Two week pathway or is it?

I've had a hard lump on my skull for a few years and I noticed it was getting bigger.  My GP referred my for an ultrasound in Aug 2022, the results came back as inconclusive.  I then had a CT Scan in Nov 22.  The results didn't come back until Jan 23, I had multiple lytic lesions in my skull and there it all started......

I was referred  to bone sarcoma, on the two week pathway on 10/01/23.  This referral was bounced back to my GP a week later with a note saying I had been referred to the wrong department.   My GP re-referred me to ENT on 17/01/23.

I saw the ENT consultant at the end of January.  I sat in her office and was told I had been referred to the wrong clinic!!  I was referred on to the breast clinic,  for full bloods and haematology.    The breast clinic were amazing and I was seen and cleared of breast cancer in a week.  I had to wait a few days to get a blood taking appointment and was then seen in Haematology on 14/02/23. 

The consultant was great and referred me for full body xrays an head, neck and thorax CT Scan.  The blood test were clear and the scan should a further lytic lesion on my spine.  At the end of March I was referred back to ENT with a note on my file that the lytic lesions in my skull should be biopsy as was originally indicated in January.  So 2.5 months  to get back to square one.

I had to chase for an appointment, bearing in mind that this is still part of the two week parhway.  I finally saw the original  ENT consultant that I had seen in January on 27/04/23.  I signed consent forms for a biopsy and thought it wouldn't be long before I found out what had caused the lytic lesions.  How wrong is was......... two biopsies were cancelled on me (I was gowned up and ready to go into theatre both times!!), before I finally had my biopsy on 19/06/23. 

I had a follow up at 2 weeks and was told my biopsy site was healing OK,but they couldn't tell me when I would  get my results.

I end up in A&E the following week.  The biopsy site had become infected.  It needed to be drained of pus and I was put on week of a double dose if antibiotics.

8 weeks later and I still haven't had my results, even though the results had been with the ENT department for the last 5 weeks.

I have a telephone consultation on 15/08 for the results.

So my two week pathway has so far taken 7 months. 

I understood that you should be diagnosed in 28 days and start treatment in 62 days.  Whilst I appreciate that it is not always possible to get a diagnosis in that time frame - I can't believe how long the whole process has taken.

PALS have been great, they have been so helpful but can only do so much.

Has anyone else have their two pathway take this long and longer??

Thanks for taking the time to read my rather long and rambling post.

  • A very warm welcome to the community AKTalbot although I'm so sorry to read what you have been through.

    I can't begin to imagine how worrying and frustrating the last 7 months have been for you but I'm glad to see you have a telephone consultation today to discuss your results so I just wanted to wish you the very best of luck and let you know we're thinking of you.

    Whatever the outcome, we are here for you AKTalbot and if there is anything you'd like to discuss further with one of our cancer nurses after you've found out your results, you can do so on 0808 800 4040. Their phone lines are open Monday - Friday between 9a.m - 5p.m and they'll do all they can to answer any questions you may have and put your mind at ease.

    Hopefully some of our members will be along soon to share their experiences and advice.

    Kind regards,

    Steph, Cancer Chat Moderator

  • My telephone consultation was booked for 16:40 yesterday - I finally got a call at 17:20.

    The good news was that it was a hemangioma - which I was told was a benign tumour consisting of a collection of blood cells.  That was definitely a relief.  

    I know that a good majority of people on the two week pathway find out that another condition, other that cancer, has caused their symptoms - but you always wonder if you are one of the minority......

    The bad news was......as the original referral was for the lytic lesions in my skull - my GP would have to refer me to a spinal consultant for the one in my spine!!  I have know been signed off from the hospital.

    As the letter from my two week follow up, back at the beginning of July, didn't arrive until a couple of days ago - goodness knows when my GP will get the letter from this consultation!!  I was told that I would have to want for the letter to arrive at my GP surgery, with her recommendation to refer me, before anything could happen with that.

    An so it starts again!!!!!

    Thanks for reading another of my long and rambling posts.

    Good luck to everyone else currently going through the two week pathway.

    Thanks