cervical stage 2 diagnosed

hi all.

my wife and i are currently away on holiday in Thailand.

she's 38 years old

2 weeks ago she was having a lot of bleeding so we went to the local hospital for an examination.  sadly after a couple of examinations and a CT scan she has been diagnosed with stage 2 cervical cancer, a 4cm growth uterine cervix with suspected invasion of bilateral parametria.  not spread further yet.

our dilemma is of course we want her to get good treatement,  get cured, and not have to wait forever allowing it to get worse. 

here in Thailand they said they can start treatment within a month. daily radiotherapy for at least a month. and weekly chemotherapy for at least 6 weeks. then a review with either continued treatment or hysterectomy or whatever needs doing.  

if she stays here for treatment it's impossible for me to remain also as we have children and other issues that prevent us both staying much longer. and thailand government hospitals are not very well rated from what I can see.

I'm really worried about UK waiting times. 

I spoke briefly with her GP back in England and I get the impression having the CT scan on a provided DVD and diagnosis letters may help but so worried.. 

can anyone advise please on what we should do..

 

CT WHOLE ABDOMEN
HISTORY: A 38-year-old woman with cervical cancer.
FINDINGS: No prior study for comparison
- There is an ill-defined homogeneous enhancing soft tissue mass at uterine cervix, measuring about 4.0x3.9 cm in
axial diameter. Suspected invasion ot bilateral parametria is noted. No detectable invasion to pelvic sidewall is seen.
- Small amount of peritoneal fluid in pelvic cavity.
- A-few small perfusion defects in bilateral
hepatic lobes.
- Normal attenuation of remaining liver parenchyma is noted. Portal and hepatic veins are patent. No biliary ductal
dilatation is noted.
- The gallbladder, spleen, pancreas, kidneys and bilateral adrenal glands appear normal.
- No KUB stone or hydronephrosis is noted.
- The visualized bowel loops, appendix and stomach are normal.
-A-0.6-cm-lymph-node-at:left-extemal-iliac region.
- No significant abdominal lymphadenopathy.
- Urinary bladder, uterus and bilateral ovaries appear normal.
- Included lungs are clear.
- Intact bony structures. No suspicious bone destruction is noted.
IMPRESSION:
- Suggesting of cervical cancer with suspected invasion to bilateral parametria.
- Small amount of peritoneal fluid in pelvic cavity.
Borum Prasityusil, M.D.(1110179) Radiologist
Assigned Datetime: 27/03/2022 11:43:06
Finalized Datetime: 27/03/2022 12:46:25

  • Welcome to Cancer Chat, SimonM66, although I'm sorry to hear about the reason that brings you here.

    I can appreciate why you're worried, and I hope you will soon meet others here on the forum who can share their experiences with you and that this can help you and your wife make a decision on what to do next.

    In the meantime, as your wife just got diagnosed, I thought this page from our website with information on cervical cancer might be of some use.

    Stay strong, SimonM66.

    With best wishes to you and your wife,

    Renata, Cancer Chat Moderator

     

  • Hiya,

    Sorry to hear your news - what a shock for you both.

    I went to my gp with heavy bleeding on 21.12.21 and was diagnosed by 14.2.22 and have already had my hysterectomy. My experience has been that, when it comes to cancer, the NHS don't hang around. Can't fault the speed of treatment I have received!

    I've been so grateful to have my family and friends close by through this - it's an emotionally intense experience so  I'd say it is worth considering the benefits of being in her own home with those she knows and loves. Plus it may be harder for her to travel home once she starts treatment as she may not feel so well.
    The very best of luck with whatever you decide.

     

     


     

  • been to the radiologist today :(

    he has looked at the scans and thinks it's more likely stage 3b.

    this has us (me it seems more) worried sick.

    stage 2 when hunting on Google talk about 90%+ success.

    however a lot of pages about stage 3 are 30%

    she's got a GP appointment made back in the UK for 11th April which we'll take all the thailand reports to of course...

  • Hiya,

    It must be so hard for you both, especially being away from home. I'm wondering whether you might be able to get an earlier flight home - might be worth talking to your insurance. And seeing if medical results etc can be fast tracked to your GP in advance of your return to the uk.
    I've found it helpful to take things a step at a time and to try not to google too much as it just raises my anxiety. Much easier said than done, I know, but everyone's case is individual so stats can be a bit misleading at times. 

    Your wife might be in a bit of shock - I did find , when I was diagnosed, I kept looking at the diagnosis in disbelief ( the cancer nurse had written everything down for me). I also found I didn't remember lots of the info given to me in the early appts. I'm usually pretty on the ball but was glad my daughter was there as she was able to fill in the gaps afterwards! So be kind to yourselves and take things step at a time - there's a lot to process at this time.

    Good luck with everything

     

  • Hi Simon

    You will do yourself no favours by looking at stats online as by the time they are published they are already out of date. Better to focus on the treatment itself. 

    I notice hysterectomy being mentioned in the thread, but please note that the treatment for endometrial and cervical cancer is very different, and a hysterectomy would not be considered at stage 2b or 3b for cervical cancer. The standard treatment is chemo and radiation. 

    I have been dealing with cervical cancer for almost 4 years, originally at stage 2b but I had recurrence. I have however spoken over the years to dozens of women at all stages of this cancer and even at stage 3b the intention will be curative.

    I appreciate the worry you must be feeling right now and hope that when you are back in the UK your wife can be quickly referred and treatment started. x