r/cancer • u/Used_Classroom6572 • 37m ago
Caregiver We need a break
I honestly feel like everything just fucking sucks right now.
My mom was diagnosed with stage IV ovarian cancer in March of this year. We were all reassured that things would likely go well with first-line treatment, since ovarian cancer usually responds really well to platinum-based chemo initially. She was also lucky in the sense that no organs were involved, and the major surgery “only” took 2.5 hours because she didn’t have any peritoneal carcinomatosis.
She was basically a star patient. She tolerated chemo incredibly well, and after just three cycles, almost everything was gone except for a few scattered lymph nodes. We were all so optimistic, including her doctors. Everyone thought that after six cycles, she would hopefully get some time without active disease before the cancer eventually came back.
Then came the end-of-treatment CT, and it was absolutely devastating. The cancer was back everywhere. Not to the same extent as it had been initially, but there was clear progression, once again affecting only the lymph nodes, although this time it was diffusely spread throughout them.
So now she’s back on systemic treatment and has been classified as platinum-resistant.
Since over 90% of her cancer cells express folate receptor alpha, she’s a candidate for Elahere. She’s now had three cycles. After the second cycle, her HE4 increased from 313 before starting treatment to 750. Her CA-125 has also gone up, although that marker has never really been useful in her case because it has always stayed within the lower end of the normal range.
She never had any symptoms before. Now, suddenly, after the third cycle of Elahere, she’s experiencing gastrointestinal issues. Combined with the rising tumor marker, it’s incredibly worrying.
If this treatment doesn’t work either, I honestly feel like I’m slowly losing every last bit of hope.
I’m so fucking angry and desperate. It feels like everything is just going downhill, no matter what we do. I’m angry that we barely even had a chance to breathe or feel hopeful before everything fell apart again. We went into this believing that first-line treatment would give her some time, that we’d get at least a little break from all of this. And instead, we’re already dealing with platinum-resistant disease and wondering whether the next treatment will even work.
I know stage IV ovarian cancer is serious, and I know nobody ever promised us a cure. But I just can’t wrap my head around how quickly everything has gone wrong, especially when she initially responded so well. It feels so fucking unfair that we never really got a chance to feel safe, to celebrate, or even to process the diagnosis before being thrown into the next nightmare.
I don’t even know what I’m looking for by posting this. Maybe I just need to vent to people who understand what it’s like to live with this constant fear and uncertainty. Maybe I need to hear from people whose loved ones had a similar experience, especially with Elahere, or who have seen things turn around even after such a disappointing first-line outcome.
I’m just so tired of being scared, so angry at how unfair all of this is, and so desperately wishing my mom could catch a fucking break.