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	<title>Symptom Advice .com &#187; businessman</title>
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		<title>Telegraph Christmas Appeal: &#8216;Last year, I was dying of cancer. Now I might be cured&#8217;</title>
		<link>http://symptomadvice.com/telegraph-christmas-appeal-last-year-i-was-dying-of-cancer-now-i-might-be-cured/</link>
		<comments>http://symptomadvice.com/telegraph-christmas-appeal-last-year-i-was-dying-of-cancer-now-i-might-be-cured/#comments</comments>
		<pubDate>Mon, 29 Nov 2010 18:00:16 +0000</pubDate>
		<dc:creator>Symptom Advice</dc:creator>
				<category><![CDATA[pancreatic symptoms]]></category>
		<category><![CDATA[businessman]]></category>
		<category><![CDATA[christmas]]></category>

		<guid isPermaLink="false">http://symptomadvice.com/telegraph-christmas-appeal-last-year-i-was-dying-of-cancer-now-i-might-be-cured/</guid>
		<description><![CDATA[When he first started suffering from sharp pains in &#116;&#104;&#101; summer &#111;&#102; 2009 &#8211; usually when he was having &#097; pint &#119;&#105;&#116;&#104; friends after work, or after &#097; round &#111;&#102; golf &#8211; he assumed it was heartburn. Antacids &#109;&#097;&#100;&#101; no &#100;&#105;&#102;&#102;&#101;&#114;&#101;&#110;&#099;&#101;. &#104;&#105;&#115; GP thought it might &#098;&#101; an ulcer; tablets &#100;&#105;&#100; not help. Blood tests [...]]]></description>
			<content:encoded><![CDATA[<p></p><p><img src="http://symptomadvice.com/wp-content/uploads/2010/11/1291053616-53.JPG%3Fw%3D480" style="clear:both;clear:both;margin:0 15px 15px 0" />
<p>When he first started suffering from sharp pains in &#116;&#104;&#101; summer &#111;&#102; 2009 &ndash; usually when he was having &#097; pint &#119;&#105;&#116;&#104; friends after work, or after &#097; round &#111;&#102; golf &ndash; he assumed it was heartburn. Antacids &#109;&#097;&#100;&#101; no &#100;&#105;&#102;&#102;&#101;&#114;&#101;&#110;&#099;&#101;. &#104;&#105;&#115; GP thought it might &#098;&#101; an ulcer; tablets &#100;&#105;&#100; not help. Blood tests found diabetes, &#102;&#111;&#114; which he was treated, &#121;&#101;&#116; &#115;&#116;&#105;&#108;&#108; &#116;&#104;&#101; pains continued. Mr Jones began &#116;&#111; worry.</p>
<p>&#8220;I started &#116;&#111; do some research on &#116;&#104;&#101; internet, and I wondered if it might &#098;&#101; pancreatitis, an inflammation &#116;&#104;&#097;&#116; could explain &#116;&#104;&#101; diabetes, because &#116;&#104;&#101; pancreas produces insulin. I went &#098;&#097;&#099;&#107; &#116;&#111; &#109;&#121; GP and &#097;&#115;&#107;&#101;&#100; &#116;&#111; &#098;&#101; referred &#116;&#111; &#097; specialist in pancreatic disease.&#8221;</p>
<p>Scans detected some kind &#111;&#102; mass in &#116;&#104;&#101; organ. It could &#098;&#101; scar tissue, or &#097; benign lump, &#116;&#104;&#101; businessman was told. &#116;&#119;&#111; weeks before Christmas he received &#116;&#104;&#101; results &#111;&#102; &#097; biopsy. It was cancer, it was advanced, and it was inoperable. &#116;&#104;&#101; expected prognosis was 12 &#116;&#111; 14 months.</p>
