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Chronic Lymphocytic Leukemia (CLL) Immunotherapy Lymphadenectomy Patient Stories Surgery Treatments

Serena’s Chronic Lymphocytic Leukemia (CLL) Story

Embracing Life with Chronic Lymphocytic Leukemia (CLL): Serena’s Empowering Story

Serena shares her experience of living with chronic lymphocytic leukemia (CLL). At just 26, she started to experience strange and worrisome health issues, including severe leg cramps, ovarian cramps, strange knots on her body, hormonal acne, night sweats, and extreme fatigue. She first thought that these were signs of benign conditions like ovarian cysts or perhaps a blood clot. Despite feeling something was off, she had to deal with skepticism from healthcare professionals due to her youth, which only added to her distress.

Interviewed by: Taylor Scheib
Edited by: Chris Sanchez

Seeking answers, Serena struggled with a convoluted healthcare journey that included financial burdens and dismissals due to her insurance struggles. After months of elevated white blood cell counts and persistent advocacy for herself, she finally went to The James Cancer Hospital and Solove Research Institute. Her diagnosis of CLL came unexpectedly and left her to process the emotional impact of having a treatable yet incurable disease.

Serena V.

Serena’s treatment approach, “watch and wait,” seemed strange at first but was necessary. Her medical team decided against immediate treatment, as early intervention does not extend the lifespan of CLL patients. Despite the idea of waiting for her condition to progress, Serena found comfort and strength in the support network provided by the hospital, which connected her with resources to ease her financial and emotional burdens.

Throughout her experience, Serena has remained proactive and optimistic. She had neck surgery to remove lymph nodes when faced with the possibility of Richter’s syndrome, a more aggressive lymphoma transformation. This successful surgery brought her relief and renewed hope.

Serena’s strength and resilience are deeply inspiring. Her advice to others about navigating cancer is to live life fully and focus on joy and self-advocacy. She now knows that it’s crucial to listen to your body and trust your instincts. Even though she isn’t currently on active treatment, she has still made herself part of the CLL community. By joining clinical trials, she also helps contribute to future treatments.

Watch Serena’s video and read this story to learn about:

  • How she defies expectations by advocating for her health.
  • The “watch and wait” approach to cancer treatment.
  • Finding strength in community and support.
  • Inspirational insights on living fully in the face of adversity.
  • Groundbreaking highlights on CLL from the world’s largest gathering of blood cancer and disease experts.

  • Name: 
    • Serena V.
  • Age at Diagnosis:
    • 26
  • Diagnosis:
    • Chronic Lymphocytic Leukemia (CLL)
  • Symptoms:
    • Night sweats
    • Extreme fatigue
    • Severe leg cramps
    • Ovarian cramps
    • Appearance of knots on body
    • Hormonal acne
  • Treatment:
    • Surgery: lymphadenectomy
Serena V.

AbbVie

Thank you to AbbVie for supporting our patient education program. The Patient Story retains full editorial control over all content.

This interview has been edited for clarity and length. This is not medical advice. Please consult with your healthcare provider for treatment decisions.



Focus on living. It’s way better than to focus on dying.

Introduction

Serena V.: Hi, I’m Serena. I live in Columbus, OH.

I have CLL, which is chronic lymphocytic leukemia.

Serena V.
Serena V.

Before My Diagnosis

Serena V.: In the summer before I was diagnosed, I kept getting cramps in my legs and ovarian cramps, and I also kept getting these knots all over my body. My complexion was off, and although I didn’t realize it until later, I was also having horrible hormonal acne on my chin. I was in a lot of pain, too, and I was sleeping all the time and having night sweats. I thought I might have a cyst — a lot of friends had had ovarian cysts and things like that. I also wondered if I was getting a blood clot or something like that because of the knots. It all got me thinking: am I a hypochondriac?

So, I got medical help. The urgent care that I went to said that I might have some sort of mass or something internal and sent me to my gynecologist. But at the time, I didn’t have good insurance, so my gynecologist deferred me. I ended up having to go to the emergency room (ER) instead. 

At the ER, they did an internal and external ultrasound, but it didn’t find anything wrong. The only thing the visit turned up was a slightly elevated white blood cell count. The ER then referred me to primary care, but I didn’t have one at the time. So we called a family friend who was a nurse practitioner. She found out that my white blood cell count was elevated, too. 

All in all, it took six months for me to get referred to a cancer hospital because my white blood cell count just kept being elevated. I did have health insurance, but it didn’t really help me with my payments — for instance, I would get a $5,000 bill for the ER — and that stressed me out. And especially since I was just 26, people kept gaslighting me and doubting that I could be seriously ill. They would say, OK, there might be something off, but you’re fine. But I did know that something was wrong with my body. I mean, because of the cramps, I would be lying in bed all day with a heating pad because if I moved, I would be in awful pain. 

Serena V.
Serena V.

So I didn’t really know what answers I was seeking, but I was afraid. I think what added to my fear was the fact that my brother had Hodgkin’s lymphoma at 22, and he had fortunately beat it, but it was still scary.

Even when I finally did end up going to a cancer hospital and seeing a hematologist, she literally told me that I was pretty healthy. A person only has a 2% chance of getting a blood cancer, and she told me that she thought I would be one of the 98% who wouldn’t get one. Plus, there’s a lot of uncertainty that comes with my age because most people who do get CLL are much older, and there’s just not much data about patients my age. 

… since I was just 26, people kept gaslighting me and doubting that I could be seriously ill. They would say, OK, there might be something off, but you’re fine. But I did know that something was wrong with my body.

My CLL Diagnosis

Serena V.: So I was working at a career fair at a school and was driving back to my office, and I had to pull over because my doctor called all of a sudden. I thought, oh, she’s probably calling to tell me I’m fine. But she went, “Hey, Serena, we got your blood results back a day ago. However, I had my coworker double-check my work, which took an extra day. I’ve never seen this in my entire career.” And my stomach dropped.

The doctor said, “You have a disease called chronic lymphocytic leukemia or CLL.” And even now, I remember how I reacted at that moment. Your body doesn’t forget how you feel at a moment like that. My chest tightened up. And I asked her, “What is CLL?” And my next question was — “Am I going to die?”

She replied, “CLL is the most common type of leukemia. It’s treatable but incurable. But I will say that the average age of patients with CLL is 72.” I was so much younger than that. 

Serena V.
Serena V.

My Search for the Right Doctor and Treatment

Serena V.: I got transferred to The James Cancer Hospital and Solove Research Institute, where we took things forward. I was expecting to start chemotherapy right away because my other doctor said, “We’re probably going to have to start treatment soon because you’re young, and we don’t want your CLL to get worse.” But when I got to James, they found that my counts were great, and they also told me that for CLL, early treatment doesn’t help with the disease and doesn’t increase the longevity of CLL patients’ lives.

They told me, “We’re going to put you on watch and wait”, which is a treatment approach under which my doctors would watch my condition but not treat me just yet unless and until my condition changes for the worse.

I remember feeling like that was the weirdest thing, because not only was I diagnosed with incurable cancer, but my medical team and I would need to wait and watch for it to get worse before I would start getting treated. Moreover, I was still experiencing those debilitating symptoms. So I was quite anxious. 

I was grateful, though, that in the first year of my treatment, I was able to go to James every three months, and they also gave me access to some incredible resources. For example, James linked me up with a young adult cancer social worker who helped me connect with The Leukemia & Lymphoma Society for grants — which was massive considering the financial stress I had been under from the start. And she also gave me some important “cancer 101” tips regarding how to prepare for my appointments. 

Serena V.

Overall, I’m optimistic. I think the science is really there, and my doctors are here for me — and they are optimistic about my lifespan.

Serena V.

My Reaction

Serena V.: I had so many questions for the social worker and in general. Since I’m so young, will I need to be treated multiple times? What does treatment look like for me? What would remission mean for someone like me who has an incurable cancer when “remission” means that there’s no more cancer in your body? So, things like that confuse me sometimes. But I do find a lot of hope in going in this direction. 

Last year, I had neck surgery to remove five lymph nodes because we thought I was transitioning into Richter’s syndrome, which is a rare complication of CLL in which it quickly transforms into a more aggressive form of lymphoma. That was a horrifying experience. I thought, “Oh, what does my future look like now?” I thought I was going to die. But the operation was successful. My hematologist, for instance, is extremely optimistic that I’m not going to need treatment for a while, especially after that surgery. 

Overall, I’m optimistic. I think the science is really there, and my doctors are here for me — and they are optimistic about my lifespan. I did have that question for them, too: since I found out I had CLL at 26, will I die in 20 years or just five? Or will I live longer and die at 80? That’s a question that none of them can answer with any certainty, and of course, I can’t answer it either.

