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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

To think there is an annual full body cancer check?

74 replies

ldntoparis22 · 21/04/2023 21:24

I'm late 30s. Mother had ovarian cancer and survived. Detected early. I asked the NHS whether I should have any extra screening and GP said no, apparently only exists in the case of breast cancer.

Is there a test that can be done and paid for privately, annually? I know there is the BRCA gene test but I am afraid of that- if you had it, you'd be living on eggshells, a ticking time bomb waiting for symptoms. I'd prefer an annual check that I can pay for privately. I don't think a full blood count via GP is sufficient to be able to detect cancer.

Any ideas

OP posts:
Conductpolicy · 22/04/2023 11:32

@lkkjhg

If blood tests and s scans can't detect it and it's symptom less. How on earth can you spot it?

BatshitCrazyWoman · 22/04/2023 11:42

My mother died of pancreatic cancer - four weeks from diagnosis to her death. I don't think there are any screening tests for pancreatic cancer? I believe her mother may also have died of it (my mum was very low contact with her and I was very young, so I can't quite remember).

lemonchiffonpie · 22/04/2023 12:02

All ovarian cancers are epithelial.

That's not what I understand or was told. Perhaps the vast majority are epithelial.

SpringCherryPie · 22/04/2023 12:03

waterlego · 22/04/2023 07:21

Interesting thread, thank you to the knowledgeable contributors. Hope OP doesn’t mind if I add a question for anyone who might be able to answer it. My mum and her mother both died of stomach cancer at fairly young ages. As this is one of the less common cancers, that seems like a coincidence to me so I’ve wondered if there’s a genetic component (although I realise there could be lifestyle causes which my mum and grandma may have had in common). I saw a genetic counsellor who thought it was unlikely to be a genetic cancer, but couldn’t say for sure as we couldn’t find any details on the type of stomach cancer my grandma had.

There is no screening for this type of cancer in the UK, as far as I’m aware. I do try to have blood tests fairly often but I know these can’t always show problems. Waiting for symptoms is likely to be a disaster in the case of stomach cancer. Once people feel ill with it, that’s usually because they are indeed very ill.

I wonder about having a a regular gastroscopy. Grim thought but I would do it if I thought it would help show anything. If any of the clever folk on here knows anything about stomach cancer or screening for it, I’d be grateful to hear from you!

I’m not a Doctor, but isn’t it that there are often symptoms such as gastric reflux, which can be treated effectively and help prevent stomach cancer. Look it up and talk it over with your GP but I would have thought that there were symptoms. Other cancers such as pancreatic don’t show symptoms often until quite late.

SpringCherryPie · 22/04/2023 12:05

BatshitCrazyWoman · 22/04/2023 11:42

My mother died of pancreatic cancer - four weeks from diagnosis to her death. I don't think there are any screening tests for pancreatic cancer? I believe her mother may also have died of it (my mum was very low contact with her and I was very young, so I can't quite remember).

Yes unfortunately from what I know pancreatic cancer has no effective screening tool, often not that many symptoms and is hard to treat. It’s a horrible cancer but luckily it’s rarer than breast and bowl cancer which do have screening, and often can be treated.

SpringCherryPie · 22/04/2023 12:10

@MatchaTea I don’t think it’s accurate to say that we are no better at treating cancer than we were 50 years ago. We are better at treating a lot of cancers now than we were, huge advances in chemotherapy, targeted therapy etc. It’s not just about finding it early, although this has helped. Survival rates are so much better for many major cancers such as breast cancer.

You are right that once a cancer has metastasised or in very advanced stages this is much more difficult to treat.

waterlego · 22/04/2023 12:36

@MatchaTea, thank you so much for your detailed reply. I’m impressed with the breadth of your knowledge- I assume you are a medic of some sort! Really helpful to read your thoughts. I can’t remember whether the genetic counsellor mentioned that gene. I was referred to her fairly soon after my mum died, which was 10 years ago now, and it’s fair to say I was still very much in the fog of grief at the time and probably didn’t take it all in. I’m going to ask my GP to refer me again to a genetic counsellor and see if I can find more out this time.

The lifestyle question is interesting. I don’t know anything about my Grandma’s diet as I never met her, but I do know that she had mental health problems and was possibly neurodiverse (‘she had trouble with her nerves’ is what older members of the family would say). She was agoraphobic and very anxious for long periods of time, by all accounts, and I don’t imagine her diet was very good having seen how thin she was in photos. In turn, my Mum did not suffer with anxiety, but was a very hyperactive and energetic person, rarely stood or sat still, and was always quite thin. She often didn’t eat proper meals when I was growing up, instead surviving on snacks (especially sugary ones) and coffee. I remember her fainting and being sick a few times when I was a kid. And she ALWAYS suffered heartburn in the 35 years I knew her. Too late now to find out more about either of them, but I do have anxiety, and have been through phases of disordered eating so there are some similarities.

