Peritoneal carcinomatosis
Hi, I have a dear friend who has just been diagnosed with Stage IV peritoneal carcinomatosis. The original cancer was ovarian but is now in the stomach lining. She has started chemo, consisting of a combo of carboplatin and Doxorubicin. Unfortunately the Doxo caused an instant allergic reaction, so they continued on with the carbo. For the next treatment they will replace the the doxo with gemcitabine. She is also on Neulasta.
We want to find other folks who have had this diagnosis and can talk about their experience, prognosis, any tips or perspective to share. We want to be as helpful and supportive of our friend as possible. Sincere thanks -
Comments
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Hi, I was diagnosed in October 2021. Had 4 chemo treatments then surgery and then 4 more treatments. Surgery was to blast tumors and remove omentum. We discovered my cancer is resistant to platinum based chemos, plus my body reacts with more toxcicity than others do. Over the past 22 months I have had carbo, taxol, doxil, cytoxan, avastin, neulasta, keytruda, rubraca. Some are chemos, some are monoclonal antibodies, some are combined with others....like Keytrufa, avastin, and cytoxin. I definitely cannot take Keytruda. Started breaking out in a rash in less than an hour of taking it. That can be controlled, but I also had severe headaches and other reactions. Currently I am taking a break from all treatments. My best advice is....your friend must be her own advocate. Learn as much as possible about each med they give her or want to give her. Know what the side effects can be and make her own decisions. For instance, I lost about half of my heating in one ear and 3/4ths in the other that will not recover and wear hearing aids now. That is ok. But the only chemo that they think might work for me has the number one side effect listed as blindness and it is hi risk. That is not ok with me. I am going to be 80 soon. So how I spend my remaining days is very important. If I were younger I might have a different opinion. I would rather feel well for the most of those days and sick for a few then feel yuckky most of the time . I don't want to be stuck in bed, or close to a toilet, etc. And the treatments can make you pretty sick. for me, moreso than the cancer has, so far. My med team know what I want, as does my family and they agree with me. Speaking of med team, you have to like and trust them. And you have to tell them every little thing. It seems peritoneal cancer can have all kinds of symptoms that you might not recognize. Talk to the docs about them. I actually keep a journal between visits. Plus, I don't hesitate to call now. Not to be a pest, but when I really don't know what to do. In the beginning, I didn't. That's how I found out they are really there for me. If they aren't - change docs. On being a friend....just be there. My friends brought food on occasion, we without asking. Walked our dog, who needed exercise. Just showed up and mowed our grass. One good friend comes every 3 weeks and does basic cleaning. Just different things, knowing that my husband was busy and stressed, too. Telling to call if they need anything probably won't work. I find most won't. Just call before you head to store and ask if they need milk, bread, eggs, etc. Just think of the common stuff that occurs. Prognosis: My cancer is incurable. So make the best out of every minute, just like everyone should, everyday. Be kind to yourself and to each other.
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God bless
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I was diagnosed in Aug 2011 and lost my omentum as well it came back 3 times. I did the cyto reduction with hipec in 2011 and 2014. Chemo was 12 time of foxhole with a repat in 2021. Tell her to keep fighting and take it one day at a time
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Foxfol
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what is the latest on this patient’s treatments? I was diagnosed in June of 2033. Not many make it long term. I was allergic to some of treatments also
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Update for me. 2 more times it has come back. 6 time survivor. 7 total surgeries. Another round of chemo in 2021. Last surgery may 2024.
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My husband was diagnosed w/Stage 4 colon and peritoneal cancer in Oct. 2024. He started chemo recently and likes getting chemo because he has no stomach discomfort. Once the chemo pump stops, he has stomach pain/strong discomfort every day and night. Wondering if this is normal. He takes Oxy 5mg and Dicyclomine for stomach cramps but he is miserable.
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Stage 2 colon. Right now I am still doing tremendous. At 68 with 7 major surgeries I still can run a mile. I really don't have any pain. Hipec can be rough. My 2011 surgery I was in extreme pain for well over a month I would recommend only doing it at a hospital where they do a lot of them
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What treatment caused the deafness and which one could cause blindness? I was diagnosed in June 2023 and have tried a lot of what you have taken. Was allergic to first three treatments I never took keytruda. I tried Elahere and was successful for 7 treatments every 3 weeks. It was experimental and for people allergic to 3 treatments and Carboplatin resistant. It affected my eyesight but it cleared up after a while. It shrunk lymph nodes but quit working. I had surgery in October of 2023 after 6 rounds of Gemzar and Carboplatin. After surgery and around 6 weeks continued Gemzar and Carboplatin for 6 treatments but it had quit working. That is when I did Elahere. I went to Duke and they recommended a pill cyclophosphamide and IV Bevacizumab. I took from mid August to now. Last IV was Nov27. It quite working. I am starting steroid regiment Friday Dec6 and desensitizing to Taxol Monday Dec9.