But what I found works is focusing on life, on what I have, on what I can do, and on what I’m in control of, instead of just focusing on the fear of death. Those fears and thoughts are obviously still present. But being able to focus on the good things and on what I already have has really helped me. 

Serena V.
Serena V.

What I Think About Clinical Trials

Serena V.: I opted into Ohio State’s research when I was first diagnosed with CLL. They have a program that entails taking an extra tube or two of blood for research. I do think clinical trials are amazing. I was open to whatever I could find because I was desperate for a solution. I was thinking, “What’s going to help me? Are you guys going to do it for me?” It’s nerve-wracking because I’m putting all my eggs in one basket, so to speak. “Do you think this is going to make me better or will it make things worse?”

I do realize there is some uncertainty with clinical trials. It’s obviously a trial you’re undergoing. But you do have to have that trust in your doctors that it might be the right thing for you and your condition. 

Serena’s CLL Story Continues Below

CLL Program Highlight

The ASH (American Society of Hematology) Annual Meeting is the world’s leading conference on blood cancers and disorders, like leukemia, lymphoma, and multiple myeloma where top doctors and researchers share the latest breakthroughs. The below program excerpt if from our recent discussion with CLL expert, Dr. Jeff Sharman on news that came out of that meeting that could impact CLL patients like Serena.

CLL patient advocate and long-time health journalist Andrew Schorr sat down with Dr. Sharman to break down the most important updates for you.

Insights on CLL Treatment Advances

Andrew Schorr: So, Jeff, I’ve been living for many years with CLL. Some people who will watch this program are newly diagnosed. I went through all the stages you go through, and I’m sure you see it every day in your practice. What is this? I’m really scared. I have a blood cancer. Will my life be shorter? Am I going to die anytime soon? Please, doctor, what do you have that’s effective to treat me? And if that doesn’t work, do you have something else? We’re going to get into all that, but just at a high level, Jeff, how do you feel for today’s patients?

Dr. Jeff Sharman: You know, Andrew, it’s a great question and I have a very large practice of CLL patients. I take care of about 400 CLL patients and meet each of them. For many of them, I’ve been their first doctor. That’s the nature of my practice. So, for a lot of folks I take care of, I’m their first contact with the medical system in terms of understanding CLL. And I think what you highlight is something I see time and time again, which is a very understandable fear patients come in with.

It’s very common, you say “leukemia” and you see their eyes widen, you see them sit up a little straighter, and what you recognize under there is just a great deal of distress that any cancer would cause. 

That’s a really optimistic message that most patients aren’t going to pass away from their disease.

And I think that one of the things we do as a doctor is figuring out how to measure out and administer the unique medicine we give, which is the medicine of hope. And how do you communicate that to patients in the midst of some of the worst days of their lives where they’re like, oh my God, I’ve been diagnosed with cancer? And I do reference quite frequently; there’s a study done in the Italian group that showed that if you’re age 65 and above and have been diagnosed with chronic lymphocytic leukemia, they have demonstrated that you really can’t measure a statistical impact on survival, that most patients are going to outlive their diagnosis. And I think that’s a really optimistic message that most patients aren’t going to pass away from their disease. And my own experience bears that out. The number of patients that I can think of who die of complications of CLL is really a very small fraction even in my large CLL practice — only a small number, maybe two or three per year.

Sharman treatment options for CLL

So, a lot of it is communicating that there’s a lot that we’ve got for you. And it’s not the traditional chemotherapy you used to have. We’ve got targeted agents, immunotherapy, and so forth.

Andrew: You already mentioned that sort of people aren’t going to need chemo. We’ve got this whole class of medicines, BTK inhibitors, and even new generations of that which we can talk about. So, first of all, the approved therapies. You have quite an arsenal now, where you can use drugs either by themselves or together, maybe for a bigger impact, right?

Dr. Sharman: Right. You know, I think the way I look at this is that there are three main classes of chronic lymphocytic leukemia drugs. You mentioned BTK inhibitors. I would add to that BCL-2 inhibitors, and then I would add immunotherapy to that.

I think the status of the field right now is trying to figure out the best combination and the best sequence, and those are the big questions shaping the field right now. But the good news is, of course, these drugs are FDA-approved and they’re available to patients. So those are the kind of core questions.

Andrew: So, I’m sure there are patients listening, and their heads are spinning. And they’re saying, well, the different BTKs or a next-generation BTK, with or without venetoclax, with or without obinutuzumab. And I guess what I know is not all CLL patients are the same. 

Dr. Sharman: Yeah.

Andrew: This is an individualized choice, right?

Dr. Sharman: Yeah, absolutely. Some patients take the physician’s perspective. Others are involved in their care and want to take an active part in the decision-making. I think that’s great. They should play an active role in it. And there are times when a patient might have their own preferences, but I may have different preferences based on how I’m thinking about their treatment. And sometimes, it’s a matter of calling to attention some of the potential side effects in a certain circumstance. Maybe somebody wants to do fixed duration, but their kidneys aren’t working too well any longer, or they’ve got a really bulky disease, or there could be various reasons why we might pick one over the other. Or even just how we think about, if we’re going to do this first, what do we do second? What’s going to be third? And if we’re going to pick this first, what’s the patient going to look like five to seven years from now when we might need to do the second therapy? So, you have to have a game plan in mind for somebody from the outset.

Andrew: Yeah, that is really well said. Now, I want to back up for a minute. We’ve got several questions from patients. One of them is like me. I said I went four and a half years without treatment. I felt pretty good. Then, I started to develop some lymph node issues, and my white blood count, fueled by lymphocytes, rose to about 283,000. My friend Dave is even higher than that. He hasn’t had treatment, and he feels fine. So, when should a new patient start treatment?

Dr. Sharman: So, for a chronic lymphocytic leukemia patient who’s climbing quite rapidly, what we talk about is the lymphocyte doubling time. Generally, when that number is going up more than twofold in less than six months, that’s our clue that we need to do something. But there are other reasons we might treat decide to somebody, such as bulky lymph nodes, if they start developing marrow dysfunction, if they’re getting anemic, or if their platelets are starting to go down — those can be reasons.

The one that does come up periodically is fatigue. Some patients have disabling fatigue. They might be 55 years old, they’re not depressed, their thyroid is fine, they’re not iron deficient, but they can only go to work for four hours before they have to come home.  

So, disabling fatigue, that’s a reason to treat it, but these are all pretty well spelled out in what we call the iwCLL criteria. Rate of change, symptomatic bulky lymph nodes, marrow dysfunction, and others as well. Those are the reasons we treat patients.

… our therapies are just as effective for younger individuals than for older individuals, and in some cases, maybe even more effective for younger individuals.

Andrew: Some people on Facebook, for instance, are under 50 with chronic lymphocytic leukemia. And I know it’s not all that common, but there are people like that. And they say, well, is my age of diagnosis a bad thing? In other words, am I going to have a rougher time with CLL because I’m diagnosed younger? Would I not live as long? What do you tell a younger patient based on their age?

Dr. Sharman: Yeah, that’s a great question. I like to think of these patients in terms of having to plan not for the next 10 to 15 years but for the next 30 years. And I think that, to some degree, we celebrate that we have a lot of these new tools to control the disease. But I think it is a reasonable question to say, can you use these tools to control it for twice as long or three times as long as somebody who’s diagnosed, maybe at age 80? So, it requires a different game plan. And yes, our therapies are just as effective for younger individuals than for older individuals, and in some cases, maybe even more effective for younger individuals. But I think it does require some thoughtfulness to consider that we need to come up with something that’s going to keep this disease in control for quite a bit longer.

Now, the other thing is, this field is moving so fast that those tools that we’ll be using five to seven years from now may not even have been conceived of yet. And we don’t have a ton of time to talk about bispecific antibodies or other drug targets and so on. But to benefit those who are diagnosed younger, I think it’s fair to assume that there will be more tools in the tool shed down the road.

For the rest of this interview, watch our program replay ON DEMAND.

Learn what’s changing, how it impacts treatment decisions, and what it all means for patients today.

Webinar: CLL Treatment Advances: Moving From Research to Reality
Hosted by The Patient Story
The world of CLL treatment is evolving fast, with new breakthroughs offering more options. This program breaks down the most important updates from recent research and clinical trials.
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More on Serena:

… what I found works is focusing on life, on what I have, on what I can do, and on what I’m in control of, instead of just focusing on the fear of death.

My Life on Watch and Wait

Serena V.: How do I live on watch and wait? I just live. I live life as much as I can, and that’s the advice I can offer people facing chronic lymphocytic leukemia, or similar situations.

