Hi this is my first time doing something like this but I' feeling very low and dejected at the moment and so am seeking support and guidance here.
A little of my history. Sorry if it's a bit long winded I'm not sure how much detail is needed.
Im 40, and have two young toddlers (3 and 1.5 years old).
I first started experiencing itching in the vulva area in December 2018. I thought it may be the hair irritating it or something the itch as it would come and go. After 3 months it hadn't stopped so went to the GP who checked me and said it didn't look sinister and prescribed a steroid cream. This cream had no effect so I went back and she prescribed a different one which seemed to work the itching would stop and then come back. So then I returned in May and she referred me on to the Community Gynaecologist. He examined me and didn't think it was 'sinister' and prescribed another steroid cream. Which worked and I continued to use until September. When it stopped having any effect.
I returned in October and as the creams were not effective decided to do a biopsy, even though she also felt it didn't look worrying. She took one biopsy and in December the results came back as Pagets disease.
From my reading and what i have been told it's a very rare type of cancer usually seen in people much older and post menopausal. She referred my onto UCLH to have the biopsy rechecked. they examined me just before Christmas and reviewed the original biopsy.
I returned this Thursday just gone for the results and it was confirmed. This biopsy showed it was non-invasive. They had an opening for Friday to do a mapping biopsy. Which they needed to do to check which type it is in the entire area. They also checked my bladder. And will do colonoscopy before I get the results in two weeks time.
The consultant showed me pictures from my surgery of the extent of Pagets ( I knew it was a wide spread cancer but i wasn't quite prepared to see such a spread also showed me all the 11 Biopsies she took - which I hadn't expected either.
We spoke of steps forward. The thought of having such major surgery that I would need to see a plastic surgeon terrifies me because the anatomy down there would be so changed. It terrifies me that they cannot know if they have removed all of the cells. And has a high chance of returning, especially given my age.
Obviously I know I need to be positive and hopeful, with two young children. My partner is supportive, but calm and doesn't really know how to deal my fragile state other than to say we have to wait. But my mind is jumping to an obvious conclusion.
I just really wanted to know what others have been through. Your experience of treatment, did you have the combination. What was recovery like.(I was told i'd be in hospital for up to a week after).
The consultant said the urethra would possibly be shaved back and also the anus maybe affected - I wondered how this would effect my daily functions? And am I then more prone to infections such as UTIs etc. because of the skin that protects the vagina being pulled. She also said my clitoris would be removed - It worries me that my partner and I will lose that type of intimacy.
Sorry for the essay. But that's where I am at the moment. Any advise or experience or knowledge anyone could share would be really appreciated at this moment.
Thanks x
Hi and a very warm welcome to the online community
As I didn't have this type of cancer I can't answer your questions but I noticed that your post hadn't had any responses. By replying to you it will bump it back to the top of the page where it stands more chance of being seen.
If you still don't get any responses you could post your questions in ask a nurse and one of the specialist cancer nurses will reply within 2 working days.
When you have a minute it would be really useful if could pop something about your journey so far into your profile as it helps others when answering or looking for someone with a similar diagnosis. It also means that you don't have to keep repeating yourself. To do this click on your username and then select 'Edit Profile'. You can amend it at any time and if you're not sure what to write you can take a look at mine by clicking on my username.
x
Shars, that is a lot for anyone to take in all at once. It sounds like your cancer is wide spread or multi-focal. Doing all of those areas is a huge surgery especially if this is your first surgery. If they have to work on your urethra and clitoris you may come home with a foley catheter in order help you still pee without so much pain until you start healing. (it's hard to give you similarities as every person is different and every doctor/surgeon treats cancer just a bit different - especially here in the US where I'm from)
I will tell you that I have learned that our clitoris is so much larger than what we thought; there is a lot of clitoris tissue under the skin (kind looks like a wish bone). When mine was removed, it took a while but I eventually was still able to have an orgasm. It takes a while to heal from these surgeries especially if this one is going to be this extensive but you will heal. You may have nerve damage but the good thing is if it's your first surgery, you have a great chance of your nerves regenerating. Please keep us posted and remember no questions are dumb.
Lisa
Hi Lisa thanks for your response.
It was reassuring to hear.
I have my colonoscopy on Friday. And mammogram on Tuesday. The results of the biopsy will be a week Thursday. Where we’ll discuss treatment plans.
At the moment I’m trying really hard to keep it together until next week and then deal with the next stage.
If it’s all invasive the consultant said it would be extensive surgery with plastic surgery. She spoke about the possibility of treating it first with imiquimod to attempt to reduce the spread and therefore extent of surgery.
Im somewhat sceptical of the long term success of the cream as it’s fairly new so not much long term evidence saying if it can come back quickly - I do know that this type of cancer has a high reccurance regardless of it is invasive or non-invasive.
Is there much more findings in the U.S. my findings were quite limited.
I've only just begun to research these so don’t know much more yet.
Im currently organic juicing and have increased my intake of celery, turmeric, kale, ginger, beetroot and spinach.
ive also cut out white rice and bread, pasta, sugars and am eating Vegetables, pulses, eggs, and quinoa
was there anything you did that helped you could suggest?
also if you don’t me asking what type of vulva cancer did you have? And was it invasive or non-invasive?
Thanks so much Shars
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