Delays in start of treatment

Hi all,  

I have mucinous adenocarcinoma, a rare cancer & aggressive for which the best treatment is to remove it, chemo may or may not be successful.  Having been diagnosed with cancer on 3/7 , I haven’t started any treatment yet , I’ve put the details below but essentially I seemed to have lost weeks being referred from  one hospital to another,  I’ve waited so long my cancer is now is now inoperable and I have been referred now chemo first - I have an appointment 2/10 to see my colorectal consultant (92 days after diagnosis) , I am hoping he will give me a date start chemo and that date is very soon. 

my questions to the forum are

is anyone else experiencing this sort of delay ?

has anyone gone private for chemotherapy?  Is this something that is possible , is it quicker and ideas on cost ?

my concern is I’ve gone to the back of the queue again and my scans are showing I don’t have time to wait . 

The details;- 

i had an emergency appendectomy 12/6 this year , it had ruptured and i also had an abscess. 
on the 3/7 the consultant called me back in and told me I had cancer of the appendix- mucinous adenocarcinoma a rare cancer.  ( I’ve since found out it was grade 3 ). He told me I would be referred for a right helicolorectomy and HIPEC (hot  chemo pumped into the abdomen) . He said he thought my op would be in August .

I had to wait until 22/7 for a staging scan as I had to heal from the appendectomy.

after chasing I had a 3 min phone to advise the cancer was limited to the abdomen but there were several areas that looked like the cancer had spread.

i know from my records the hospital said they received  the referral on 13/8. They asked for another ct scan and mri. 

I had an appointment with the surgeon 14/9 , they only had by July scan , I was told there were some concerning aspects of the cancer . But he couldn’t operate until NovemBer !

after crying myself stupid overnight , I sent an email explaining this would 173 days from diagnosis. I asked about cancellation lists , private etc .  I was transferred to a different surgeon who could operate on 28/9 .  We travelled back to Manchester on 18/9 to meet her. At this meeting she had just received the scans and re sports from 13/9.

she advised the cancer had spread and as well as the right half of large bowel being removed,  I would also need some of the left and rectum out, meaning I would need a stoma ( the news I had been dreading) Also they would remove my ovaries and omentum out  possibly a full historectomy. ( I’m in my late 50s  so this wasn’t an issue ) . But she wanted my latest scans to be reviewed at the next MDT before confirming the full details.

I had a call on Thursday 24/9 to say operation was no longer an option due to the cancer spread and it’s locations ( pelvis) I have been referred back to my own hospital for chemotherapy.

i have an appointment on 2/10.

I was devastated , as you’ll all know it’s not the news they tell you, it having to tell your family and friends this news that is the worst !

Thank you 

  • Hello Jacq100

    I'm so very sorry to hear about all that you have had to deal with since your initial diagnosis of cancer at the beginning of July. I can only imagine the rollercoaster of emotions and thoughts that you've had over these last few months while you've been passed from one team to another and still don't have a date to start treatment. 

    You don't mention in your post whether you have spoken to the hospital PALS team. I would really encourage you to reach out to them and explain what has happened. It's part of their role to help resolve concerns or problems when you're using the NHS, and they can also give you information about the NHS complaints procedure. 

    It may be that some of the delay you've experienced is because of the complexity of your diagnosis, the initial plan for surgery and HIPEC and the need for a more experienced surgeon to complete this. Regarding private treatment options, I'm not sure about the cost or time frames. This might be something that you could chat through with one of our team of nurses if you would like to speak to them. They're available Monday to Friday, 9am to 5pm, on 0808 800 4040 and I know they will be happy to listen and offer any advice, information and support they can. 

    Hopefully your appointment on Friday will bring some clarity. Do keep in touch and let us know how you get on. We're here for you. 

    Best wishes, 
    Jenn
    Cancer Chat moderator 

  • Hi `Jenn , thank you for your reply , I haven’t as yet spoken to PALS , but I was planning to . I’ve written an email to the consultant I’m seeing Friday explaining how I feel and what I would like from the meeting - e.g meet an oncologist and have an imminent start date for chemo.

    with regards my treatment. Appendix cancer is as you know rare and but there seems to be initially  one course of action - right hemicolorectomy followed by HIPEC ( chemo wash of abdomen ) only 2 specialist hospitals do this procedure . I was told on the 3/7 I would be referred,  referral  wasn’t  received until 13/8 . new scans requested but my local hospital didn’t seem to receive /action this request until I chased them 1/9 . 
     So it wasn’t the complexity of what needed to be done that caused the delay  . The delays have caused the complexities . 

    thank you for listening and replying , I’ll call the numbers you’ve given .

    Best regrads

     Jacq