Stage 4 Bowel Cancer with Liver Secondaries - NHS or Private Care?

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Hi, I’m new on here and would appreciate others in similar situations sharing their experiences.

In October 2021 at the age of 62, following routine screening, I was diagnosed with Stage 4 Adenocarcinoma of the Caecum with multiple liver metastasis and I was told that my cancer was particularly aggressive - RAS wild type, BRAF mutation positive, K601E positive. I’d had no symptoms whatsoever so this obviously came as a huge shock and was devastating to myself and family. I was given a poor prognosis, informed that curative surgery would not be a possibility, and offered 8 cycles of palliative chemotherapy with capecitabine tablets and oxaliplatin infusion (CAPOX). The midway and post treatment CT and MRI scans showed a good response with reduction in the size of the liver secondaries and no apparent new lesions but the MDT still advised that liver surgery was unlikely and the team have been totally dismissive of any questions I ask about the tumour in the bowel and whether surgery to remove that could be considered.

At this point I changed to a different consultant oncologist who seemed more enthusiastic about giving consideration to possible surgery and he arranged for me to have a PET scan which still showed lesions in my liver but no active cancer in them or anywhere else in my body except the site of the primary cancer in my bowel. The oncologist was quite hopeful that removal of the bowel tumour could now be a possibility but once again the MDT are unwilling to consider this and are merely advising to continue with chemotherapy in the form of capecitabine tablets only. The MDT has not been responsive to my request for explanation or evidence to back up their decision. I still have no cancer symptoms.

To be honest, from the start I have been given the impression that the NHS/MDT has just written me off and I most certainly now feel that they are not willing to give me any chance of a possible cure or prolonging my life so I am wondering whether to explore the option of private care but I have no idea how I could go about this or where to start. Any advice or experiences would be gratefully received! I would ideally be looking in the Lincs, Notts or Yorks areas. Thank you.

  • Meant to say if you want you can get that option on the NHS as a second opinion . 

    Helpline Number 0808 808 0000

  • Good evening

    Many thanks for taking the time to reply and apologies for the delay in getting back to you. It's very interesting, helpful and encouraging to hear about your husband's experiences and your comments about travelling are a good tip.

    I have decided to seek a second opinion with the NHS initially and am currently working on this. Depending on the outcome of this I will give consideration to obtaining private advice and/or treatment.  I just feel I have to explore every option that may be available to me and I don't intend to give up easily!

    I hope your husband is coping ok with his stoma and I send you both my best wishes for his future care and treatment. Take care of yourself too as you are obviously giving him ongoing support.

    Thanks again.

  • Good evening

    Many thanks for your comments. Your mum's story is inspirational and gives me hope. I find it very encouraging as I feel I have so far only received negativity from the MDT professionals.  I am presently working on getting a second opinion from a centre of excellence through the NHS. Do you know whether it is a long and slow process to get this or is a response provided fairly quickly?

    Best wishes for the continuation of your Mum's good health, you have both been through quite a journey, well done for never giving up!

  • Hi ,

    I honestly don’t know . My mum’s surgeon agreed to do a referral and I think it did take about a month to hear back from them . I find these specialists MDT meetings a bit slower . However if they decide to go ahead it can suddenly turn around and she was operated on within a week from meeting the surgeon .

    They sent the most recent scans through which I think then had to wait for a slot at the next MDT .

    It was similar with my mum’s lung surgery . The oncologist told us to go and enjoy Christmas ( end of nov ) as we would hear nothing before that . But that stage we were familiar with the process so did just that . Heard the middle of Jan and again the surgery happened a week or two later . I think they have surgical slots / diary etc so there was a bit of a lag .

    However if you read  post she did consult privately and got some feedback at a reasonable price to be fair . Then the NHS decided to proceed if I remember correctly. Just in case you want some information quicker .

    I know exactly what you mean about the negativity. I do kind of get their position in terms of liability etc but it does change if they see they can find a way forward .

    Take care ,

    Court 

    Helpline Number 0808 808 0000

  • Hi Court, how would I go about getting a second opinion, private or NHS? My partner's care on the NHS has been fantastic so far. Expect last week in our latest meeting with the consultant he told us that there is nothing more to be done. My partner is in excellent general health, so this diagnosis is difficult to accept. So would love to get a second opinion but don't know where to even begin. Thank you for advice.