My Mum

FormerMember
FormerMember
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My Mum is 74 and was diagnosed with NSCLC Stage 3b back in April last year. This was a shock as, although an ex smoker 20 years previously, mum is very fit, never been ill and still working.

She was put on 2 x Chemo drugs and immunotherapy and after her first scan there was shrinkage. They then reduced the chemo to just the one and she continued with this alongside the immunotherapy. After her second scan there was marginal growth, but they said to carry on with the plan for the next 3 rounds and then review. Today we went to see the consultant following he most recent scan. It was horrible because I knew something was up when we were put in a room and the doctor attended with the nurse. He has basically said that Mum's tumour (in the upper left) has grown but there is also more cancer in the chest area. This means the treatment - immunotherapy/chemo is not working. He talked to us and it came across as very bleak even though he was lovely.

He was not at all optimistic about a second line treatment helping mum but said he would try it. He kept saying that we would have to have a conversation about whether to continue treatment if things continued as they are now and more words to that effect. It really felt like he was basically saying, mum's life was very limited. At the end it was agreed that mum is going to have 5 sessions of radiotherapy on the main tumour to help shrink it and help with the breathlessness and hoarse voice. He then talked about a chemo drug called Docetaxel. I asked him about Nintedanib (vargatef) and Docetaxel combined as I had done some reading and he said that he didn't think it would add any benefits for mum.

Mum is still determined that she will be here for a few years yet and happy to go for all the treatment they can throw at her.

I just feel so very scared and want to hang on to any thread of hope I can. Her cancer is still confined to the chest which I thought was a positive, but clearly not. I am also feeling angry that they continued with the same treatment for another 3 rounds (3 months) despite the last scan showing marginal growth. To my mind this should have meant a new treatment plan. Why continue with something if it's not helping?

Sorry for the long post. I am all over the place right now.

  • Hi flatcat , and welcome to the group, but sorry you find yourself here. It is heartbreaking to see a loved one go through the treatment, to be told it’s not working.  I think your mums team continued with the initial chemo and immunotherapy to give it its best shot of working. They wouldn’t of continued it if they really thought it wouldn’t work. It’s just such a shame it didn’t. I went through something similar with my own mum, so I really do know how you feel. 

    I hope the radiotherapy will help with the breathlessness. Does your mum see the oncologist again after the radiotherapy to discuss chemo, or is that already being arranged ? 

    “Try to be a rainbow, in somebody else's cloud” ~ Maya Angelou
    Chelle 

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  • FormerMember
    FormerMember in reply to chellesimo

    Hello Chellesimo

    Thanks so much for your reply. I have had email conversation with the cancer nurse today, who has explained that sometimes one person's cancer can have spread to the bones, but be 'indolent', while another's may only be confined to the chest, but be more active. 

    She also said there is evidence that only having treatment for symptoms can actually extend life rather than having treatment that is more toxic to the body?

    I am just hoping that she may be one of the people who defy the odds!

    Thanks again.

    x

  • FormerMember
    FormerMember

    I'm so sorry to hear about your mum. It really rocks you. My mum was diagnosed with stage 4 , 18 months ago. You do cling onto hope. Sometimes hope is all you have. Xxx

  • FormerMember
    FormerMember

    Hi there, my mum is 71 and was also diagnosed with stage 3b lung cancer, squamous cell carcinoma last Feb. She had radiation and chemo and then started immunotherapy. She had the all clear but unfortunately the cancer has recurred although it is quite small and in the original place; it's still a shock. My mum will most likely have chemo. 

    It's stressful but don't give up hope. There are lots of treatments out there and it's good that they're giving your mum radiation and chemo. They probably should have done the radiation originally. 

    There are people with stage 4 who are still receiving treatment and not just palliative. Don't give up. 

  • MaWalton do you mind me asking has your mums cancer spread? Sorry don’t mean to pry it’s just I’m hoping I get another 18 months with my mum x

  • FormerMember
    FormerMember in reply to Toot22

    Stage 4 is when cancer has spread. Stage 3 (a,b,c) is when the cancer is locally advanced (to varying degrees) but it hasn't spread. 

    Even people with stage 4 can live for years. I wouldn't rely on survival rates. There are many people who outlive their prognosis. I think that most doctors avoid giving a prognosis unless the situation is really bad and the cancer is completely uncontrollable because a) nobody can possibly know how long you will live and b) with new treatments people are living longer. 

    The first consultant said that 10/15 years ago, my mum's prognosis would have been poor but today it's much better and there's been an advance in treatment. 

    Don't focus on time. My cat was diagnosed with two brain tumours and given 3 months max! He lived for 3 years and 2 months which is like 15 years in cat years! He died at the old age of 19 and a half! The vets were shocked that he lived for so long!  

  • Thankyou for explaining :) and how did you know I’d googled it!! Lol . I did and what I read was 2-4 months!! :(  I guess I’m just hoping for a couple more years 

  • They’ve told my mum they can’t get rid of her her met ( I’m not sure why) I thought they would as there’s only 1 

  • FormerMember
    FormerMember in reply to Toot22

    So sorry Toot22. I thought that you were the original poster and I got confused. My bad. Even so don't rely on statistics that you read online. Many of them are outdated. Even these websites themselves states that the statistics are a rough estimate based on how people fared in the past and they don't take into account new treatments. Even people with stage 4 can live for years with the cancer kept under control. The may not be able to get rid of the cancer and the mets, but they may be able to keep it under control for a long time. 

  • FormerMember
    FormerMember in reply to Toot22

    Mum has been having this trial drug , it has held the cancer at bay , her one lung is full of it. She has just had her 3 monthly scan. She has fluid around her lung , thickened windpipe , she evaded the question about it spreading. It won't be the cancer that gets her it will be something secondary. X