My first three treatments in July of 2023 sent me into shock. They were Paclitaxel, Taxotere,and Doxil. This delayed treatment but then found Gemzar which as I mentioned I took. My current problem is enlarged lymph nodes. At present time the treatments and surgery has taken care of the organs it was once invading. The Taxol I start will be given slowly (8 hours). The goal is to attack my enlarged lymph nodes. In Oct of 2023 I had a hysterectomy, umbilical removed, and part of colon and sigmoid removed leaving me with a permanent Ostomy bag and a growing hernia. I was debulked. This is my only surgery and am not eligible for more surgery or radiation. I am hoping that the Taxol will be tolerated and shrink my lymph nodes. I am days away from being 74. I was diagnosed as 3c with no BRACA1 or 2. So mine was not inherited. My sisters took test also and were negative. I have cancer in my history but nothing showed up on test. I had never heard of peritoneal cancer. It is rare. 7 in 1 million per year. Everyone’s journey has been different. Before surgery I was on 7 anti nausea meds. I lost 30 pounds. After surgery I tolerated most treatments and have felt good. I have mild neuropathy in hands and feet. Thanks for sharing your journey. I have faith in my medical team. They listen and stay positive in my treatments. Cancer cells seem to figure out what is going on and my experience is after 6 treatments or so I have to be switched to something else.0 -
How is your friend doing?
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My husband was diagnosed in October with Stage IV colon/peritoneal cancer. He has completed 4 rounds of chemo that last 48 hours each time, and scheduled for a CT scan Jan. 2nd to see if the tumor has shrunk. He is also scheduled for 5th round of chemo right after CT scan, then supposedly the med oncologist will speak to the surgical oncologist and decide if he is a candidate for the HIPEC surgery. My husband is 65 and was in excellent health before diagnosis, and never even took Tylenol. At the start of chemo, he was having bad stomach pain and the tumor was partially blocking the cecum causing great discomfort/pain. After 2 rounds of chemo, he does not seem to have pain and has only "discomfort" of a 2 and sometimes a 3 on some days. Other days he may have mild nausea but that has not occurred too much thus far. We are trying to be positive and praying for a good outcome.
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Lisa5166 Never heard of 48 hour chemo treatments. I also have not heard of a man having peritoneal cancer. A lot of the time it is treated like ovarian cancer. Mine was in ovarian and fallopian tubes, umbilical and went to the colon. Seems like every one has different treatments. This cancer is hard to treat and builds resistance to the various treatments after a while. I am currently being desensitized to Taxol. I have done 3 treatments 9 hours each. I’m off a week and will start back again. I don’t know how many treatments are planned. Treating lymph nodes that keep enlarging. For now the organs seem to be ok.
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ZsaZsaGigi I had never even heard of peritoneal cancer. My husband has cancer of the colon as well and they cannot determine if it started in colon or around lining of intestines (peritoneal). Surgeon said my husband has 2 cancers and one is very rare. We go into the office for my husbands chemo to get started (he gets 2 kinds) Folfox and Bev, and after a few hours we leave and he goes home with the portable pump and it runs continuously until 48 hours is reached and it goes off.
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I am a man and have peritoneal cancer 6 times. I have done folfox 2 times 2011 and 2021. It you have this cancer it is very serious
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SMATHENY12 6 times? I am so sorry. My husband was told he has stage 4 colon cancer and peritoneal (around lining of stomach). He has had 4 rounds of chemo so far (48 hours each time) and had a CT scan today (1/2/24). The scan showed decreased degree of peritoneal cancer, and showed the ascites has resolved, and that the tumor blocking the cecum is resolved and there is no blockage. I am happy and trying to be positive, but I know things can change quickly too. Did you have the surgery? How long were you cancer free? I know this is serious and I am trying my best to find out as much as possible.
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I had 7 total surgeries. Two times with hipec. Longest I was cancer free was 3 years. I started out as colon Stage 4. Spread to omentum 2011. Last surgery was May 17 2024
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I have had some bad days. Foxfol 2 rounds. Neither was fun. 2011 and 2021. But Dr Loggie told me "when you're don't have the cancer back never spend one minute thinking about it. You're just wasting precious moments" good advice. Doctor Blake told she agreed with Dr Loggie and Dr Dineen. I have a miraculous recovery system. Even after 7 surgery 2 lost organs most of the colon some of the small intestines I am just as good as I ever was. I don't lift weights or run 2 miles but at 68 I do everything I want to do otherwise.
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