Appendix cancer

Hi there, six years ago I had appendix cancer and subsequent Cytoreduction with HIPEC  followed by five months of 'belt and braces' chemotherapy and yearly surveillance with CT scans and colonoscopies.

A few months ago I started to have some uncomfortable symptoms of feeling full, abdominal distension, lack of appetite and weight loss plus some bladder issues. Tests revealed some cancer cells in the bladder and a subsequent PET scan has shown widespread cells in the peritoneum. My original consultant  has said on review of all the scans it is too widespread to be operable and he recommends chemotherapy to try and shrink it all to ease my symptoms and in the hope that it shrinks enough for surgery.

this is such a rare cancer apparently and therefore there is little information let alone support so I feel very alone.

Has anyone on this forum had a similar experience please. Many thanks for reading this.

  • I was diagnosed with cancer of appendix in may 2018 and also had complete cyto reduction with hipec. I didn't quite make 3 year mark and was diagnosed with recurrence in April 21. Mine is behind my bladder and has blocked both ureters so I have a nephrostomy on left side, right kidney is mostly useless. I also have tumour attached to my rectum and in the vaginal vault. That has been increasingly painful and has been bleeding so I am currently having a course of radiotherapy as it was found to be blocking my urethra so I have been unable to pass urine. I have been telling HCP's my bladder felt full but it was brushed off as not being possible due to the nephrostomy and useless kidney but my targeting scan showed otherwise & radiotherapy was bought forward as urgent. 

    There is no chemotherapy specific for appendix cancer as it is so rare (I don't believe that there are so many people that have it there is no research happening for treatments). My prognosis was a small few years in 2021 & now they are saying 12-18 months.

    I hope you can find some comfort, the Macmillan nurses are something else when it comes to caring for people & supporting them.

    Just don't give up, keep strong and take each day as it comes, make some happy memories with the ones you love.

  • Hi Silky (love the name!) I am so sorry to read your email, life must be so hard for you at the moment. I know what you mean when you say you were brushed off because that happened to me when I told my consultant (who I was seein privately by the way) I had a change in bowel habits.

    Anyway, I am now currently in hospital having been admitted via A&E last Saturday, vomiting and in great pain. I finally underwent a CT scan only yesterday and found to have a bowel obstruction and my stomach had swollen to about five times its normal size.I've had a nasogastric tube inserted and felt almost immediately better after they had drained pints of muck off.

    I have seen the consultant today who has said it's too dangerous to operate due to the cancer cells in my small bowel. The plan is to start me on steroids to reduce the inflammation in the hope that the obstruction (which could be caused by scar tissue from previous surgery or from my first round of chemotherapy or even the cancer itself) will reduce.

    So this is where I am with this wretched appendix cancer and, like you, I feel that we are very much short changed with regard to information, research and chat forum or even charity, that I know of anyway.

    I've not been given a terminal diagnosis but I'm not kidding myself.  I do hang on to a tiny bit of hope that the chemo may do its magic to make it operable. I don't know how old you are Silky but I'm a young 73 and have only been married to my 2nd husband for 15 years and we're still very much in love so I would like a few more years yet with him and my wonderful family.

    please let me know how you get on and thank you for your very wise and kind words.

    x