Thymic Adenocarcinoma

Hi,

Was recently in August diagnosed enteric thymic adenocarcinoma t2n2m1b status with a spread to a nearby lymph node making surgical resection off limits as deemed too high risk for now so straight into chemotherapy. My first oncology meeting with my team last month agreed on a regimen on the FOLFOX 12 cycles lasting two weeks each as they identify that this cancer has a genetic makeup similar to bowel cancers making this treatment the right fit. The agreement was to have a scan after the 6th cycle being the halfway mark to see how it is responding.

I had my first cycle and that seems to have gone well. No concerning side effects and my blood tests (which I am meant to have three days before each infusion) were all good and "in range" and when I went for my meeting with the oncology GP she looked and sounded very enthusiastic commenting that I am looking well (very ironic, I know) and that she was impressed with my bloods that show I am handling the treatment well and now she wants to arrange a CT Scan after the 3rd cycle which was not in the original plan. I know it feels tempting to try and look for good signs but I am wondering if adding this extra early scan could be her way of trying to indicate she may be feeling optimistic about my treatment in light of all this?

I am in my early 40s and my ECOG score is 0 so a good baseline profile. Prior to this I was having regular heavy coughing fits but these seem to have reduced to only taking place with a few huffs and throat clears first thing in the morning or after eating and when breathing in I have felt a bit less of a crackling in my throat area. I am wanting to hope there could be some signs that the FOLFOX is actively doing its job and potentially shrinking the mass considering all this. The original aim of the treatment was stated as "control" and not cure nor even neoadjuvant but I want to believe this could change that to become shrinkable and resectable as the cycles go on. 

Does anyone have any feedback or similar experiences?

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  • Hello anonymousperson and welcome to Cancer Chat.

    I can imagine it must have been quite a surprise to hear that the plan has changed slightly and that you will now be having a CT scan after your third cycle instead of waiting for the halfway mark. I'm so pleased to hear that your first cycle went well, your bloods are looking good, and you are already feeling some relief with your cough. It makes sense that you are hoping these are signs of the treatment doing its job. Medical teams do sometimes bring scans forward for a variety of practical reasons, such as wanting an early look or simply tailoring the monitoring closely to how well you are managing. While it is hard not to wonder, the scan will be the best way to get that definitive clarity.

    Hopefully others who have shared a similar experience will be here shortly to chat with you and offer support, as chatting with those who can relate does seem to help.

    The other thing I wanted to mention is that if you would find it helpful to speak to someone for a bit of extra support or reassurance while you wait for your scan, please remember you can always call our nurses. They are very supportive to talk to and can be reached on 0808 800 4040, Monday to Friday, from 9 am to 5 pm.

    I am keeping everything crossed for you that your upcoming scan shows positive progress and that the treatment continues to go smoothly for you. Please come back once you know more to give us an update if you find a moment.

    All the best,

    Renata, Cancer Chat Moderator

Reply
  • Hello anonymousperson and welcome to Cancer Chat.

    I can imagine it must have been quite a surprise to hear that the plan has changed slightly and that you will now be having a CT scan after your third cycle instead of waiting for the halfway mark. I'm so pleased to hear that your first cycle went well, your bloods are looking good, and you are already feeling some relief with your cough. It makes sense that you are hoping these are signs of the treatment doing its job. Medical teams do sometimes bring scans forward for a variety of practical reasons, such as wanting an early look or simply tailoring the monitoring closely to how well you are managing. While it is hard not to wonder, the scan will be the best way to get that definitive clarity.

    Hopefully others who have shared a similar experience will be here shortly to chat with you and offer support, as chatting with those who can relate does seem to help.

    The other thing I wanted to mention is that if you would find it helpful to speak to someone for a bit of extra support or reassurance while you wait for your scan, please remember you can always call our nurses. They are very supportive to talk to and can be reached on 0808 800 4040, Monday to Friday, from 9 am to 5 pm.

    I am keeping everything crossed for you that your upcoming scan shows positive progress and that the treatment continues to go smoothly for you. Please come back once you know more to give us an update if you find a moment.

    All the best,

    Renata, Cancer Chat Moderator

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