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Ovarian cancer spread to colon, abdomen, par.lining of lung, spread on top layer of liver after surgery. Suggestions ?

My mother had surgery about 7 weeks ago . They thought in the beginning it was just colon cancer, but after pet scan , they were not convinced it stated somewhere else. Our worst nightmare. Ovarian cancer spread to colon, abdomen, par.lining of lung . Spattered on top layer of liver. Horrible news. We have been trying now for weeks to get her out of hospital, to recover so she can go to oncologist . about 10 days after surgery, (resection of colon and removed 1 foot of each her small and lg intestines, not able to remove all the cancer) removing ovaries, scraping abdomen to remove as much as possible...she came down with infection. They inserted two drains, and heavy antibiotics. She started to come around and she moved to a hospital closer to home to rehab . She has had some good days and some bad. Trouble with pain meds , nausea,etc...been a rough road . She is. Now experiencing pain underneath her breasts. She said it is very painful and the pain meds are not really working well. She is so uncomfortable. She is having yet her 4th CT scan tomorrow morning. I understand the prognosis , but this is horrible to see her hurt so badly. Why is it that she is just now getting this pain, and what could it be. It seems like it has been 1 step forward and two steps back. Please there any light you can shed???
Asked On : Fri, 7 Sep 2012
Answers:  1 Views:  66
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OBGYN, Maternal and Fetal Medicine 's  Response
Dear 03clutters,
Your mother has Stage 4 cancer and as you are well aware, the prognosis is not good.
Although cancers begin insiduously and painlessly, as they advance in stage, there is entrapment of nerve tissues within the cancer which cause this kind of excrutiating pain. At this moment probably there is involvement of the diaphragm which may be causing her pain beneath the breasts.
It seems your mother is not on Chemotherapy after the Exploratory laparotomy and Debulking of the cancer.
What she needs is what we call as Palliative Care. Every human being is entitled to pain-free living and as dignified a life as possible. Explore in your vicinity if there are Palliative Care Centres or discuss with your doctor use of stronger pain killers like injectible Tramadol or Morphine, Fentanyl patches etc. Its not just pain management, its a whole lot of other issues to improve the quality of life. Nutrition is another important aspect. If your mother is accepting by mouth, try and give her high protein food and supplement with protein powders. Encourage her to move about but if she is unable to, change her sides on the bed every 1-2 hourly so that she does not develop bed sores.
The patient may require full time care. In all this run-around don't forget to care for the caretaker - you. Its extremely important for you to also take a nourishing diet, take adequate rest, use your circle of friends to take turns so that you can take a break. Keep your spirits up although its easier said than done. Take pleasure in simple acts of life - sharing a cup of tea with your mother in relaxed silence once a while. AND don't allow any feeling of guilt whenever you are unable or helpless to do more than you are physically capable of. Its ok.........
My wishes with you.
Answered: Fri, 14 Sep 2012
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