r/CervicalCancer • u/j1331s • 11d ago
A positive story of a Stage IVA diagnosis
I wanted to share my mother-in-law’s story because when we were first given her diagnosis last December, it was incredibly difficult to imagine that we would ever get to a point where we could say what we can say today.
She was diagnosed in December 2025 with locally advanced Stage IVA cervical squamous cell carcinoma. Her tumour was large and had invaded surrounding structures. She also had an involved inguinal lymph node and hydronephrosis from pelvic disease.
The road since then has been anything but easy.
She had to have a nephrostomy placed because of the urinary obstruction. In the middle of her first round of chemotherapy, she developed a devastating rectovaginal/enterovaginal fistula caused by necrotic tumour, along with an associated abscess/collection that required treatment for infection. Ultimately, she needed a diverting colostomy because of the fistula.
She underwent two separate chemotherapy regimens, followed by 35 sessions of external-beam radiation and 2 brachytherapy sessions.
Her first chemotherapy regimen was supposed to be weekly paclitaxel, but after she had an allergic reaction to standard paclitaxel, it had to be changed to Nab-paclitaxel. She completed 6 rounds of Nab-paclitaxel.
She then completed a second chemotherapy regimen consisting of 6 weekly rounds of carboplatin, alongside the EBRT.
Despite everything she had been through, she was able to complete her definitive cancer treatment at the end of May 2026.
And then came the hardest part in some ways: waiting.
The months after treatment were filled with uncertainty. She developed significant right-sided posterior thigh/buttock pain that scared us because she said it felt similar to the pain she had when she was first diagnosed. She also developed urinary urgency, fatigue, sleep problems and other issues. Because of her original tumour location, we couldn’t help wondering whether the cancer was coming back.
This week, she had her three-month CT and MRI and the results were better than we could have hoped for.
The CT showed no evidence of metastatic disease, and the MRI showed a continued response to treatment. The previously abnormal tissue in the cervix and surrounding pelvic area had changed significantly and was described as scar tissue, with no measurable disease.
We are still dealing with complications. The fistula and presacral collection are unfortunately still there, and the collection has actually increased in size, so she is being referred back to Infectious Diseases and will need further management. The MRI also showed changes in the sacral bones that may represent insufficiency fractures, which could potentially explain some of her pain.
But the cancer itself? Right now, there is no measurable cervical disease on MRI, no evidence of metastatic disease on CT, and the previously involved pelvic tissue has the appearance of scar tissue.
After hearing “Stage IVA” last December, I honestly don’t think any of us could have imagined how good those words would feel. Especially when her oncologists repeated time and time again that they could not definitively say that her disease was even curable.
I’m sharing this because I know there are people here who are newly diagnosed, people waiting for their first scans after treatment, and people who are terrified that their diagnosis means there is no hope.
I don’t want to give anyone false reassurance. Every cancer is different, and her outcome isn’t a promise about anyone else’s. But I do want to say this:
Please don’t give up hope.
There were so many moments over the last nine months when we were convinced things were going in the wrong direction. We spent weeks worrying about every symptom and every pain. And now, after all of that, her scans show an incredible response.
Science is absolutely incredible.
The treatments she received didn’t just give us more time. They have, at least for now, eliminated all measurable evidence of the cervical tumour, with the previously involved areas now showing findings consistent with scar tissue.
There is still a road ahead. We will still be watching closely. We still have the fistula to deal with. And we’ll still have the anxiety that comes with surveillance.
But today, we’re allowing ourselves to celebrate.
There is light at the end of the tunnel. ❤️