My conventional and natural treatments go hand in hand. Since December 2021 I am in the care of the Netherlands Cancer Intstitute, Antonie van Leeuwenhoek who has a sarcoma specialist team with international experience.
My oncologists are Prof. W. van der Graaf and docter Heimans.

I believe an eclectic path will benefit me and have always been an openminded person and do not believe that one or the other should be excluded. However I do not use anything that I have not researched on for example pubmed, nbci… 

Preparation and treatment options
RGCC - Genome Testing Switserland

I had my uLMS screened and tested on different types of chemotherapy (alkylating agents and inhibitors), biological substances, and lots more. This helped me to understand cancer, my markers and to make a well-founded decision as to additional treatment. I would advice everyone to do so. It is money well spent. Because of this my doctor at the AVL ordered her own genetic testing to compare results.

Hartwig Medical Foundation Netherlands - Genome Testing
PICC lijn (Dutch) or Central line when you have sensitive veins

Because of extremely painful veins I had a Central Line inserted at my hospital Antoni van Leeuwenhoek in Amsterdam. Hopefully no more needles for me.

A central line is a long, thin, hollow tube made from silicone rubber. They are also called skin-tunnelled central venous catheters. But you may hear them called by brand names such as Hickman® or Groshong® lines. They are used to give chemotherapy treatment or other medicines.

Radioactive radiation from inside out Feb.2022

Doctors at UZ Leuven manage to halt the metastasis of rare neuroendocrine tumors by means of a radioactive molecular cancer drug, injected into the bloodstream. This reduces the chance of further growth considerably, sometimes up to 80 percent. At the moment it mainly concerns tumors in the gastrointestinal tract, the pancreas and the lungs, but the researchers are also looking at whether the radiation from the inside could be interesting for other cancers..

Cyberknife radiation

This is precision radiation using a robot arm. This may be an option if the sarcoma has spread to the lungs or liver. Please take a look. He does 2 procedures Stereotactic Radiosurgery (SRS) or Stereotactic Body Radiation Therapy (SBRT)

SBRT Stereotacttic Body Radiation Therapy

Precision targetted external high dose radiation of small tumors.

Chemotherapy
My (conventional)treatments
Timeline 2021 - 2023
  1. Starte November 2021: Visit to my GP and first alert and then several examinations and sonograms of my abdomen and uterus, first siting of uterus cancer and referral to the Netherlands Cancer Institute, Antoni van Leeuwenhoek (AVL).
  2. December 2nd, 3rd, 7th, 31st 2021: scans of my abdomen and thorax, first diagnosis Uterine Leiomyosarcoma with pulmonal metastases – Gynaecologist and oncologist dr. Van Trommel

    2022
    3. January 4th: consult with Prof. van der Graaf about medical treatment with chemotherapy after operation. Mentioned our Enconomics Plus report from RGCC (genetics test). Mailed report to her.
    4. January 11th 2022: Operation and removal of large primary tumor (16 cm.), uterus and ovaries with clean margins by Oncosurgeon Dr. W. Van Houdt at AVL.  One week hospitalisation.  Wound inflamed after 1 week but ointment seems to be helping.
    5. February 1st 2022: Phone consult with Prof. van der Graaf. Had not read report. Is sceptical. Is ordering a similar test at the Hartwig Medical Foundation.
    6. February 8th 2022: 4th scan of thorax, abdomen and left leg.
    7. February 15th 2022: Results of scan – mets increased since December 31st from 11 to 20. Abdomen clean. Pain in back due to largest 2,5 cm tumor in right lung. Abdomen clean, no sign of disease. Is not going to use our genetic test. Results from HMF not yet available. Life expectation with treatment approx. 30 months, without treatment unknown.
    8. February 16th 2022: Sent an email to Professor C. Deroose Leuven to offer myself as a study for radioactive targeted radiaton. I do not have the somatostatin receptor they are targeting.
    9. February 19th 2022: Sent an email to Professor Bass Hassan Oxford University regarding targeting IGF receptors of which mine are high risk.
    10. February 21st: Profesor C. Deroose referred me to Prof. dr. Patrick Schöffski Head, Department of General Medical OncologyLeuven Cancer Institute who advised me to arrange for a second opinion.
    11. February 22nd: had a conversation with Prof. dr van der Graaff and agreed on first starting with Doxorubicine (the red devil) and to then assess it’s efficacy. If not then follow up with Dacarbazine (DITC). Both have been tested on my tumour cells by RGCC lab. Doxo had 70% efficacy and DITC 50%.
    12. February 22nd: called Erasmus MC about the cyberknife radiation method.
    13. February 22rd: had an e
    jection fraction doen – a measurement of the percentage of blood leaving your heart each time it squeezes (contracts). This to be safe because the Doxorubicine can cause heart failure.
    13. February 23rd: Dr. Nuyttens called me about the cyberknife method. He is the only specialist who can do this and he called me back to tell me personally that my tumour is too aggressive and I have too many metastases to safely target the lungs.
    14. February 28th: Sent 2 mails to my medical oncologist asking her why Doxorubicine and not Etoposide which scored 81% efficacy in my RGCC test also if I have the MDR1 gene at 60% what does that mean voor Doxorubicine.
    15. March 1st: 1st round of Doxorubicine.
    16. March 22nd: 2nd round of Doxorubicine.
    17. April 12th: 3rd round of Doxorubicine.
    18. April 26th: 1st CT-scan since starting chemo.
    19. May 3rd: 4th round of Doxorubicine with 80% dosage.
    20. May 24th: 5th round of Doxorubicine
    21. June 14th: 6th round of Doxorubicine
    22. July 5th: 3rd scan during chemotherapy
    23. July 26th: Results scan – positive stability on the good side of the disease
    24. September 5th: 1st scan after chemo
    25. September 20th: Pet-can
    26. December: CT-scan – everything grown in size and numbers
    27. December 13th: Started on 90% Trabectedin

