My (28M) Dad (55M) began his journey with his sarcoma close to 2 years ago*. He felt a bump (for him it was in his thigh). Was told by his general practitioner that it was likely a lipoma. He waited a few weeks after that, but still felt off about it, and went back and asked for a referral to a general surgeon.
I'll skip a lot of the details because it's been a long journey, but a general surgeon ended up conducting the surgery (no biopsy was done prior). Looking back, we'd of course have gone through the proper channels and done things in the 'proper' way, going to a sarcoma excellence center off the bat. But his general surgeon did try his best to do things right.
Pathology came back as a 3.2 cm pleomorphic liposarcoma. The size measured was a bit surprising considering the measurements on the former CTs and MRI were a bit larger; the MRI showed a dimension of around 5cm for reference. After a while of meeting oncologists and radiation oncologists, they took our case to their tumor board and were recommended to get sent up to the Mayo Clinic where we've had his surveillance done ever since.
During this timeframe of surveillance there has been the occasional red herring, for example a cyst on his kidney that ended up being completely benign. But one that was originally thought to be a red herring has seemingly morphed. They noticed this curvilinear location in the surgery bed, that they could loosely measure. But they monitored it extra carefully (they did an extra MRI 2 months after it was initially noticed and noticed very little change, and figured it was some kind of edema filled area, probable for post-surgical healing.) Unfortunately, in his latest scan 10 days ago, they noticed that there is now a mass there, surrounded by edema. It's largest measurement on MRI was 2.4cm, but they did a biopsy, and it is indeed a local recurrence.
Chest CTs came back clean luckily, but we're now pretty worried again, not that we ever stopped worrying of course. It's just...real again. Since his initial diagnosis 17 months ago, I've read up a lot, I've looked at various studies and research papers for his subtype, and I know that things are still able to be treated with how his current situation is. It's just very hard to be super upbeat considering his chances of recurrence with the negative margins should've been pretty low to begin with.
After speaking with his medical team at the Mayo, plans are for neo-adjuvant radiation into surgery to remove the tumor. His Ortho surgeon told us that she could predict a less than a 5% chance of recurrence, and that he should retain full use of his leg (maybe some stiffness) with his plan which was great to hear! Radiation should start in the next couple weeks (they have to get another scan of his leg to setup a simulation for the radiation planning, that's coming this week, not yet scheduled.) Radiation will be 3 weeks in length, his radiation oncologist said that it's that or 5 weeks, but he's noticed no real difference in outcomes, so he would recommend the shorter length especially because my dad will be driving there every day (90 mins there, 90 back.) I will of course try to accompany him as many days as able; my boss has been very lenient with my work schedule due to the situation which has been great.
After the radiation and some time for healing, they'll do another MRI and another chest CT. We're both extremely anxious about this chest scan already.
I'm not really sure what I'm looking for here, reassurance? Solidarity? I guess I'm just scared and figured it would help to share. I don't like being negative around my Dad, I try to be very positive on the situation, but sometimes the negative thoughts creep in when I'm alone.
I don't know how some of you deal with it, I'm really sorry to people that have to deal with this, or any type of cancer. It's terrifying and exhausting for me, and I'm not even the one living with it.
EDIT: Changed a few words