<p>&#8220;I was only 43, &#109;&#121; son was then not &#121;&#101;&#116; 15, and he has special needs,&#8221; says Mr Jones. &#8220;The idea &#116;&#104;&#097;&#116; I could &#098;&#101; gone in &#097; year, &#116;&#104;&#097;&#116; I &#119;&#111;&#117;&#108;&#100; leave &#104;&#105;&#109; was &#106;&#117;&#115;&#116; not &#115;&#111;&#109;&#101;&#116;&#104;&#105;&#110;&#103; I could accept. Everyone in &#109;&#121; family was &#099;&#114;&#121;&#105;&#110;&#103;, &#098;&#117;&#116; I felt totally numb.&#8221;</p>
<p>In fact, he says, he never accepted &#116;&#104;&#101; prognosis. &#8220;I never thought this might &#098;&#101; &#109;&#121; &#108;&#097;&#115;&#116; Christmas. I couldn&#8217;t &#108;&#101;&#116; myself &#116;&#104;&#105;&#110;&#107; &#116;&#104;&#097;&#116;. I thought, &#119;&#101;&#108;&#108; that&#8217;s &#116;&#104;&#101; average, I might &#103;&#101;&#116; more. I &#100;&#101;&#099;&#105;&#100;&#101;&#100; whatever &#116;&#104;&#101;&#121; &#115;&#097;&#105;&#100;, I &#119;&#111;&#117;&#108;&#100; settle &#102;&#111;&#114; three years. &#116;&#104;&#097;&#116; &#119;&#111;&#117;&#108;&#100; mean &#109;&#121; boy had &#102;&#105;&#110;&#105;&#115;&#104;&#101;&#100; school; it was &#101;&#110;&#111;&#117;&#103;&#104; time &#116;&#111; sort out &#109;&#121; business and &#109;&#121; &#119;&#105;&#108;&#108;. Three years &#119;&#111;&#117;&#108;&#100; do.&#8221;</p>
<p>Searching online, he read about experimental trials &#102;&#111;&#114; patients &#119;&#105;&#116;&#104; pancreatic cancer. &#8220;When you&#8217;ve &#103;&#111;&#116; &#110;&#111;&#116;&#104;&#105;&#110;&#103; &#116;&#111; &#103;&#101;&#116; hold &#111;&#102;, when you have nowhere &#116;&#111; go, you grab at &#097;&#110;&#121;&#116;&#104;&#105;&#110;&#103;,&#8221; says Mr Jones. He &#097;&#115;&#107;&#101;&#100; &#104;&#105;&#115; specialist at Poole Hospital if &#116;&#104;&#101;&#114;&#101; &#119;&#101;&#114;&#101; &#097;&#110;&#121; &#115;&#117;&#099;&#104; trials in which he could &#116;&#097;&#107;&#101; part. &#119;&#105;&#116;&#104;&#105;&#110; weeks, he had signed &#117;&#112; &#102;&#111;&#114; &#111;&#110;&#101; &#111;&#102; &#116;&#104;&#101; most ground-breaking pieces &#111;&#102; medical research &#111;&#102; recent decades.</p>
<p>Five years ago, &#097; group &#111;&#102; scientists embarked on &#097; radical trial. In recent years, most &#111;&#102; &#116;&#104;&#101; advances in treatment &#111;&#102; pancreatic cancer had involved improved targeting &#111;&#102; radiation, &#116;&#111; deliver &#116;&#104;&#101; burning rays most precisely &#116;&#111; &#116;&#104;&#101; cancer, and &#116;&#111; limit &#100;&#097;&#109;&#097;&#103;&#101; &#116;&#111; &#116;&#104;&#101; tissue &#097;&#114;&#111;&#117;&#110;&#100; it. &#098;&#117;&#116; at &#116;&#104;&#101; same time, scientists &#119;&#101;&#114;&#101; increasingly aware &#111;&#102; &#116;&#104;&#101; role &#111;&#102; genes in making some cancers more resistant &#116;&#111; radiation &#116;&#104;&#097;&#110; others.</p>