    28. Februari 2023: Switched to 80% Trabectedin and once per 4 weeks
    29. June 2023: Added Radiation

March - June 2022: Monotherapy Doxorubicin

 March 1st 2022 will be the first round of a 6 cycle Doxorubicine (the red devil). I consciously chose a mono therapy instead of the combination Doxorubicine/Dacarbazine. My reason being maintaining quality of life and the Dacarbazine increases the heart side effects of Doxorubicine. Beacuse I am also using complematary biological anti tumor infusions I am confident. I have read the information and prepared as follow:

I had a PICC line inserted because of painful veins.
I bought special creams for hands and feet.
Mirre oil for mouth swishing.
Soft toothbrush.
Paradontax toothpaste.
Cut my long hair on the morning of March 1st to reduce the impact of hair loss. No cold capping for me.
Cut my nails and polish them with nail hardener to prevent breaking.
My aunt made me soup for the nauseau days after chemo.
I have warm water bottles.
Prescribed nausea medication.

Warm clothes and socks.
Peppermint oil for nausea
A good bag for all my stuff.
A long phone cable.
Honey sweets.
My sister made me ginger and rosemary ice cubes.

Side effects after March 1st 2022 – 1st chemo

Day 1 – 3:  (from nausea meds), black and blue back (blood cells including thrombocytes are being targeted), dry mouth (the mucous membrane is being affected by drinking loads of water, fresh ginger rosemary tea and brushing daily), wobbly legs (just slow down), only 2 to 3 hours sleep (steroids effect so more time to write, grabbing sleep while I can), hot flashes. No nausea yet.
Day 4 -10: More energy this week but already notice that I have done too much this week and that my body is protesting. Since yesterday March 10th I have bloody mucous in my nose. My nose is blocked and since last night my throat hurts and I can see that the inside of my mouth is blotched. Have a headache and a sore body. But a roaring appetite. Today is a bed and broth day for me.  Have had e PCR test to rule out Covid.
Day 10 – 14: Fever and bedridden with throat aches.
Day 14 – 21: Hair started falling out in handfuls. Fever was gone and started feeling better. Shaved head on day 21.

Side effects after March 22nd, 2022 – 2nd chemo

Day 1 – 2: The first 2 days I was very hyper and doing lots of stuff including a tiny bit of spring cleaning. Walked for hours. Stopped one nausea tablet, dexamethasone (corticosteroids), to prevent constipation.
Day 3 – 7: Been sleeping like a bear.  Did not go outside for two days. Too tired to make it down the stairs. On day 5 I started going outside. Only eating and sleeping without any sleeping pills. Have never experienced anything like this but have given in to it because sleeplessness has been haunting me for months. Had cravings and decided to give in to them and ate some carbs two days in a row. I now know that stopping the steroids and accepting a little nausea was worth being able to sleep like a bear.
Day 8 – 21: A lot of fatigue and forgetfulness. Some pain in my stomach. Blue cuticles on both fingers and toes. Some more hairloss. Unable to concentrate for long periods of time.

Side effects after April 12th 2022 – 3rd chemo

Day 1 – 5: Stopped the nausea tablets on day 3 and was more prone to smells and nausea, but managed to not throw up. Sleeping was ok.
Day 6 – 12: Mouth started bothering me and unfortunately I got mouth sores and black spots on my tongue. Used diluted mirre as a mouthwash and mirre tincture directly on the sores. Didn’t seem te work. Will now start using biacrbonate soda – 1 teaspoon diluted in one glas of water – to gorgle with.
Day 12 – 21: Felt reasonable enough to celebrate my birthday but had to deal with a whole load of fatigue afterwards. Didn’t care because had not expected to celebrate another birthday. Had my first scan since I started chemo on the 26th of April 2022. 