Find something that brings you joy and focus on that. Focusing on watching and waiting — well, it just makes you wait and watch. Even worse, it really makes you hyper fixate on your condition. 

And, while you’re at it, listen to your body, too. If you’re feeling off, advocate for yourself with your doctor. In my case, I did realize that for the first year, I felt bad the whole time, and I wasn’t communicating this because I didn’t realize that some of what I was doing, like going home and napping so much, wasn’t normal. 

I also realized that my fatigue was keeping me from spending time with family and friends. And later on, those were things that I was told to look out for as symptoms. But I didn’t process that something was actually wrong with me — and I was gaslit about my condition, too. And that’s how it was until I finally listened to my body and realized that something was wrong.

So I say, trust your body, find something that brings you joy, and focus on it. Focus on living. It’s way better than to focus on dying. 

Serena V.
Serena V.

AbbVie

Special thanks again to AbbVie for supporting our patient education program. The Patient Story retains full editorial control over all content.


Serena V.
Thank you for sharing your story, Serena!

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Categories
Chemotherapy Colon Colorectal Patient Stories Surgery Treatments

Chloe’s Stage 3 Colon Cancer Story: It Started with Bloating

Living Boldly After Stage 3 Colon Cancer: Chloe’s Empowering Message

In early 2024, Chloe was unexpectedly diagnosed with stage 3 colon cancer (adenocarcinoma of the colon) after suffering from symptoms of bloating and other stomach issues. Later on she began to experience weight loss, fatigue, lack of appetite, and abdominal swelling. However, these symptoms were dismissed as effects of her pre-existing anemia. She regularly consulted her general practitioner throughout December to have tests conducted. They only revealed minor infections but didn’t uncover the underlying issue. Moreover, her health continued to worsen.

Interviewed by: Taylor Scheib
Edited by: Chris Sanchez

Chloe paid a visit to the local infirmary, where doctors subsequently discovered and were concerned about high ketone levels in her urine. However, she was still treated for gastroenteritis. Her symptoms persisted, leading her mother to realize that her condition was far more severe than everyone thought and insist on a hospital visit. Significantly, a CT scan revealed a mass in her large bowel and multiple perforations. Doctors accordingly performed emergency surgery, and Chloe woke up afterward with a stoma bag, an unexpected and significant adjustment for her.

The diagnosis was shocking: Chloe’s condition was stage 3 colon cancer. Furthermore, these findings were exacerbated by a rare genetic disorder, familial adenomatous polyposis (FAP), which had gone undetected until that point. This gene caused polyps to clump together and form a large tumor. Following her surgery, Chloe subsequently underwent four rounds of chemotherapy over three months, with sessions involving both IV and oral forms of treatment. Thankfully, post-treatment scans showed no remaining cancer cells. By June 2024, Chloe was finally declared in remission.

Emotionally, Chloe found the process challenging. She consequently had to grapple with the stigma of having cancer as a young individual and adjust to life with a stoma. She concurrently navigated the mental health impacts of her stage 3 colon cancer and bloating, including PTSD and anxiety, around hospitals through counseling and support from loved ones.

Watch Chloe’s video to learn more about:

  • How to embrace a bolder outlook on life and seize opportunities that you may once have feared.
  • The importance of listening to your body.
  • Why it’s crucial for you to persist with medical inquiries if you suspect stage 3 colon cancer and bloating.
  • How to avoid letting feelings of embarrassment stop you from seeking help.

  • Name: 
    • Chloe W.
  • Age at Diagnosis:
    • 25
  • Diagnosis:
    • Colon Cancer (Adenocarcinoma of the Colon)
  • Staging:
    • Stage 3
  • Symptoms:
    • Severe abdominal bloating due to stage 3 colon cancer
    • Weight loss
    • Lack of appetite
    • Fatigue
    • Vomiting
    • High ketone levels in urine
  • Treatments:
    • Surgery
    • Chemotherapy

This interview has been edited for clarity and length. This is not medical advice. Please consult with your healthcare provider for treatment decisions.


Thank you for sharing your story, Chloe!

Inspired by Chloe's story?

Share your story, too!


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Lee J., Colon Cancer, Stage 4, Recurrence



Symptoms: None; discovered stage 4 cancer from unrelated CT scan
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Treatments: Surgery (colectomy), chemotherapy (FOLFOX, CAPOX)

Categories
Immunotherapy Melanoma Patient Stories Radiation Therapy Skin Cancer Surgery Treatments

Russ Uses His Stage 4 Melanoma Story to Inspire Others

Russ Uses His Stage 4 Melanoma Story to Inform and Inspire Others

Russ is an inspirational specialist who works to inspire others through speaking, marketing, and coaching. He shares his experience with stage 4 melanoma, diagnosed in 2022. His experience began when he noticed a growth on his foot, which he mistook for a wart at first. Realizing its severity, he subsequently visited a dermatologist, which led to a biopsy confirming melanoma. The condition metastasized to his groin, prompting significant surgery at the OHSU Knight Cancer Institute in Portland, OR, which involved removing skin from his instep and lymph nodes from his groin.

Interviewed by: Taylor Scheib
Edited by: Chris Sanchez

Despite the surprise and emotional impact of his stage 4 melanoma diagnosis, Russ nevertheless maintained a positive outlook. He optimistically anticipated recovery until a follow-up scan revealed further cancer progression. This led him to consider changing his treatment course. After much contemplation and prayer, Russ decided against immediate surgery, opting instead for continued immunotherapy. Unfortunately, the treatment caused severe side effects, including rashes, fever, and the onset of diabetes due to pancreatic failure.

Adapting to his new diabetic lifestyle, Russ learned to manage his condition with an insulin pump and continuous glucose monitoring (CGM), a challenging adjustment alongside cancer treatment. After his initial melanoma treatment proved ineffective, doctors performed invasive surgery to remove lymph nodes in his upper groin. Post-surgery, his condition stabilized, allowing him to resume normal activities.

However, Russ’s reprieve proved all too brief. He faced new challenges when cancer was discovered in his lungs and brain. Quickly, his medical team initiated another round of immunotherapy and radiation for his brain tumor. Regardless of the fatigue and side effects he experienced, Russ persevered through treatments, which concurrently included multiple hospitalizations for adrenal gland failure and other complications.

Through experience with stage 4 melanoma, Russ has remained driven by his faith and family. As a family man, he finds strength in his relationships. He focused on spreading positivity and encouragement, speaking at cancer conferences, and actively engaging with his community through social media and live streams. His mission to inspire involves reminding others to maintain a positive perspective, believing that attitude influences physical health and outlook on life.

Watch Russ’s story to learn from him on:

  • How he turned his cancer diagnosis into a mission of hope and inspiration.
  • How his unwavering faith and positivity helped him face his emotional and physical battles.
  • The innovative treatments that shaped his path.
  • His adaptation to the challenges of diabetes amidst his ongoing cancer experience.
  • How his community and faith have grounded him and helped him advance his mission to inform and inspire.

    • Name: 
      • Russ H.
    • Diagnosis:
      • Melanoma
    • Staging:
      • Stage 4
    • Age at Diagnosis:
      • 58
    • Symptom:
      • Appearance of what appeared to be a wart at the bottom of his foot
    • Treatments:
      • Radiation
      • Surgery
      • Immunotherapy

    This interview has been edited for clarity and length. This is not medical advice. Please consult with your healthcare provider for treatment decisions.


    Thank you for sharing your story, Russ!

    Inspired by Russ's story?

    Share your story, too!


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    Categories
    Chemotherapy Neuroendocrine Carcinoma Neuroendocrine Tumors Patient Stories Rare Surgery Treatments

    Amanda’s Terminal Stage 4 Neuroendocrine Carcinoma

    Beyond the Diagnosis: How Amanda Embraces Life with Terminal High-Grade Stage 4 Neuroendocrine Carcinoma

    In January 2025, Amanda found out she had high-grade stage 4 neuroendocrine carcinoma. Her story began in 2023 with a persistent UTI and cough. Initially, she was misdiagnosed with an autoimmune disease and treated with immunosuppressants and cortisone. However, her original symptoms persisted, and she also started to experience other symptoms like coughing up blood and having difficulty breathing even while walking.

    Interviewed by: Nikki Murphy
    Edited by: Chris Sanchez

    An ultrasound finally revealed a rapidly growing tumor on one ovary. Amanda immediately had both the tumor and ovary removed. Afterward, pathology results determined it was stage 4 neuroendocrine carcinoma. Although it wasn’t the primary tumor, it had already metastasized to various parts of her body.

