Hello...
I really hope someone answers my reply. My husband was diagnosed with stage 3b N0 M0 clear cell renal cell carcinoma in April 2019. His tumour showed necrosis and measured approximately 6 inches on all sides. Complicating things, there was a thrombus in the vein in his kidney and the tumour was so large, it wrapped around his kidney. Though his cancer was localised, it was reaching for the adrenal gland so they removed the tumour, adrenal gland, and the thrombus was treated with medication before surgery. .
My husband was told immediately that at his stage t3b N0 M0, he had a bit less than 50% chance of living five years possibly less due to the necrosis but it’s “a guide”. They also said his recurrence rate was at about 40% due to it reaching the adrenal gland. They insisted he try to qualify for a trial called RAMPART which is treatment by immunotherapy. After jumping through every hoop to qualify, he was accepted and as it’s not a blind trial he was told how he was randomized. He is receiving two immunotherapy drugs and a new scan every four months. He had his first infusion of each drug and a week later was in the hospital for extremely severe colitis.
My husband is a GP himself so he’s seen lots of people with cancer his 20 plus years in practice. I asked him if he’d seen this before (stupid question) and he began rattling off a list of “remember that gift from that family, remember the guy, remember the lady who sent a gift for the dog...and on and on”, all of these patients are gone. So ?
I’m petrified. His trial treatment is a year long and it literally says at the top of his information that it’s for high to highest risk patients. When he tried to return to work this week, his only other partner in the practice chose to take his SECOND 3 week holiday in three months. He went on one the week my husband had his nephrectomy in May. ****! Now, as they want my husband off work another two weeks , he’s being treated like a pariah. Keep in mind, he’s one of only two partners and only two full time doctors. Other help comes from two part time salaried doctors who refuse to work extra, and a nurse practitioner who wants higher pay all the while he’s feeling guilty for trying to live!
Can anyone be boldly honest with me, do they know a stage 3 or 4 kidney cancer patient who survived past the 5 years.
any honest response would help me prepare either way.