Update (inoperable) Just found out Dad has stomach cancer

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Hello everyone, I’ve spent the last 24 hours reading many of your stories and I’m grateful that you’ve all come here to share as this has already helped me. Unfortunately we just found out my dad (56) has stomach cancer with a tumour in the duodenum. He’d had little to no symptoms, had started on indigestion medication a few months before but then he suddenly started being violently sick. At first it was thought to be a viral bug but as it continued then the weeks and weeks and weeks of investigation began. Everything seemed to happen back to front. CT scan, colonoscopy then endoscopy. CT scan showed a blockage in the duodenum, everything else looked clear. Colonoscopy all clear. During endoscopy the blockage was confirmed as a large polyp which explained the fact all his food had to keep coming back up. Told it didn’t appear malignant, go on liquid diet for now. Then biopsies come back to say cancer in stomach and the polyp which I guess we now call tumour. Next he has a PET scan tomorrow and hopefully the diagnostic laparoscopy early next week to see if it has spread, if not, they will operate. If it has we are told it will be incurable. This is a huge blow for us all. I’m 30, my brother only 28 and I’m currently six months pregnant with my first child. My dad is still so young and to go from having no major warning signs to the sickness coming on suddenly to this news, it all just feels incredibly cruel. I’m so looking forward to them becoming grandparents, I feel like my whole world is being torn apart and I have zero control over any of it. I want to remain hopeful but it is challenging. We are all trying to stay positive. Im somebody who throws herself into researching everything and gathering as much information as possible, anticipating every outcome. 

i do have some questions that I hope someone on here may be able to help with.

From reading online, cancer in the duodenum seems to be referred to as small bowel cancer, but if Dad has a tumour there and also biopsies coming back positive in the stomach, is it stomach cancer, small bowel or both? There’s been no mention of which is the source but if the tumour is in the duodenum am I right to think that is the source and it’s spread into the stomach? 

Ive seen discussions about second opinions, if the results determine that my dads consultant won’t operate. What is the process for getting a second opinion? For example if I paid for a second opinion from Mr Asif Chaudry at the Royal Marsden and he determined surgery could be possible, would we then have any opportunity to get that surgery with him on the NHS or would it be private? My parents live in the North East so I don’t know if it’s done on area? Does anyone have any other recommendations for specialists in the North if this may be the case? 

I know we’ve been told to take things day by day and wait till we have all the results but I feel like I should be doing something useful in the meantime. 

After having a diagnostic laparoscopy how long should we expect to wait for the results? 

Aside from all of this, I really want to know what I can do or how I can be around my dad to help him. I don’t want to make things harder for him or for him to spend his time worrying about me. I won’t be bombarding him with all of this. I live five hours away from them which makes all of this a whole lot harder but I’m going to stay with them for a few weeks over Christmas now. It will be far from our usual Christmas with dad on his liquid diet, he’s lost a lot of weight and very weak and tired. But I think my best approach is to try keep spirits up. I was thinking of encouraging a small walk together every day, is this a good idea? I don’t want to do anything that will make him lose weight any quicker but I’ve read it’s good to keep exercising? He’s just got the high cal high nutrient shakes on prescription so they should help boost up his calories more. I found a recipe for a mince pie milkshake that I will make for us all whilst I’m there. Im just clinging on to anything good that I can do really. Any advice would be hugely appreciated.

And sorry my message is so long, if you got this far, thank you! Hopefully hear from some of you soon. Wishing everyone as good a Christmas as can possibly be had in these situations x 

  • Your reply is helpful! Thank you for taking the time to offer advice. I’m so sorry you are in a similar position to my Dad, it’s incredibly difficult. I hope you have lots of good people around you. 

    My dads tumour seems to have attached to a vein between the duodenum and pancreas and then has started to invade the pancreas but they aren’t sure if it has actually spread into it. They are currently still classing this as Stage 3 but ‘advancing’. He will have chemo then there’s talks of potentially having another operation at a different hospital where they could remove the end of the pancreas affected by the tumour and part of the tumour itself, which could give us more time as it would basically create a gap for the tumour to grow before affecting the pancreas again. They think it is slow growing but I have no idea how that is determined.  

    We are just trying to remain hopeful for the options left available to us. 

    Do you mind me asking, what the time gap was between coming out of the surgery and starting chemo? X

  • I came out of surgery on the 27th of November and had my first chemo on Monday (8th January).

    My Oncologist wasn't going to start chemo until after Christmas as although I didn't have the partial gastrectomy I did still have a stomach bypass so my body had to heal from that.

    We delayed the chemo for another week as I was going away for a few days with my adult children.

  • Thank you for explaining that, my dad also had a bypass so the timeframe could be similar. How did you find the recovery from that and how is eating for you now? Sorry if I’m asking too many questions, please don’t feel obliged to answer them!

    Dad had a feeding tube for a few weeks before the surgery because nothing could get past the tumour in his duodenum so he’s looking forward to some return to normality in that sense. 


  • Don't worry about asking questions, you ask away.

    I had a feeding tube for a few months as my cancer also caused a blockage.

    To be honest it's a relief to be able to eat again.

    I can't eat as much as I used to but I can still have a good meal.

    After the operation I was getting painful spasms especially after eating but those are easing off now.

    After surgery they did say I may have to go back at some point to have a stent fitted to widen the gap where they did the bypass but to be honest I'm managing just fine and feel like the gap has naturally widened as I can now eat more with less discomfort.

  • We are in similar situation. We have Laproscopy this week. We have been told dr will tell us results straight away 

    Jac...could you please disclose what was outcome of your Laproscopy?

  • Hi Nnnnn, thanks for sharing. May I please ask how to get 2nd opinion and what sort of cost we are looking at please?

  • Hi, I was given my diagnosis on 30th November and had my laparoscopy on the 7th December 23, I finally have an oncology appointment next week for chemo to start at the beginning of February, I have felt nauseous and had some discomfort over the last few weeks.

    can anyone tell me how long they waited for the surgery after having chemotherapy first? 

     I feel like I’ve waited a long time for treatment 

    thank you 

  • Hi Sop, 

    My chemo finished at the end of Feb 23 and my op was set for 9th of May, this didn't go ahead due to finding blood clots on my lungs so after a period of blood thinners my op was done on 22nd June hope this helps.

  • Hi My laparoscopy confirmed that there was cancer in a small area of my stomach,  at the lower end.  There was no cancer in the stomach ‘wash up’.  There was discussion at the MDT and I was offered chemotherapy before surgery.  Because the cancer was at the lower end of my stomach I had a partial gastrectomy.

    The chemo did its job and in my case eradicated the cancer as there was no cancer cells left when the pathology results were done after surgery. 

    Jac

    Life is what happens when you are making other plans!  
     
     
  • Hi I think there’s a recommended timescale on the standard treatment pathway.  I had my last chemo at the end of November and surgery on 28 January.  
    Once you get started on treatment, it is easier to cope with psychologically! I thought of it as climbing up a mountain, one step at a time! 
    Good luck!

    Jac

    Life is what happens when you are making other plans!