    Amanda and her family grappled with the reality of terminal cancer. Clinical trials weren’t an option because she has an autoimmune disease and had previously taken cortisone. She struggled with whether or not to undergo chemotherapy, and after consulting with doctors and her family, she decided to try a cycle of chemotherapy. It initially improved her condition. But her fears came true when she soon began to experience serious side effects like throat sores and hair loss.

    Despite the prognosis, Amanda remains hopeful. She plans to continue chemotherapy for six to eight months. She’s also exploring alternative and integrative therapies to support her body and potentially extend her life. At the same time, by openly sharing her stage 4 neuroendocrine carcinoma story, Amanda wants to inspire others to maintain hope.

    Learn more about the following topics by watching Amanda’s story:

    • Learning to embrace life and being hopeful in the face of a terminal cancer diagnosis.
    • Finding strength in activities like yoga and meditation.
    • Exploring all possibilities for well-being.
    • Drawing solace from a strong support system.

    • Name:
      • Amanda S.
    • Age at Diagnosis:
      • 32
    • Diagnosis:
      • High-Grade Neuroendocrine Carcinoma
    • Staging:
      • Stage 4
    • Symptoms:
      • Breathing problems, especially during activities like walking
      • Persistent cough
      • Coughing up blood
      • Urinary tract infections
      • Pain in belly
    • Treatments:
      • Chemotherapy
      • Surgery

    This interview has been edited for clarity and length. This is not medical advice. Please consult with your healthcare provider to make informed treatment decisions.

    The views and opinions expressed in this interview do not necessarily reflect those of The Patient Story.


    Thank you for sharing your story, Amanda!

    Inspired by Amanda's story?

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    Categories
    CAPOX (capecitabine, oxaliplatin) Chemotherapy Colon Colorectal Patient Stories Surgery Treatments

    Mark’s Experience with Stage 3B Colon Cancer

    Intuition, Self-Advocacy, and Support: Key Lessons from Mark’s Experience with Stage 3B Colon Cancer

    Mark found out he had stage 3B colon cancer at 35, a life-altering diagnosis. He began having cramping episodes of varying intensity in 2020. Doctors initially mistook these for appendicitis. However, his intuition pushed him to get more tests. His hunch proved correct after a colonoscopy revealed a tumor that was later confirmed as cancerous.

    Interviewed by: Nikki Murphy
    Edited by: Chris Sanchez

    Mark had surgery to remove a section of his intestines and several lymph nodes. Although his stage 3B colon cancer was negative for a genetic component like Lynch syndrome, it had spread to his lymph nodes, making chemotherapy necessary. Mark had to choose between a prolonged or intense chemo regimen and opted for the latter, enduring side effects like neuropathy and fatigue. 

    Mark S. feature profile

    The physical challenges Mark had to overcome and the psychological strain of accepting help reshaped his outlook on life. After his treatment for stage 3B colon cancer, he was declared to have no evidence of disease in 2021. Mark now shares his story to raise awareness of cancer and inspire others.

    Watch Mark’s story to find out more about:

    • The value of trusting one’s instincts and surrounding oneself with a supportive network.
    • Developing a more mindful approach to life and health maintenance through emphasizing physical fitness and intuition.
    • The importance of self-advocacy in health.
    • The significance of maintaining low stress and cherishing every moment.

      • Name:
        • Mark S.
      • Age at Diagnosis:
        • 35
      • Diagnosis:
        • Colon Cancer
      • Staging:
        • Stage 3B
      • Symptom:
        • Intermittent cramping of varying intensity, localized on the right side
      • Treatments:
        • Surgery: colon resection
        • Chemotherapy
      Mark S.
      Mark S.
      Mark S.
      Mark S.
      Mark S.
      Mark S.
      Mark S.

      This interview has been edited for clarity and length. This is not medical advice. Please consult with your healthcare provider to make informed treatment decisions.

      The views and opinions expressed in this interview do not necessarily reflect those of The Patient Story.


      Mark S. feature profile
      Thank you for sharing your story, Mark!

      Inspired by Mark's story?

      Share your story, too!


      More Colon Cancer Stories

       
      Haley P. feature profile

      Haley P., Colon Cancer, Stage 3C



      Symptoms: Constipation, fatigue, shortness of breath
      Treatment: Surgery, chemotherapy

      JJ S., Colorectal Cancer, Stage 4



      Symptoms: Abdominal pain, blood in stool



      Treatment: Surgery to remove tumor, chemotherapy, clinical trial of Keytruda (pembrolizumab)
      Lee

      Lee J., Colon Cancer, Stage 4, Recurrence



      Symptoms: None; discovered stage 4 cancer from unrelated CT scan
      Treatment: Neoadjuvant chemo (FOLFOX), hemicolectomy (partial colon surgery), adjuvant chemo (FOLFOX), chemo post-recurrence (FOLFIRI), liver surgery
      Lindsay

      Lindsay D., Colon Cancer, Stage 4



      Symptoms: Lump in pelvic area, funny-smelling food, weight loss
      Treatment: Chemotherapy, colectomy (surgery)

      Shelley B., Colon Cancer, Stage 3B



      Symptoms: None; found as a result of routine colonoscopy & endoscopy
      Treatment:Partial colectomy, chemotherapy (FOLFOX)
      Barbara smiling

      Barbara M., Colon Cancer, Stage 3



      Symptoms: Stomach discomfort, difficult to process food
      Treatments: Surgery (colectomy), chemotherapy (FOLFOX, CAPOX)

      Categories
      Alimta (pemetrexed) Avastin (bevacizumab) Carboplatin Chemotherapy Lung Cancer Non-Small Cell Lung Cancer Patient Stories Targeted Therapy The White Ribbon Project Treatments Xalkori (crizotinib)

      Luna’s Stage 4 ROS1+ Non-Small Cell Lung Cancer

      Hope and Health: Luna’s Experience With Stage 4 ROS1+ Non-Small Cell Lung Cancer

      Luna, a retired genetic counselor, was diagnosed with stage 4 lung cancer (non-small cell adenocarcinoma of the lung, ROS1+) in December 2012 at age 54, despite having no lung symptoms before diagnosis. She shares her story of discovery, her reaction to hearing that she had cancer, and the steps she and her medical team took afterwards. 

      Interviewed by: Taylor Scheib
      Edited by: Chris Sanchez

      The diagnosis was unexpected, as Luna had been active and healthy, with no risk factors for lung cancer. Her initial reaction was shock, but she subsequently maintained a practical approach, focusing on treatment options. 

      Luna underwent traditional chemotherapy and later got tested for the EGFR and ALK genetic mutations, for which she turned out to be negative. However, her doctors discovered that she had the ROS1 mutation. She was then given a targeted oral chemotherapy medicine that eventually stabilized her stage 4 lung cancer. 

      Luna finds hope and positivity crucial in managing her health, establishing a strong support system, and encouraging biomarker testing for comprehensive treatment plans. She emphasizes the importance of a positive attitude, a balanced lifestyle, and gratitude. Luna wishes to raise awareness about lung cancer, especially among non-smokers, and supports broader screening programs.


      • Name: 
        • Luna O.
      • Age at Diagnosis:
        • 54
      • Diagnosis:
        • Non-Small Cell Lung Cancer (Adenocarcinoma of the Lung)
      • Mutation:
        • ROS1+
      • Staging:
        • Stage 4
      • Symptom:
        • None involving the lungs; severe abdominal pain
      • Treatments:
        • Chemotherapy
        • Targeted therapy

      We would like to thank The White Ribbon Project for its partnership.

      This interview has been edited for clarity and length. This is not medical advice. Please consult with your healthcare provider to make treatment decisions.


      Johnson and Johnson J&J logo

      Thank you to Johnson & Johnson for supporting our patient education program. The Patient Story retains full editorial control over all content.



      So much of it is an attitude of gratefulness. I feel gratitude every single day, and that feeling keeps me going for tomorrow. 

      Introduction

      I was diagnosed in December 2012 at the age of 54 with stage 4 lung cancer. I had a small lung tumor, but my liver was loaded, and it had seeded many of my bones.

      My husband is a pediatrician. We’ve been married for 38 years. We have two adult children, Nathan and Nina, and two grandsons, Nori and Kai. I used to be a genetic counselor and worked in pediatrics, prenatal genetics, and public health genetics. In 2024, I retired after 41 years of genetic counseling.

      I’m grateful because I have such an incredible village of friends and family who’ve supported me not only after my cancer diagnosis but also pretty much throughout my life.

      Before My Diagnosis

      My stage 4 lung cancer diagnosis has a somewhat unusual history. I’ve never had any lung symptoms. 

      The week before my diagnosis, my family and I traveled to Machu Picchu in Peru. I had been training because I didn’t want to hold my family back. At the time of this trip, I was probably the fittest I had been in 20 years.