<p>The question was, could &#097;&#110;&#121;&#116;&#104;&#105;&#110;&#103; &#098;&#101; &#100;&#111;&#110;&#101; &#116;&#111; switch off some &#111;&#102; &#116;&#104;&#101; molecular reactions &#116;&#104;&#097;&#116; occur &#119;&#105;&#116;&#104; cancer, and &#116;&#111; make tumours more sensitive &#116;&#111; radiation, &#115;&#111; &#116;&#104;&#097;&#116; &#116;&#104;&#101;&#121; shrunk sufficiently &#116;&#104;&#097;&#116; &#116;&#104;&#101;&#121; could &#098;&#101; removed. &#116;&#104;&#101; group &#111;&#102; scientists, now based at &#116;&#104;&#101; Gray Institute &#102;&#111;&#114; Radiation Oncology and Biology, in Oxford, &#100;&#101;&#099;&#105;&#100;&#101;&#100; &#116;&#111; &#115;&#101;&#101; whether &#097; drug called Nelfinavir, &#117;&#115;&#101;&#100; &#102;&#111;&#114; &#116;&#104;&#101; treatment &#111;&#102; HIV, could change &#116;&#104;&#101; way tumours responded &#116;&#111; radiation.</p>
<p>Twelve patients &#119;&#105;&#116;&#104; inoperable tumours &#119;&#101;&#114;&#101; enrolled on &#097; phase I trial, &#117;&#115;&#101;&#100; &#116;&#111; establish &#116;&#104;&#101; safety and toxicity &#111;&#102; &#097; drug. &#116;&#104;&#101;&#121; &#119;&#101;&#114;&#101; given daily doses &#111;&#102; &#116;&#104;&#101; drug before radiation therapy. At &#116;&#104;&#101; &#101;&#110;&#100; &#111;&#102; &#116;&#104;&#101; trial, led by Dr Thomas Brunner, &#116;&#104;&#101; patients &#119;&#101;&#114;&#101; scanned &#097;&#103;&#097;&#105;&#110;.</p>
<p>The research team was stunned by &#116;&#104;&#101; results. &#111;&#102; 10 patients &#119;&#104;&#111; completed &#116;&#104;&#101; &#099;&#111;&#117;&#114;&#115;&#101;, six &#119;&#101;&#114;&#101; &#097;&#098;&#108;&#101; &#116;&#111; have previously inoperable tumours removed. &#097;&#099;&#114;&#111;&#115;&#115; &#116;&#104;&#101; group, &#111;&#118;&#101;&#114;&#097;&#108;&#108; average survival time more &#116;&#104;&#097;&#110; doubled. More remarkably &#115;&#116;&#105;&#108;&#108;, in &#111;&#110;&#101; case &#116;&#104;&#101; combination &#111;&#102; drug treatment and radiotherapy had eradicated &#101;&#118;&#101;&#114;&#121; living cancer cell, &#119;&#105;&#116;&#104; no trace &#111;&#102; disease found by surgeons.</p>
<p>&#8220;There was &#097; complete pathological response. No sign &#111;&#102; &#116;&#104;&#101; cancer at &#097;&#108;&#108;. It had completely disappeared.&#8221;</p>
<p>The excitement from Professor Gillies McKenna, &#116;&#104;&#101; head &#111;&#102; &#116;&#104;&#101; Gray Institute, &#105;&#115; palpable. He quickly checks &#104;&#105;&#109;&#115;&#101;&#108;&#102;. &#102;&#111;&#114;&#116;&#121; years pioneering advances in cancer treatment make &#104;&#105;&#109; &#097;&#108;&#108; too aware &#111;&#102; &#116;&#104;&#101; desperation &#111;&#102; those diagnosed &#119;&#105;&#116;&#104; advanced disease, and &#116;&#104;&#101; &#114;&#117;&#115;&#104; &#116;&#111; pin &#8220;miracle&#8221; &#108;&#097;&#098;&#101;&#108;&#115; on significant, &#098;&#117;&#116; faltering, steps.</p>
<p>Yet four years since &#116;&#104;&#101; trial started, &#116;&#104;&#101; man remains free &#111;&#102; cancer. &#097; female patient, &#119;&#104;&#111; had 90 per cent &#111;&#102; cancer cells &#100;&#101;&#115;&#116;&#114;&#111;&#121;&#101;&#100;, &#097;&#108;&#115;&#111; remains healthy, more &#116;&#104;&#097;&#110; three years on.</p>
<p>&#8220;We &#097;&#114;&#101; &#114;&#101;&#097;&#108;&#108;&#121; excited about this,&#8221; says Prof McKenna. &#8220;We &#097;&#114;&#101; &#115;&#116;&#105;&#108;&#108; several years &#097;&#119;&#097;&#121; from proving &#116;&#104;&#097;&#116; this &#105;&#115; &#097; major breakthrough, because this was &#097; small trial. &#098;&#117;&#116; &#116;&#111; &#103;&#101;&#116; these kinds &#111;&#102; results &#102;&#111;&#114; pancreatic cancer &ndash; &#119;&#101;&#108;&#108;, we &#106;&#117;&#115;&#116; couldn&#8217;t help &#098;&#117;&#116; prick &#117;&#112; our ears.&#8221;</p>
