Denelle was diagnosed with stage 3B rectal cancer in April 2024, after experiencing persistent symptoms for several months. In the fall of 2023, she noticed irregular bowel movements, frequent bleeding, and the sensation of incomplete evacuation. Initially dismissing these symptoms as hemorrhoids, she eventually sought medical advice in January 2024. Her general practitioner found nothing unusual, but concurrently referred her to a gastroenterologist, leading to a colonoscopy in April that consequently confirmed cancer.

The initial staging process was complex and took about a month. Early assessments suggested stage 1 or 2 cancer, but CT scans later revealed lesions on her liver, raising concerns about stage 4 cancer. However, further testing determined that the lesions were benign, confirming her diagnosis as stage 3B rectal cancer. Given the initial recommendations for surgery, Denelle afterwards sought a second opinion at Mayo Clinic. Doctors subsequently suggested a total neoadjuvant therapy, consisting of chemotherapy and radiation before considering surgery.

Denelle underwent a month-long chemoradiation treatment, taking chemotherapy pills alongside radiation therapy. As a result, follow-up scans showed significant tumor shrinkage, allowing her to proceed with systemic chemotherapy. She completed eight rounds of chemotherapy at home, midway through which scans indicated a complete response. Despite this positive development, she finished all prescribed chemotherapy treatments and then transitioned to active surveillance.

The mental and emotional toll of stage 3B rectal cancer was significant for Denelle. The initial shock of the diagnosis was overwhelming, especially as she grappled with how to share the news with her family. Throughout treatment, she experienced anxiety, particularly around scan results, and subsequently found therapy helpful in processing her emotions. Support from her community, COLONTOWN, and her family played a crucial role in helping her navigate this difficult period.

Denelle emphasizes the importance of seeking second opinions, advocating for oneself in medical decisions, and trusting one’s instincts. She subsequently learned that cancer treatment is not a one-size-fits-all approach and that finding the right medical team aligned with her goals was crucial. Consequently, she advises others to push for answers if something feels off and to build a strong support system.

Now in the surveillance phase, Denelle will be undergoing regular scans every three months for the next two years. She correspondingly acknowledges the ongoing fear of recurrence but is focused on being present in her life. Stage 3B rectal cancer changed her perspective, making her more intentional with her time and relationships. Furthermore, while she still processes the emotional impact, she is committed to moving forward with a renewed sense of purpose and gratitude.