      Two days after returning from that trip, I began to experience severe abdominal pain. I was convinced it was due to drinking contaminated water during my travels. I had to visit the ER. There, the doctors performed imaging and discovered that I had advanced cancer.

      I’m grateful because I have such an incredible village of friends and family who’ve supported me not only after my cancer diagnosis but also pretty much throughout my life.

      My Stage 4 Lung Cancer Diagnosis

      There was a small tumor in my lung. My liver was loaded and most of my bones had tumors in them as well. 

      We didn’t know how my stage 4 lung cancer started at the time, but I had no symptoms. No shortness of breath, nothing. I did experience some aches when I was training, but I thought they were due to my age and physical activity, so I brushed them off.

      How I Reacted

      The ER doctor took a long time to get back to my husband and me. I later learned from a friend of ours who works in the ER that this physician was looking at my imaging. He was having trouble coming in to talk to us about the findings.

      When he finally did come in, he said, “We found lesions in your lung, liver, and bones. We’d like to admit you so we can figure out where these tumors came from.” 

      I said, “Time out. Are you telling me that I have cancer?” And he said, “Yes.” He never said the word itself.

      I was stunned and couldn’t believe what he said. I was such a low-risk person for lung cancer and had always been such a healthy person. Again, we did not know how it started at the time. So, I was admitted for a couple of days and had lots of blood tests and more imaging.

      I had no risk factors. Back then, I didn’t know that people who never smoked could still get lung cancer. I didn’t know enough about cancer itself, even about the stages of cancer. I was in that place of ignorant bliss. We were sitting with our friend who’s a surgeon and my husband was crying. I was so sad and said, “Don’t cry. Maybe this isn’t a big deal.” However, our friend said, “It is a big deal.”

      That was good for me to hear. Here I was in this la-la land, thinking I could get over this and that it would go away. I got a pit in my stomach for the first time, but I wasn’t upset. I was grateful that he put it on the line like that for me. I’m a practical person and don’t want to read between the lines, so you don’t have to talk to me with a lot of fluff. Just tell me what’s happening.

      I think I cried too because I was making everybody so sad. I think it’s somewhat cultural. My family is Japanese, so we want to know what the next step is with the realization that there is a circle of life and everything proceeds from one step to the next. I had this more practical approach to my stage 4 lung cancer diagnosis.

      I was stunned and couldn’t believe what he said. I was such a low-risk person for lung cancer and had always been such a healthy person.

      Liver Biopsy

      The next step was to do a biopsy. In 2012 and early 2013, they had just started testing for tumor markers. At the time, there were only two. Now, there are many more. However, two gene mutations were treatable with oral chemotherapy: EGFR and ALK.

      We did a liver biopsy. I was hoping I would be positive for one of the mutations because the thought of having to take a pill a couple of times a day for my stage 4 lung cancer was appealing to me. However, I tested negative for EGFR and ALK. That was in mid-December to the end of December, about two or three weeks later. We had done all this testing, but we hadn’t done anything to fight the cancer.

      My Treatments and Further Testing

      Chemotherapy

      I was getting anxious that my cancer was continuing to progress and I wanted to get something going. When we got the negative biomarker test results, I started traditional chemotherapy, a three-medication regimen. 

      My insurance hadn’t approved one of the medicines by the time I got to the chemo room. I would have to put it on my credit card. The cost stunned me — $7,800 for one dose. But if my insurance approved it and the practice received payment, I would be reimbursed.

      I said, “Why don’t I just wait? I’ll come back and get that third dose when our insurance approves it.” My husband said, “No, no, no, we’re going to put it on the credit card.” But I said no. If worse came to worst, I didn’t want to leave any debt. Eventually, we put it on our card and my insurance ended up reimbursing us.

      I had two rounds of that chemotherapy regimen and experienced all the classic side effects. Then when we did follow-up imaging, the doctors found that my stage 4 lung cancer had progressed, so the regimen wasn’t helping me at all. That’s when my doctor suggested that I get tested for this newly described gene mutation: ROS1.

      I had no risk factors. Back then, I didn’t know that people who never smoked could still get lung cancer. I didn’t know enough about cancer itself, even about the stages of cancer.

      ROS1 Testing

      ROS1 was new at the time and back then, they thought that it accounted for about 1% of people with adenocarcinoma of the lung. I thought, okay, that means a 99% chance that I won’t have this.

      When I tried to get the pre-authorization from my insurance, they declined my request because I had already undergone gene testing for ALK and EGFR. It was going to cost thousands for us out of pocket. Again, my concern was not to leave debt in case things got bad. My husband and oncologist talked me into it. They said, “If you do have it, there’s an oral chemotherapy for it.”

      The good news is that I was able to get this biopsy and turned out positive for ROS1. 

      Luna O.

      In the last several years, every oncologist worth his or her weight in gold has been doing biomarker testing.

      Targeted Therapy and Successful Treatment

      We wrangled with our insurance company and eventually got them to agree to cover my new medication, a targeted chemotherapy medicine. I’ve been on it for almost 12 years now and it’s controlling my stage 4 lung cancer. I ended up responding well to the medication and am among a handful of people who are getting long-duration on this oral chemotherapy.

      There’s a bit of a backstory to it. Initially, the lab report came back saying that I was ROS1-positive. That was when we started scrambling. My doctor split the sample and sent it to another laboratory and the people there got back to us and said I was not ROS1-positive after all.

      My oncologist called the director of the laboratory that conducted the test. They ran the test again and published a report saying that I was positive after all and that there had been a lab error. Once I got that reassurance from two separate labs that I had this mutation, I felt very confident.

      The good news for me was that once I started taking this oral chemotherapy, I had tumor shrinkage. All my other biomarker tests went down within normal limits within a few weeks. 

      Currently, there are some side effects that I must manage, but I’m alive and my stage 4 lung cancer has been stable for going on 12 years. I’ve been lucky. I’ve had a bad disease that I’ve managed with good medicine and a lot of luck.

      In the last several years, every oncologist worth his or her weight in gold has been doing biomarker testing. When I was first diagnosed, some oncologists were hesitant about it because they were waiting to see if it panned out. I get that because there were a lot of testing things that didn’t pan out in cancer, but this one was real.

      At that time, when I was talking to fellow patients, I would urge them to get a young oncologist, someone who had training in their fellowship with genetics. Now, I don’t feel the need to say that because almost all oncologists will test for it.

      There are a lot of people who have asked me, ‘Do you ever wonder: why you?’ I flip that a little bit and say, ‘Why not me?’

      Hope is a Part of My Vocabulary

      Throughout my experience, I kept repeating this mantra: “I need a little more time.”

      I felt that way because my kids were just being launched. They were in their early 20s and I felt like they were adults already, but I needed to let them know a few more things before I could check out and know that they were going to be okay. I did whatever I could to get a little more time with them. 

      Hope was wrapped up in all of that, but I also became very type A about my medications, vitamins, and exercise. I worked toward that mind, body, spirit triad, and its balance. That need for balance was my hope for my future.

      It’s Crucial to Have a Positive Attitude

      My recommendation for those facing stage 4 lung cancer and other cancer patients is to have a positive attitude.

      When I started living longer than my “expiration date,” I wanted to be the healthiest-looking sick person I know. I planned to eat right, get enough sleep, and exercise every day. What happened to me when I got this new attitude was that I almost transformed. I felt much more positive about life, that I was not going to die of cancer, and that maybe I should get mammograms and restart my statin because I could die of something else. 

      So much of it is an attitude of gratefulness. I feel gratitude every single day and that feeling keeps me going for tomorrow. It is a positive way of looking toward the future.

      The only risk factor I have for lung cancer is that I have lungs.

      My Identity Has Shifted Due to My Stage 4 Lung Cancer Experience

      When I’m by myself, other than making sure I take my medications at the right time of the day, I don’t think about being a cancer patient. There are a lot of organizational things I must do, like scheduling CT scans and MRIs and taking care of my insurance. Those tasks eat up a fair amount of my week. 

      But do I identify as a cancer patient? I guess I do because when someone tells me they have cancer, especially if it is lung cancer, it automatically establishes a connection. I want to get to know them and their story as well. I guess when I think about it, I do identify as a cancer patient, specifically a lung cancer patient.

      Moreover, when someone tells me that they are a ROS1 lung cancer patient, they get a hug. I joined a Facebook group called The ROS1ders. We are a small group because only 1% to 2% of individuals with lung cancer have a ROS1 mutation. In August, about 50 of us met in Colorado. We shared stories and contact information so that we could be in touch with each other.

      Lung cancer can happen to anybody. 