It’s funny you should mention H Pylori because I have a prescription for the breath test and have been trying to get hold of one for ages. The pharmacy don’t seem to be able to get them at the moment. I was prescribed it because I went to the GP a month or so ago to complain about heartburn and ask for some investigation. I had it continuously for several weeks, and although it is much better now, it still comes back a couple of times a week. Here’s hoping I can get hold of a test soon. That and a referral to a genetic counsellor would probably go a long way towards easing my worries a bit. (I have health anxiety 🙄😬)

@SpringCherryPie, yes you’re right that there are some earlier symptoms, but as you say, it’s things like heartburn/reflux/indigestion/bloating which are all very common and can have a variety of non-sinister causes, so I don’t imagine GPs have the resources to refer all heartburn/reflux patients for further tests. In my Mum’s case, she wouldn’t have known any difference as she complained often about indigestion during the whole time I knew her! It wasn’t until she began to lose weight (having been very slim to start with) and suffer other symptoms that she realised something was up (by which point sadly the cancer was advanced and had metastasised).

Coyoacan · 22/04/2023 13:41

I don’t think it’s accurate to say that we are no better at treating cancer than we were 50 years ago. We are better at treating a lot of cancers now than we were, huge advances in chemotherapy, targeted therapy etc. It’s not just about finding it early, although this has helped. Survival rates are so much better for many major cancers such as breast cancer

Yes indeed. Since about twenty years ago I know several long-term survivors of very serious episodes of cancer.

Paloma66 · 22/04/2023 13:54

I had an ovarian cyst which was detected from an ultrasound scan. I then had a CA125 blood test to check whether the cyst was cancerous (it wasn't) before the cyst and ovary was removed.

Would a regular ultrasound give you reassurance?

UnicornsHaveDadsToo · 22/04/2023 14:06

ldntoparis22 · 21/04/2023 21:24

I'm late 30s. Mother had ovarian cancer and survived. Detected early. I asked the NHS whether I should have any extra screening and GP said no, apparently only exists in the case of breast cancer.

Is there a test that can be done and paid for privately, annually? I know there is the BRCA gene test but I am afraid of that- if you had it, you'd be living on eggshells, a ticking time bomb waiting for symptoms. I'd prefer an annual check that I can pay for privately. I don't think a full blood count via GP is sufficient to be able to detect cancer.

Any ideas

There isn't a scan, test or a combination that can be done to rule out all malignancies. It's absolutely impossible. There are hundreds of types of cancers, every type of tissue in every organ can give rise to multiple different types of cancer. You can't screen for all of them. Not everything will be visible on an MRI, things like PET scans give so much radiation that unless they're being done to follow up or monitor progress of cancers, they can cause cancers. There are hundreds of specific and non-specific blood markers for cancers.

Screening in the NHS is done for very specific cancers where screening has been shown to improve survival without damaging adverse consequences. There are instances where specific individuals are recalled for screening outside of national screening programmes due to their individual risk profiles as well. Apart from these two situations, nothing else needs to be screened for.

sausage767 · 22/04/2023 14:12

A PET scan. But they’re very very expensive and not good for you. I’ve had 4 and would rather not have another one.

lemonchiffonpie · 22/04/2023 14:26

These are the most common symptoms:

Symptoms of ovarian cancer | Cancer Research UK

There is also some basic advice on reducing your risk on this website:

Risks and causes of ovarian cancer | Cancer Research UK

Glasshalffullorempty · 22/04/2023 14:28

I had cancer and I get a CT-PET scan and CT scan done at the same time each year. Have to be done privately though. Cost about £4,000 for the both.

stillherenow · 22/04/2023 14:31

Edwardandtubbs · 21/04/2023 21:35

If you were brca positive then you'd be offered an annual mammogram and possibly an annual MRI regardless of age. The threshold for genetic testing is quite high though, you have to have a confirmed relative who is positive or meet strict criteria to be tested.
There is no screening for ovarian cancer. You can have a blood test for ca125 which tbh you could probably wangle annually via the GP if you just went and said you were worried about it.
I am brca+ and certainly don't feel like a ticking time bomb, I was able to make informed choices about my body armed with that knowledge.

I had screening ten years ago after having had cancer and was negative, I’m just being retested because if all the new genes they’ve found / better tests.

i actually find being tested the opposite - I feel like a ticking timebomb without the knowledge. If I have a gene I will have extra surveillance and I’ll probably also get my second breast removed and a hysterectomy.

