Longer-term matters
Having cancer is a big shock for anyone, and getting through the treatment takes a lot out of the patient, loved ones and friends. However, returning to a relatively normal life can be achieved, but there will nevertheless be a few concerns. The sections below consider some of these longer-term issues and concerns.
Will I get back to my old normal?
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Most patients thankfully return to a near normal life. But because of the trauma of having a life-threatening cancer and going through the challenging treatment and major surgery, it is inevitable that emotional and physical scars remain for years afterwards. So, it is safe to say the whole experience is life changing, and for some it is transformative. People often go on to do things differently in their lives and looking back will say it was for the better. So yes, we nearly all get back to a near normal physical life and for some it becomes enriched by the experience.
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Are the side effects life changing?
Yes, they are, but to a lesser degree than one might first imagine. In the big scheme of things, these are relatively small changes or sacrifices, given the alternative. And life can adapt and be enjoyed to the full.
Can the cancer return after surgery?
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Sadly, yes it can, though it is far more likely not to reoccur. But if after surgery, the pathology tests routinely carried out on tissues removed in surgery show that cancer cells are still present at the edges of the resected tissue, then there is a possibility that a small amount of cancer cells may remain within the patient. However, all is not lost by any means. Each patient in most cases will be advised to undergo further chemotherapy, which will almost certainly kill off any remaining cancer cells.
We know of patients, treated over fifteen years ago, who had cancer cells remaining after surgery, and with follow-up chemotherapy they are here today, alive and well.
It is vitally important to know the detail of the outcome of surgery and clinicians are best placed to advise on any follow-up treatment needed.
There is a small possibility that cells may multiply and spread despite follow-up treatment, but that is a bridge to cross in the very unlikely event that it happens.
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Having had this cancer am I more prone to developing other cancers?
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The short answer is no. Having had an oesophageal cancer does not increase a person’s risk of developing other types of cancer.
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Can I be physically fit and participate in sports that I enjoy?
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Absolutely yes. It may take several months to get back into the saddle and ride fifty miles, or play two rounds of golf in a day, or run 10 kilometres or swim 100 lengths, but it is all possible. We are in regular contact with former patients who can do all of this. If you would like to be put in touch with them, drop Matt a line at info@ooso.org.uk.
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Can I travel, drink and have sex again!?
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Yes, to the first, in moderation to the second and as much as you like to the third!