      There are a lot of people who have asked me, “Do you ever wonder: why you?” I flip that a little bit and say, “Why not me?” I feel that I’m human and vulnerable to disease, a very practical person, and a realist in terms of everybody eventually dying of something, so I never took it personally. 

      It’s better for me because I think there’s so much stigma surrounding smokers. Even if I were a smoker, I still wouldn’t deserve to have lung cancer. Some of my nurses have asked me, “Do you smoke?” My response is, “No, why do you ask?”

      I try to educate them that roughly 40% of us have never smoked and the only risk factor I have for having lung cancer is that I have lungs. I don’t know why I have it. There’s an uptick in Asian women who have lung cancer. Maybe it has something to do with our pollution and that kind of thing, but there’s no single thing that I can put my finger on, so why not me?

      What I Want People to Know About Lung Cancer

      Lung cancer can happen to anybody. 

      I’m very supportive of screening programs. The current screening criteria are very narrow. You must have smoked for many years and be over 50. But if you’re concerned, if you have a family history, or if you qualify for screening, have testing done because lung cancer is a very treatable condition in its early stages.

      Don’t just brush off any symptoms you might have. Seek medical care, take things in stride, and be brave and strong.


      Johnson and Johnson J&J logo

      Special thanks again to Johnson & Johnson for supporting our patient education program. The Patient Story retains full editorial control over all content.


      Thank you for sharing your story, Luna!

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      Share your story, too!


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      Additional Cancer Stories

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      Categories
      Chronic Diseases Crohn's Disease Patient Stories Proctocolectomy Surgery Treatments

      Dana’s Path to Living with Crohn’s Disease (IBD)

      Resilience and Recovery: Dana’s Path to Living Fully with Crohn’s Disease (IBD)

      In 2010, at the age of 15, Dana was diagnosed with Crohn’s disease (IBD) after experiencing severe gastrointestinal symptoms and significant weight loss. Initially mistaken for a minor issue following wisdom tooth surgery, her symptoms later on escalated, leading to a referral to a gastroenterologist. The diagnosis was ultimately confirmed via a colonoscopy after hospitalization due to severe anemia.

      Interviewed by: Nikki Murphy
      Edited by: Chris Sanchez

      Dana’s experience with Crohn’s disease has been complex and difficult, involving various medications and surgeries. Early treatments began with corticosteroids to manage immediate symptoms, followed by oral immunosuppressants and, later, more intensive IV medications. While one of these medications induced remission for a few years, side effects later made it necessary to try different medications. Unfortunately, some of these proved less effective, resulting in her symptoms progressing.

      Dana’s condition then developed a complication known as stricturing disease or colon stricture, during which the intestines narrow and scar during the healing process. This led to her first colon resection surgery in 2014. Despite trying newer medications called biologics, she faced increasing complications, requiring a visit to Mayo Clinic. There, specialists recommended another biologic similar to her initial successful treatment, but it also failed to deliver the desired results.

      Dana subsequently faced fibrosis and severe narrowing throughout her colon and rectum. Her doctors then decided to perform an ileostomy, removing her entire colon and rectum. This significant surgery, involving a proctocolectomy and reconstruction of her pelvic floor, was daunting but ultimately transformative for Dana. It alleviated years of pain and allowed her to reclaim much of her life. However, adapting to an ostomy accordingly presented new challenges, including managing supplies and preventing leaks while dealing with skin reactions to adhesives.

      Dana acknowledges the lifelong changes and planning necessitated by Crohn’s disease, impacting spontaneity but ensuring she can continue participating in life fully. She emphasizes the importance of community and support networks, both online and locally, to combat the isolation that can accompany living with a chronic illness. Her relationship with her husband stands as a testament to resilience and ability to adapt, as it has grown stronger through their shared challenges.

      Despite the difficulties she has faced, Dana remains hopeful, advocating for a positive mindset and the benefits of connecting with others in similar situations. She encourages those also facing Crohn’s disease and similar conditions to understand that life can continue meaningfully and fully, with even greater appreciation for health and connections.


      • Name: 
        • Dana D.
      • Age at Diagnosis:
        • 15
      • Diagnosis:
        • Crohn’s Disease (a type of Inflammatory Bowel Disease or IBD)
      • Symptoms:
        • Abdominal pain
        • Diarrhea
        • Blood in stool
      • Treatments:
        • Surgeries: colon resection, total proctocolectomy with end ileostomy,
          abdominal perineal resection, myocutaneous flap
        • Steroids
        • Biologic therapy

      This interview has been edited for clarity and length. This is not medical advice. Please consult with your healthcare provider for treatment decisions.


      Thank you for sharing your story, Dana!

      Inspired by Dana's story?

      Share your story, too!



      More Crohn’s and Colitis Stories

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      Categories
      Appendix Cancer Chemotherapy Cytoreductive surgery (CRS) HIPEC (Hyperthermic Intraperitoneal Chemotherapy) Patient Stories Pseudomyxoma peritonei (PMP) Surgery Treatments

      Mike’s Unwavering Resolve Helps Him Meet the Challenges of His Rare Cancer of the Appendix

      Mike’s Unwavering Resolve Helps Him Meet the Challenges of His Rare Cancer of the Appendix

      In 2024, Mike, who hails from Dallas, was diagnosed with pseudomyxoma peritonei (PMP), a rare cancer of the appendix. He initially experienced pain in his lower right abdomen, which he thought was appendicitis. Despite his inclination to “tough it out,” the unusual pain led him to seek urgent care treatment. He was redirected to the emergency room, where a CT scan revealed that his appendix had grown significantly. Fearing surgery costs, he hesitated about ambulance transport but was eventually taken to the hospital, where his greatest fear came true: doctors discovered a cancerous tumor on his appendix after surgery.

      Interviewed by: Taylor Scheib
      Edited by: Chris Sanchez

      The emotional toll of the rare cancer diagnosis was immense. Mike received the news through a Friday afternoon call from his surgeon, leaving him terrified and thinking about his young family. However, he embraced the challenge, despite his uncertainty about the appendix cancer’s aggressiveness or spread. Over the weekend, without concrete answers about his prognosis, he prepared himself mentally for what lay ahead.

      Mike’s oncologist was methodical, undertaking extensive diagnostic procedures, and ensuring a comprehensive understanding before deciding on treatment. This process included blood tests, scans, and eventual HIPEC surgery, which involved administering chemotherapy directly into the abdominal cavity. Despite Mike’s athletic background, his recovery after surgery proved unexpectedly challenging, requiring him to relearn basic physical functions such as walking. Additionally, the surgery significantly impacted his digestive system, leading to issues like the overproduction of stomach acid.

      Despite his rare cancer and all these trials, Mike’s resolve never wavered. He concurrently focused on recovery, which involved dietary adjustments and light physical activities, gradually rebuilding his body and health. His weight fell dramatically after surgery, but with determination, proper nutrition, and incremental physical activities, he gained back 20 pounds.

      Throughout his journey, a strong support system comprising his wife and daughters proved invaluable. This support, along with a shift in perspective, enabled him to appreciate life more deeply. He began to view his diagnosis as an opportunity rather than a setback. This shift in mindset also influenced his professional life, as he redirected his fitness business towards helping cancer survivors regain both physical and mental health.

      As he navigates life after his rare cancer treatment, Mike remains mindful of potential recurrence, with scheduled scans keeping him vigilant. The experience instilled in him a renewed appreciation for every moment and an unwavering belief in the body’s resilience. He advises others facing similar challenges to maintain a positive outlook, stay active, and continue moving forward, not just physically but also mentally and spiritually. His story is about resilience, transformation, and finding strength in adversity.


      • Name:
        • Mike L.
      • Age at Diagnosis:
        • 36
      • Diagnosis:
        • Rare Cancer of the Appendix: Pseudomyxoma peritonei (PMP) – low-grade appendiceal mucinous neoplasm)
      • Symptom:
        • Pain in the lower right quadrant of the abdomen
      • Treatments:
        • Chemotherapy
        • Surgery: cytoreductive surgery

      This interview has been edited for clarity and length. This is not medical advice. Please consult with your healthcare provider to make informed treatment decisions.

      The views and opinions expressed in this interview do not necessarily reflect those of The Patient Story.


      Thank you for sharing your story, Mike!

      Inspired by Mike's story?

      Share your story, too!


