Should my aunt have chemo ,pancreatic metastatic, need help

Hi My aunt is 80 years young and lives in Spain .

she has recently been diagnosed with pancreatic cancer that has spread to her liver . She has three small tumours on liver.

she is feeling fit and is active daily gardening , cleaning ,cooking etc.

she is pain free ,apart from a manageable back ache

she has been told she will have weekly chemo from next week for three months ,three weeks on three weeks off.

before chemo starts she is due another scan to see changes in the last 8 weeks. Because she feels so fit and well she is reluctant to have the chemo and all that goes with it there is no change in the cancer.

she has seen the oncologist once and their conversation ,although she had an interpreter,was limited.

The oncologist was very optimistic and said she would definitely see her next birthday and probably the one after that too.

she really needs to have a good chat with an oncologist so that she can make an informed decision.but don’t know how to go about this,if any one has any info on this I’d be very grateful .

 

Any thoughts or experiences on making the big decision would be very welcome

many thanks.

 

  • Hello Daisy64,

    I just wanted to let you know that I have asked our nurses to take a look at your message and they will respond very soon with hopefully some good suggestions for you and your aunt. 

    It must be hard for your aunt to be going through all this in Spain. I hope she isn't too much lost in translation with the medical jargon!

    Lucie, Cancer Chat Moderator

  • Hello Daisy 64.

    I am one of the enquiry nurses.  Lucie our moderator asked us to take a look at your post. 

    I am so sorry to learn about your aunt.

    Deciding about treatment is often quite difficult because even the oncologist can't predict for sure how well someone's cancer will respond and how troublesome any side effects might be. For a treatment to be offered there will be evidence that it can help in a percentage of people, but it is hard to say how much benefit there could be for each individual.

    To help your aunt decide it may be a good idea for her to talk things over again with her current oncologist who knows all about her and to make a list of questions before she goes along.  I assume she can contact the hospital to arrange this herself.  And the equivalent of her GP they may be able to help as well.

    Even in the UK without the language barrier, consultations can be rushed and patients often forget to ask things they think of later.

    So if your aunt feels she needs more information before she can decide what do, tell her to ask for another appointment and think about what sort of questions would help.  Often the older generation don't want to be a bother so if you think this maybe an issue do encourage her. 

    Sometimes people decide that they don't want any treatment which isn't always easy for relatives to accept. I think all you can do is to support your aunt in getting the information she needs to come to a decision. Perhaps if the scan shows the cancer has grown things will be more clear cut for her. 

    If you want to talk anything over please do give us a call on 0808 800 4040, we are around from Monday to Friday form 9am to 5pm.

    Best wishes,

    Julia