<p>Early this year, &#116;&#104;&#101; team embarked on &#097; larger phase II trial. Kevin Jones &#105;&#115; &#097;&#109;&#111;&#110;&#103; 80 patients &#098;&#101;&#105;&#110;&#103; recruited &#116;&#111; try &#116;&#104;&#101; experimental technique. He began treatment in March.</p>
<p> &#8220;They never gave &#097;&#110;&#121; &#102;&#097;&#108;&#115;&#101; promises,&#8221; says Mr Jones. &#8220;It had taken years &#111;&#102; research &#116;&#111; &#103;&#101;&#116; &#116;&#111; this point, and &#116;&#104;&#101; results &#116;&#104;&#101;&#121; had &#119;&#101;&#114;&#101; on &#097; small group. Why &#119;&#111;&#117;&#108;&#100; &#116;&#104;&#101;&#114;&#101; &#098;&#101; &#097; major breakthrough now? &#119;&#101;&#108;&#108;, &#116;&#104;&#101; way I &#115;&#097;&#119; it, why not?&#8221;</p>
<p>For &#116;&#119;&#111; weeks, he &#116;&#111;&#111;&#107; &#097; daily dose &#111;&#102; &#116;&#104;&#101; HIV drug. &#102;&#111;&#114; six more weeks, he underwent daily radiation treatment at Oxford&#8217;s Churchill Hospital. Regular measurements &#111;&#102; tumour markers, which reflect &#116;&#104;&#101; extent &#111;&#102; disease, &#115;&#104;&#111;&#119;&#101;&#100; dramatic improvements. &#098;&#117;&#116; by &#116;&#104;&#101; &#101;&#110;&#100; &#111;&#102; &#116;&#104;&#101; treatment, he felt &#116;&#101;&#114;&#114;&#105;&#098;&#108;&#101;.</p>
<p>&#8220;I felt &#114;&#101;&#097;&#108;&#108;&#121; sick, I couldn&#8217;t eat and I didn&#8217;t have &#109;&#117;&#099;&#104; strength. I &#100;&#101;&#099;&#105;&#100;&#101;&#100; &#116;&#111; &#116;&#097;&#107;&#101; &#097; holiday &#119;&#105;&#116;&#104; &#109;&#121; son in case it was &#116;&#104;&#101; &#108;&#097;&#115;&#116; &#111;&#110;&#101; we had,&#8221; says Mr Jones.</p>
<p>He &#116;&#111;&#111;&#107; &#104;&#105;&#115; son Brett, &#119;&#104;&#111; has Asperger&#8217;s syndrome, &#116;&#111; Canada, where &#116;&#104;&#101;&#121; had &#098;&#101;&#101;&#110; building &#097; holiday home. &#8220;It was &#097; special time, bonding, building this home together. Whatever else happened, I was grateful &#102;&#111;&#114; &#116;&#104;&#097;&#116; time.&#8221;</p>
<p>He returned &#116;&#111; England &#116;&#111; undergo further scans. In June, &#116;&#104;&#101; research team &#097;&#115;&#107;&#101;&#100; &#104;&#105;&#109; &#116;&#111; come &#102;&#111;&#114; &#097; consultation &#119;&#105;&#116;&#104; &#111;&#110;&#101; &#111;&#102; &#116;&#104;&#101; hospital&#8217;s surgeons. &#8220;They &#115;&#104;&#111;&#119;&#101;&#100; &#109;&#101; &#116;&#104;&#101; scan. Where &#116;&#104;&#101;&#114;&#101; had previously &#098;&#101;&#101;&#110; &#097; solid mass &#111;&#102; two-and-a-half inches, &#116;&#104;&#101;&#114;&#101; was now &#097; faint outline, &#119;&#105;&#116;&#104; &#097; hole in &#116;&#104;&#101; middle.&#8221;</p>
<p>The research team and surgeons &#119;&#101;&#114;&#101; cautious, warning &#104;&#105;&#109; it was impossible &#116;&#111; &#115;&#097;&#121; from &#115;&#101;&#101;&#105;&#110;&#103; &#116;&#104;&#101; scans whether &#097;&#110;&#121; &#111;&#102; &#116;&#104;&#101; tissues &#119;&#101;&#114;&#101; cancerous. Nevertheless, says Mr Jones: &#8220;I walked out &#111;&#102; &#116;&#104;&#097;&#116; room feeling 10ft tall.&#8221;</p>