Side effects after May 3rd, 24th, June 14th 2022 – 4th, 5th en last chemo

Because of the increased nausea after the 3rd chemo my doxorubicine dosage was reduced to 80%. That meant almost no nauseau but still increased sensitivity to noise, bullshit and crowds of people. 

Side effects after  last chemo

It is is now november 2022, 5 months after my last chemo. I still have a dry mouth and drink a lot of water and coconut water. My hair has grown back. The fog in my brain has lifted but I still get tired from crowds and long visits. I have a lot of back pain from a 3,5 cm tumor in my right lung pressing against my ribs. Only heat helps te ease the pain. My fingernails are no longer blue. My big toes still are partially blue. My bloodwork shows me to be a very healthy woman with exception of the metastases in my lungs. Bummer!

 

Dec. 2022 - 2023: Monotherapy Trabectedin

1st round on December 13th: 26 hours non-stop infusion – extreme fatigue, sleeplessness, body pain, water retension, lightheaded. The first week I am in bed for 4 to 5 days after that I start recovering. The recovery weeks are good weeks.
7th round May 23rd en 24th: Up until now all the mets in my lungs are schrinking except for one that keeps progressing. Side effects remain the same.

 

June 2023 SBRT - Stereotactic Body Radiation Therapy

 

My CT- and PET scans: in 2021 - 2023

1st & 2nd CT-scan November/December 2021 – Discovery tumor and diagnosis Uterine Leiomyosarcoma with lung metatsases.
3rd CT-scan (February 2022) – 20 metastases in both lungs. Clean torso after a full hysterectomy.
4th CT-scan (April 2022) – shrinkage and stability. Torso still clean
5th CT-scan (July 2022) – positive stability and torso still clean
6th CT-scan (September 2022) – no new metastases, 3 progressive mets in right lung, torso and organs still clean
7th PET-scan (Oktober 2022) – shows that the metastases in my lungs have decreased metabolism. Everything else is clean. 
8th CT-scan (November 2022) – all have grown in size and numbers.
9th CT-scan (Januari 2023) – all shrunk
10th CT-scan (April 2023) – all except for 1 shrunk.
11th CT-scan (Juli 2023) – mets in left lung resistant and has grown, also one in right lung. Now off chemo.

 

Dealing with chemotherapy side- effects
Leaky gut
Chemo damages the mucous membrane of the intestines which causes them to be more permeable. That means that bacteria and toxins can escape into your bloodstream causing:
chronic diarrhea
fatigue
foggy brain
headache
insomnia
In my case blood poisoning en chronic diarrhea. Talk to your doctor or your naturopath about pre- and probiotics and good diet.
Blue nails
Not a whole you can do about this. I guess they are affected because, like hair and skin, they also have rapidly multiplying cells. What I have done is protect my nail with a good nail hardener to prevent them from breaking. I also kept them relatively short just a 1 or 2 mm rim. I have always polished my toenails no matter what, the whole year through. So chemo didn’t change that. I started polishing my fingernails as well. Unfortunately, my nails have turned blue. The more reason to polish them. I do so myself. I would advise against any rigorous treatments at the nail salon.
Constipation
I use Fibro Pur capsules from day one to stimulate the bowels. On day 3 it starts helping. I also drink two litre waters everyday.
Heating up of the blood (the cause of blood clots)
Chemo causes your blood to thicken and heat up which is often the cause of blood clots. Drinking lots of water and especially around the chemo days eating things like watermelon, drinking peppermint tea will help to cool down. I also do acupuncture weekly to releas e the heat. Find a practitioner in your area who has experience with treating chemo side effects.
Skin colouring
Loss of eyebrouw hair
Dry skin
I use coconut oil on my body, feet and scalp. You can also use olive oil as long as it is first pressed. Of course drinking at least 3 litres of water or tea, a day is extremely important for your skin. Chemotherapy dehydrates. I use green tea and camomille. It is the first thing I do in the morning and the last at night. After the 2nd round of chemo my girlfriend made me facial oils. 
Water retention
I use lots of celery in my soup and morning shake to get rid of water.  Dandelion tea helps as well. Drink lots of water and herbal tea and keep moving. Also started weekly edema massage therapy.
Fatigue
Dry mouth and mouth sores

After the 3rd chemo still developed mouth sores. Mirre tincture did not help. Have been advised to use bicarbonate soda.

Cold capping to reduce hair loss

I decided to just go bald if that is the case instead of increasing my discomfort. But maybe this is something you would like to do. In the Netherlands this is covered by our insurance. Cold caps and scalp cooling systems are tightly fitting, helmet-like hats filled with a cold gel or liquid that you wear during chemotherapy infusions. These devices have helped many people keep some or quite a bit of their hair when treated with chemotherapy that can cause hair loss.

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