I think all the new gene testing is incredibly empowering .

stillherenow · 22/04/2023 14:32

Sorry that was agreeing with @Edwardandtubbs !

stillherenow · 22/04/2023 14:33

There are also other things you can do to prevent your risk, not drinking alcohol and keeping your weight down being the big ones.

Mercurial123 · 22/04/2023 14:55

I have Chek2 and BRCA2 variant of uncertain significance. Diagnosed with breast cancer at 38. My mother was diagnosed when she was 40. I had a double mastectomy and hysterectomy. I get a CAT scan every year, which is included in my medical insurance. I'm not in the UK. I disagree with the person who said it was like a ticking bomb. Knowledge gives you the opportunity to reduce recurrence through surgery or monitoring.

waterlego · 22/04/2023 14:59

@stillherenow That makes sense about genetic testing. I tend to think it’s better to know and be able to take preventative measures- but that might depend on whether there are any preventative measures and what they are. One of the reasons I am reluctant to be tested for gastric cancer genes is that if the test is positive, there is a not a great deal one can do except have the stomach completely removed. If I had the gene, I would have a difficult decision to make since adapting to life without a stomach is a pretty big thing. Permanent dietary changes and some weird and unpleasant possible side effects. 🤷🏼‍♀️

Flopsythebunny · 22/04/2023 15:15

xogossipgirlxo · 21/04/2023 21:33

Maybe blood markers? My uncle’s prostate cancer has been detected early when he went to his annual blood test.

All my blood tests were normal when I was diagnosed with blood cancer apart from being slightly anemic. My 16cm mass in my abdomen was said to be bowel gas by a consultant radiologist. 3 weeks later I collapsed, rushed to hospital and diagnosed with cancer. The so called bowel gas had broken my spine. It's pet scans only for me now

FannythePinkFlamingo · 22/04/2023 19:13

waterlego · 22/04/2023 07:21

Interesting thread, thank you to the knowledgeable contributors. Hope OP doesn’t mind if I add a question for anyone who might be able to answer it. My mum and her mother both died of stomach cancer at fairly young ages. As this is one of the less common cancers, that seems like a coincidence to me so I’ve wondered if there’s a genetic component (although I realise there could be lifestyle causes which my mum and grandma may have had in common). I saw a genetic counsellor who thought it was unlikely to be a genetic cancer, but couldn’t say for sure as we couldn’t find any details on the type of stomach cancer my grandma had.

There is no screening for this type of cancer in the UK, as far as I’m aware. I do try to have blood tests fairly often but I know these can’t always show problems. Waiting for symptoms is likely to be a disaster in the case of stomach cancer. Once people feel ill with it, that’s usually because they are indeed very ill.

I wonder about having a a regular gastroscopy. Grim thought but I would do it if I thought it would help show anything. If any of the clever folk on here knows anything about stomach cancer or screening for it, I’d be grateful to hear from you!

I have Lynch Syndrome @waterlego

It's known to raise the risk of a range of cancers, including bowel, ovarian, endometrial (which I've had) and stomach. I was tested as I was under 50 when I had cancer and I had two grandmothers with one of the cancers above. It might be worth taking to your GP and looking up the Royal Marsden Lynch Syndrome Guide online.

FannythePinkFlamingo · 22/04/2023 19:17

I should also add that because I am Lynch positive, I have two yearly colonoscopies and gastroscopies to check for any nasties. I have the MSH6 type.

https://patientinfolibrary.royalmarsden.nhs.uk/document/download/1148

waterlego · 22/04/2023 19:30

Thank you so much @FannythePinkFlamingo. I had never heard of Lynch syndrome and it sounds like something I should look into. I’m glad you survived your cancer and hope you’re doing well.

FannythePinkFlamingo · 22/04/2023 21:53

I'm fine now @waterlego. Had a hysterectomy, ovaries and fallopian tubes taken out in May 2020 and am about to be discharged from follow ups.

I'd never heard of Lynch Syndrome either until it was mentioned at my diagnosis. I did have genetic counselling and my DD has the gene as well so she will have a risk reducing hysterectomy around the age of 40. She should be able to have embryo selection if she has a family to stop passing the gene on.

In a way, I'm glad I found out as I do get screening every two years now, even if the prep and procedure isn't the best way to spend a day!

Sleepingmole · 23/04/2023 06:38

I’m so sorry you’re going through this anxiety. Genetic testing brings up a whole set of worries and I totally understand that you may want to not ‘know’. On the other hand you’re worrying about developing cancers. I’d suggest spending some time deciding on the best way forward via counselling as I think not knowing is causing you worry(understandably). The plus to the testing (for BRACA) is that there are actions you can take to hugely reduce future risk. For some conditions there are none

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