      More Appendix Cancer Stories

      Lindsay B. feature profile

      Lindsay B., LAMN Appendix Cancer



      Symptom: Increasing urge to urinate

      Treatments: Cytoreductive surgery (CRS), Hyperthermic Intraperitoneal Chemotherapy (HIPEC)

      Faye L., Pseudomyxoma Peritonei (Rare Appendix Cancer)



      Symptoms: Severe bloating, bad stomachache, elevated CA 125 and tumor markers

      Treatments: Chemotherapy, surgery

      Alli M., Appendix Cancer, Stage 4



      Symptom: Severe abdominal pain

      Treatments: Surgeries (right hemisphere colectomy, appendectomy, HIPEC), chemotherapy

      Ariel M., Appendix Cancer, Stage 4, High-Grade



      Symptom: Sharp pain with gas & bowel movements

      Treatments: Surgery (radical hysterectomy), chemotherapy, PIPAC clinical trial (pressurized intraperitoneal aerosol chemotherapy)

      Hannah R., Appendix Cancer, Stage 4



      Symptoms: Bloating, fullness, UTIs, blood in urine, pain during intercourse, high blood pressure, spotting

      Treatments: Surgery (appendectomy, cytoreductive surgery), chemotherapy, radiation (to treat recurrence)

      Categories
      Chemotherapy Colon Colorectal KRAS Patient Stories Surgery Treatments

      Bill’s Stage 4 Colon Cancer is Incurable, But He’s Living His Life on His Own Terms

      Bill’s Stage 4 Colon Cancer is Incurable, But He’s Living His Life on His Own Terms

      Bill shares his harrowing yet inspiring journey with stage 4 colon cancer. He had noticed blood in his stools for several weeks, symptoms which he initially dismissed. However, his wife Lisa, who is a nurse and familiar with such symptoms, urged him to get a colonoscopy. This led to the discovery of a cancerous tumor on his colon that had spread to his liver.

      Interviewed by: Nikki Murphy
      Edited by: Chris Sanchez

      Bill’s resolve was accordingly tested by this daunting diagnosis, which was revealed a day before his 44th birthday. Faced with the financial and emotional burden of his illness, he contemplated the implications of fighting a potentially unwinnable battle. Nevertheless, he decided to give everything he had to fight against his colon cancer.

      Bill and his family decided to seek treatment for his stage 4 colon cancer at Mayo Clinic. He suggested to his doctors the possibility of performing a double surgery to address the colon and liver tumors simultaneously, to which they later agreed. Following this, Bill began six rounds of chemotherapy in Pennsylvania before eventually returning to Mayo Clinic for surgery. His surgeries, performed laparoscopically, went smoothly, allowing for a quick recovery. He remained proactive in his treatment, opting for continuous monitoring through blood work and CT scans to catch any recurrence early.

      Despite a successful initial treatment, Bill subsequently encountered recurrent tumors in his liver and additionally in his lungs. His doctors had to perform additional surgeries and chemotherapy to treat these new tumors. But Bill maintained his steadfast resolve throughout these succeeding treatments.

      Bill’s story took a new direction when a blood test subsequently revealed that his stage 4 colon cancer was incurable. Despite the grim prognosis, he researched and pursued clinical trials and new treatments, continually fighting to stay ahead of the disease. Bill’s situation took another turn when doctors discovered a brain tumor, leading to a Gamma Knife surgery at Mayo Clinic, which he endured while remaining optimistic.

      Bill embodies resilience and a fighting spirit, refusing to let his metastatic colon cancer dictate his life. He emphasizes the importance of embracing the difficult moments and not letting the hard days define him. Humor, strength, and unwavering determination to outlive the statistics mark his journey. As he faces ongoing chemotherapy and lifelong maintenance treatment, Bill also remains focused on writing his own narrative. His stage 4 colon cancer notwithstanding, he is determined to create his legacy and live life on his own terms.


      • Name:
        • Bill I.
      • Age at Diagnosis:
        • 43
      • Diagnosis:
        • Colon Cancer
      • Staging:
        • Stage 4
      • Symptom:
        • Blood in stool
      • Treatments:
        • Chemotherapy
        • Surgery

      This interview has been edited for clarity and length. This is not medical advice. Please consult with your healthcare provider to make informed treatment decisions.

      The views and opinions expressed in this interview do not necessarily reflect those of The Patient Story.


      Thank you for sharing your story, Bill!

      Inspired by Bill's story?

      Share your story, too!


      More Colon Cancer Stories

       
      Raquel A. feature profile

      Raquel A., Colorectal Cancer, Stage 4



      Symptoms: Frequent bowel movements, pin-thin stools, mild red blood in stool
      Treatment: Chemotherapy

      Steve S., Colorectal Cancer, Stage 4



      Symptoms: Blood in stool, changes in bowel habits, feeling gassy and bloated

      Treatments: Surgery, chemotherapy, monoclonal antibody, liver transplant
      Jessica T. feature profile

      Jessica T., BRAF Mutation Colon Cancer, Stage 4



      Symptoms: Severe stomach cramps, diarrhea, vomiting, anemia (discovered later)

      Treatments: Surgery (hemicolectomy), chemotherapy

      Jennifer T. feature profile

      Jennifer T., Colon Cancer, Stage 4



      Symptoms: Weight loss, coughing, vomiting, sciatica pain, fatigue

      Treatments: Surgeries (colectomy, lung wedge resection on both lungs), chemotherapy, immunotherapy
      Kasey S. feature profile

      Kasey S., Colon Cancer, Stage 4



      Symptoms: Extreme abdominal cramping, mucus in stool, rectal bleeding, black stool, fatigue, weight fluctuations, skin issues (guttate psoriasis)
      Treatments: Surgeries (colectomy & salpingectomy), chemotherapy


      Categories
      Acute Myeloid Leukemia (AML) Chemotherapy Patient Stories Stem cell transplant Treatments

      Acute Myeloid Leukemia (AML) Stories: Mackenzie Navigates with Faith, Joy, and Family

      Acute Myeloid Leukemia (AML) Stories: Mackenzie Navigates with Faith, Joy, and Family

      Mackenzie P.

      Her first symptoms of acute myeloid leukemia (AML) hit Mackenzie in 2023, a medical student, when she experienced excessive bleeding while shaving and noticed an increase in fatigue when working out. Then during a clinical rotation, she suddenly vomited and then passed out. When Mackenzie finally got her diagnosis, she found herself more concerned about how her family members were taking the news.

      There was a significant shift in Mackenzie’s diagnosis with the discovery of a biomarker. This provided her and her medical team information about risk levels of things like relapse. Her treatment experience began with induction chemotherapy, leading to remission, followed by two rounds of consolidation chemotherapy as she awaited a stem cell transplant.

      While the transplant proved successful, Mackenzie’s leukemia relapsed on a molecular level six months post-transplant. She underwent more chemotherapy, but the treatment was unsuccessful, leading to a full relapse. She faced severe complications during her hospitalization, including pneumonia. Her faith, however, provided a glimmer of hope. After an unsuccessful initial clinical trial, she embarked on a new trial at MD Anderson, holding onto her optimism.

      Watch her story and read more below to hear from Mackenzie on many topics:

      1. The importance of clinical trials and how they offer hope to patients, including herself.
      2. How she held onto her optimism even during the most difficult times.
      3. What she found solace in as she learned how to navigate losing her sense of self.
      4. Her top takeaway for others.

      • Name: 
        • Mackenzie P.
      • Age at Diagnosis:
        • 23
      • Diagnosis:
        • Acute Myeloid Leukemia (AML)
      • Symptoms:
        • Shortness of breath
        • Passing out
        • Getting sick easily
        • Bleeding and bruising quickly
      • Treatments:
        • Chemotherapy: induction and maintenance chemotherapy
        • Stem cell transplant
        • Clinical trials

      Kura Oncology

      Thank you to Kura Oncology for supporting our patient education program. The Patient Story retains full editorial control over all content.

      This interview has been edited for clarity and length. This is not medical advice. Please consult with your healthcare provider for treatment decisions.



      Interviewed by: Taylor Scheib
      Edited by: Chris Sanchez

      Every day, find something to be grateful for. Something that you love. Something that makes you happy, smile, or feel light.

      Live for it, no matter what it is.

      Introduction

      My name is Mackenzie. I’m a medical student.

      I was diagnosed with acute myeloid leukemia (AML) in 2023.

      Before My Diagnosis

      The first time I said, “This is weird, it’s time to get it checked out,” was on the first day of my second year of medical school. I was on a clinical rotation and we were in a patient’s room, but we weren’t performing any procedures. I threw up and passed out. It was quite random and embarrassing. I called my doctor to get blood work done. 

      Before that point, though, I had also been experiencing a few suspicious symptoms that I had been pushing to the side. When I shaved, my legs would bleed a little more than they usually did. I realized that it couldn’t have been anything else, like a razor that wasn’t sharp enough.

      Additionally, I was an athlete in college and had been finding it harder to work out than I normally did. The passing out was the final straw.

