&E with an infection and gallbladder issue….
they started me back on treatment (Lenvatinib) 10mg once a day and no infusion… but nausea/diarrhea and Gallbladder kicked off infection again ….. so basically my last infusion of Pembrolizumab was in November 24 and I had 3 weeks of Lenvatinib end of Feb … I was due next round of tablets on 12th March but yet again raging infection and admitted back into Hospital by the cancer team as I was clearly not well enough….
but again, thank you for your input!!!! It is really appreciated!
sandra xxxx
Blimey Sandra.. you really are going through the mill. I am so sorry. All I can say is chase them up, ask questions, and don't be fobbed off or ignored. I found that being a bit "pushy" (but with no aggression or accusation of course) .. rather throwing yourself on their mercy and saying how worried you are feeling. It worked for me.. once to get a CT scan earlier and again to get my delayed 6 month check up brought far closer. I had my kidney out and now I have bladder cancer which I am under treatment for. I make full use of my lovely cancer nurse team .. even emailed their team leader with some concerns and got an instant referral to one of the consultants. I have learned over 2 years that self-advocating with a smile and genuine appreciation for everyones help goes a long way. Best of luck to you and stay in here as it is a very supportive place xx
Thank you for your response TillyV….. I only retired from the NHS end of 2023.. this isn’t quite the retirement I was hoping for, but totally agree with self advocating with a smile!!
wishing you lots of luck to you with your challenges!!!! It’s the gift that keeps on giving eh!!
sandra xxx
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