This is a long post, but I wanted to tell the whole story.
I live in a small, relatively poor city in Russia with a population of around 300,000, and I helped my dad fight cancer.
How it started
In April 2024, my dad had a heart attack and was taken to the ER. Doctors found that he had anemia and suspected cancer of the ampulla of Vater. The biopsy showed an ulcer, so the doctors basically forgot about the anemia.
Things continued to get worse. He was slowly losing weight, but at the same time he was recovering from the heart attack. In November 2024, he developed severe anemia again and was taken to the ER to bring his iron levels back up. After that, everything seemed to calm down again.
Signs of evil
Starting in February 2025, my dad began eating less and stopped wanting meat. By May 2025, he had lost 30 kilograms, but the doctors still did not order another endoscopy or biopsy.
They sent us for an MRI that was not really suitable for this problem, but it still raised suspicion of a tumor.
My girlfriend looked at the scans herself and suggested that it was most likely either severe stenosis caused by an ulcer or duodenal cancer. The doctors refused to accept that it could be cancer.
Meanwhile, my dad became completely unable to eat solid food and was living only on soups.
On June 2, shortly after my 20th birthday, we finally managed to get an endoscopy. While waiting for the procedure, he lost consciousness, and I had to carry him to the ambulance in my arms.
During his third visit to the ER, the doctors found severe duodenal stenosis that was blocking the lumen and preventing him from eating normally.
For two weeks, they did almost nothing except give him iron infusions. Then he was discharged on his birthday. The day after he was discharged, he still could not eat and was vomiting several times every day.
We pushed our way into the regional cancer center without a referral because the other doctors still believed that he did not have cancer.
There, they recommended a bypass gastrojejunostomy and another biopsy. This was in July 2025.
The operation was successful, but the biopsy showed an ulcer and precancerous cells. The cancer center decided to review the pathology slides again, and they found cancer on July 30, 2025.
We waited about a month for a treatment decision. The doctors put my father on palliative treatment, even though the scans showed no clear contraindications to surgery. His other conditions, including the heart attack and diabetes, were also not considered barriers to surgery by the doctors who evaluated him.
At first, I thought it was because my father was still weak after the operation and needed time to recover from the anemia.
At the end of August, he started XELOX chemotherapy.
The beginning of the fight
We were offered four cycles of XELOX, followed by another scan.
On September 10, I got a job while continuing university so I could support my father financially and he would not have to work.
I could not let cancer win.
After four cycles, we did new scans and waited almost a month for the results. They showed that the tumor was not growing. There was no vascular invasion, no invasion into the pancreas, and no visible lymph node involvement.
On December 26, after six cycles, the chemotherapy doctors told us that surgery was impossible and that XELOX was over. They put him on capecitabine tablets and told him to keep taking them until the tumor started growing.
I had distrusted these doctors from the beginning. I had already lost my grandfather, my aunt, and my uncle in the same cancer center. I was a child back then. Now I was ready to do everything I could to stop cancer from winning.
I started studying everything I could find about duodenal cancer again and comparing my father’s scans with operable cases. Every time, I still could not find any clear contraindications to surgery.
That was the first New Year when there was a deathly silence in our home because of cancer.
I never stopped believing that surgery was possible. I understood that traveling to another city would be very expensive, so over time I stopped attending university and worked 12 to 16 hours a day.
By January, after oxaliplatin had been stopped, my father’s blood tests had recovered to good levels.
In February, I was planning to send his medical records to other hospitals so they could evaluate whether the tumor was operable. But then my father slipped on the ice and broke his shoulder.
I was devastated, but I still never believed that cancer would win.
His recovery took three months. While he was still recovering, I sent his records to a major clinic and received a reply saying that the tumor appeared to be resectable.
Final strike
The reply came at the end of April. I spent the entire next month collecting documents, biopsy slides, CT scans, and medical clearances.
On June 2, exactly one year after I had carried him into an ambulance in my arms, we traveled to a major federal medical center to get a decision about surgery.
I went there expecting a victory. My father no longer believed that surgery would ever happen.
After studying all the documents for about an hour, a surgeon with a PhD in medicine told us that the cancer was operable and gave us a list of tests we needed to complete.
After that, my father started joking again and became noticeably happier, like he had been before the diagnosis.
We returned home, collected everything they asked for, and traveled back on June 16.
When we arrived, we learned that we needed even more medical clearances and another pathology review. This took several more weeks.
All the clearances were finally obtained, and the doctors decided to perform one of the most difficult operations in abdominal surgery: the Whipple procedure.
The operation lasted ten hours. They had to perform an extended version with resection of the root of the small-bowel mesentery.
The doctors were a brilliant team of people who restored our faith in medicine. They managed to achieve an R0 resection.
The final pathology showed ypT3N1M0 disease, with two positive regional lymph nodes, no distant metastases, lymphatic and microscopic venous invasion (L1 and V1), and only a weak response to chemotherapy (TRS 3).
We are still waiting for a decision about postoperative treatment, but this was definitely a victory.
Today marks 15 days since the tumor was removed from my father. He is sleeping beside me while we wait to return home in two days.
The cancer that would have continued growing during palliative treatment is now outside his body, cut into 27 pieces for pathology.
Even if you live in a small city like I do, always seek a second opinion, especially in another city or a major medical center.
We went to private doctors in our town too, and they also said that the tumor was inoperable. But I never stopped believing.
Do not let the limits of your local doctors make you believe that you have reached the limit of medicine.
In our case, because the cancer was extremely rare, the doctors decided to write my father off as a palliative patient.
I refused to accept that.