      I had been waiting all this time to figure out what was wrong and then to have it confirmed as cancer… it turned my world upside down.

      I knew everything was going to change at that point. 

      My Diagnosis & Reaction

      Because my family is in healthcare, my story might be somewhat different from other cancer patients’ stories. My dad is president of the hospital in my hometown where I got my biopsy, and my stepmom works there, too. Because of that, they got my results through MyChart, which I didn’t have then. Instead of getting a phone call and being told, “Hey, you need to come to the office right away,” I found out that I had cancer through them.

      It was a normal Thursday in August 2023. I was back home from a simulation lab and was typing up the History and Physical form for the patient I had seen earlier that day. I heard a knock on the door, and my mom, dad, and stepmom walked in. I knew right away that it wasn’t good news.  

      My dad was trying to talk, but he was crying. My stepmom looked at me and said, “It’s leukemia.” Part of me had known it all along, so I was almost prepared for it. But I wasn’t sad — I was mad. I had been waiting all this time to figure out what was wrong and then to have it confirmed as cancer… It turned my world upside down. I knew everything was going to change at that point. 

      When I received my acute myeloid leukemia diagnosis, I felt more hurt for my family and friends than for myself. In my line of work, I’ve made a few phone calls to inform other people of their diagnosis and they were very hard to do. My way of coping with this diagnosis for the longest time was trying to make sure that everyone else was okay and show how strong, brave, and optimistic I was. I believed that I was going to get through this, so I needed my friends and family to believe it, too.

      Learning My AML Mutation

      The doctors tested my bone marrow for different mutations and found out that I have a mutation for AML that means that I have a high risk of relapse. Patients can be at high, moderate, or low risk for relapse. Those at moderate to high risk might need to consider a stem cell transplant or might require a transplant. And I did have to undergo a transplant.

      What was worrisome for me was that I had a first cousin who had acute lymphocytic leukemia (ALL) when she was little and a second cousin who had prolymphocytic leukemia (PLL) when he was in his 30s. I was worried for my sister and for my future kids. The doctors took a skin biopsy to try and determine if this mutation developed spontaneously in my leukemia cells or if it was an inherited mutation that was in my DNA. They determined that it was a spontaneous mutation that I won’t be passing down. I just got unlucky and wound up getting cancer. 

      I believed that I was going to get through this, so I needed my friends and family to believe it, too.

      My Treatment Plan and Remission

      Right after my acute myeloid leukemia diagnosis, I started induction chemotherapy to try and get myself into remission. I also had my first long hospital stay. Thankfully, after that, I got into remission and then we waited for my first stem cell transplant. It takes a while to find a donor and coordinate the transplant, so in the interim, I had two rounds of consolidation chemotherapy, each round lasting one week, in the fall of 2023. I was in the hospital for about three weeks during that time. 

      I underwent the transplant and afterward, the doctors determined my chimerism. A chimera is an organism whose cells don’t all have the same DNA. When a patient receives a bone marrow transplant, they get stem cells from a donor that contain the donor’s DNA. The patient ends up with a mix of their own and the donor’s DNA. The higher the percentage of donor chimerism in the patient, the more donor cells they have and the better their outcomes could be. I had a 100% chimerism, which means I had 100% donor cells. I was also still in remission at this point.

      Relapse

      However, six months after my transplant in July 2024, I had a bone marrow biopsy and it revealed that my acute myeloid leukemia had relapsed on a molecular level. The doctors had observed a change in its molecular marker. Further tests found that 0.002% of my cells lit up for leukemia.

      I underwent chemotherapy again to try to put me back in remission. I got two rounds of a lower-dose chemo medicine. Neither of them worked; my leukemia kept growing. At a certain point, it got to an 8% blast in my marrow — it was no longer just a molecular relapse but a full relapse.

      I was admitted to the hospital again for more induction chemotherapy, but there were complications. I ended up in the ICU with pneumonia. Then, after I got out of the ICU, I had a bone marrow biopsy, which determined that the induction chemo had been ineffective.

      I can’t think about my situation too much or it’ll overwhelm me. I have to stay positive. Otherwise, I’ll wallow in hopelessness and doom.

      Frustration and Faith

      That entire hospital stay was quite unpleasant. I couldn’t breathe on my own. I had to wear an adult diaper. And then after all that, my biopsy results came back and showed that I wasn’t in remission. I felt like I had undergone all of that for nothing. I felt doomed and hopeless. At a certain point, I felt like I was going to die and accepted that.

      But my faith gave me some hope. The doctors sent me home and by the grace of God, I got on a clinical trial, which was about four weeks long. The results from that trial were inconclusive — it worked but not all that much. I’m in a new trial at MD Anderson in Texas. I’m still optimistic and I feel that this is where I’m supposed to be and that it’ll get me back into remission.

      Having hope and faith has also helped my family get through this. We’re optimistic with every opportunity that God gives us. 

      I also realize that I can’t think about my situation too much or it’ll overwhelm me. I have to stay positive. Otherwise, I’ll wallow in hopelessness and doom. My family, friends, and husband matter very much to me, and I need to fight for them.

      Clinical Trials and How I Feel About Them

      When I got on my first clinical trial, the conversation I had centered around how the chemotherapy regimen I underwent for my acute myeloid leukemia wasn’t working any longer and that other types of chemo were too toxic for my body, especially given how tough my last hospital stay had been.

      However, we had previously taken up the subject of clinical trials when I first relapsed and when the disease burden was lighter. Back then, the doctor laid out the chemo regimen and also said that clinical trials were available in case the chemo didn’t work.

      A clinical trial is research that tests new ways to find, prevent, and treat cancer. Different trials include treatment, screening, prevention, and supportive care. Clinical trials are not right for everyone, but they can give patients access to the latest treatment options. Patients who join these trials may not have to pay full expenses because researchers may cover the costs, but this can vary. Patients will need to talk to their healthcare providers to understand the options they can access.

      When standard treatments don’t work, doctors and patients can see if clinical trials can help. Fortunately, I joined one clinical trial and when that didn’t work, another one was available after I got discharged from my first trial.

      Clinical trials make me a little nervous, like being a part of something that no one else has been a part of. But there’s a lot of science and research behind them, and they also start you depending on where you’re at in the trial. If, for instance, you come in right at the start of the trial, you begin with a small dose of the medicine, and as the trial progresses, the doses increase. That’s how they find the best dose of the drug — the effective amount that isn’t toxic or harmful.

      I would urge those considering joining a trial to ask questions about it. Both the trials I joined have already been tried in other countries and are now being brought to the USA, so there’s already some data on their effects and how patients have responded to them.

      Realize this is bigger than you and out of your control. All you can do is your best.

      How I’ve Responded to My Treatments

      So far, the more treatments I’ve gotten for my acute myeloid leukemia, the harder it’s gotten for me. I struggle to do something as simple as standing in the kitchen to cut fruit. Sometimes I need to be in a wheelchair to attend appointments or to walk long distances, like in an airport.

      That’s very frustrating because I joined three varsity teams in high school, played basketball in college, and was a runner. It’s hard and humiliating, but it also opens my eyes and helps me empathize with others who are dealing with chronic illnesses and who can’t do things the way they want to. 

      I try my best. I walk around when I feel good and rest when I need to. I also do chores around the house because those are exercises for me right now. Additionally, I should point out that I’ve been so blessed. My husband, friends, and family know when I need help and take on the little things that I find hard and are a burden to me now. They free me up to enjoy the things that make me happy.

      From the perspective of my emotions, there are different stages. The first stage was losing a sense of myself in every aspect of my life. I was no longer a medical student, a runner, or a beautiful wife who goes out with her husband or meets up with her friends. There are lots of parts of me that I feel like I’ve lost and I’m reminded of that every time I look in the mirror. 

      When I was first diagnosed, I felt like I could overcome this — it’s not beating me, I’m not going to die from this, I’m going to have a low-risk mutation, I won’t need a stem cell transplant, the chemo is going to work immediately, I’m going to go right back to school. And that’s the second stage

      Realize this is bigger than you and out of your control. All you can do is your best. Take care of yourself and your body. That’s when I dove into my faith and gave it all to God. I’m very type A and usually want to have control of my situation. 

      My Message of Hope

      Every day, find something to be grateful for. Something that you love. Something that makes you happy, smile, or feel light. Live for it, no matter what it is. If you’re having a hard day and your mom makes you feel special, call her to brighten your day. Find something every day that gives you something to fight for.


      Kura Oncology

      Special thanks again to Kura Oncology for supporting our patient education program. The Patient Story retains full editorial control over all content.


      Mackenzie P.
      Thank you for sharing your story, Mackenzie!

      Inspired by Mackenzie's story?

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