<p>In July, he underwent surgery &#116;&#111; remove &#116;&#104;&#101; mass. It was then &#116;&#104;&#097;&#116; surgeons told &#104;&#105;&#109; &#116;&#104;&#097;&#116; not &#097; single cancer cell had &#098;&#101;&#101;&#110; found; &#101;&#118;&#101;&#114;&#121; deadly tissue had &#098;&#101;&#101;&#110; &#100;&#101;&#115;&#116;&#114;&#111;&#121;&#101;&#100;. He was now &#116;&#104;&#101; &#115;&#101;&#099;&#111;&#110;&#100; &#115;&#117;&#099;&#104; case &#116;&#111; emerge from &#116;&#104;&#101; Oxford trials.</p>
<p>&#8220;They couldn&#8217;t believe it. &#116;&#104;&#101; surgeon &#119;&#104;&#111; operated &#115;&#097;&#105;&#100; he had never &#115;&#101;&#101;&#110; &#097;&#110;&#121;&#116;&#104;&#105;&#110;&#103; like it,&#8221; says Mr Jones.</p>
<p>In &#115;&#117;&#099;&#104; unchartered territory, no &#111;&#110;&#101; &#099;&#097;&#110; predict whether &#104;&#105;&#115; cancer &#119;&#105;&#108;&#108; return.</p>
<p>He says: &#8220;The surgeons &#115;&#097;&#105;&#100; &#116;&#111; &#109;&#101;, &#8216;Don&#8217;t &#116;&#104;&#105;&#110;&#107; in terms &#111;&#102; three years, or &#102;&#105;&#118;&#101; years, you might have &#116;&#119;&#111; decades &ndash; you might have more.&#8217; This time &#108;&#097;&#115;&#116; year I&#8217;d have settled &#102;&#111;&#114; three years. Now I might &#098;&#101; cured.&#8221;</p>
<p>The centre &#105;&#115; &#115;&#116;&#105;&#108;&#108; recruiting patients &#102;&#111;&#114; &#116;&#104;&#101; current trial, which &#119;&#105;&#108;&#108; run &#102;&#111;&#114; &#116;&#119;&#111; years. Scientists like Prof McKenna, &#119;&#104;&#111; returned &#116;&#111; Britain &#116;&#111; set &#117;&#112; &#116;&#104;&#101; institute, after 40 years leading radiation therapy programmes &#097;&#099;&#114;&#111;&#115;&#115; &#116;&#104;&#101; US, believe &#116;&#104;&#101; evidence emerging may &#098;&#101; &#8220;the tip &#111;&#102; an iceberg&#8221; &ndash; giving scientists valuable lessons about ways &#116;&#111; both block &#116;&#104;&#101; progress &#111;&#102; &#109;&#097;&#110;&#121; aggressive cancers, and &#116;&#111; enable &#100;&#105;&#102;&#102;&#101;&#114;&#101;&#110;&#116; types &#111;&#102; tumours &#116;&#111; respond better &#116;&#111; treatment.</p>
<p>But medical breakthroughs &#097;&#114;&#101; expensive. &#116;&#104;&#101; institute, set &#117;&#112; &#106;&#117;&#115;&#116; &#116;&#119;&#111; years ago, receives most &#111;&#102; its funding from Cancer Research UK, which &#105;&#115; funded by donations from &#116;&#104;&#101; public. Prof McKenna has had &#116;&#111; fight hard &#116;&#111; ensure funding &#102;&#111;&#114; research &#105;&#110;&#116;&#111; treatments, &#115;&#117;&#099;&#104; &#097;&#115; radiation therapy, which &#099;&#097;&#110; &#098;&#101; neglected.</p>
<p>&#8220;People dismiss radiotherapy &#097;&#115; somehow &#098;&#101;&#105;&#110;&#103; old-fashioned, &#097;&#115; &#115;&#111;&#109;&#101;&#116;&#104;&#105;&#110;&#103; &#116;&#104;&#097;&#116; &#119;&#111;&#117;&#108;&#100; die out when &#110;&#101;&#119; treatments &#119;&#101;&#114;&#101; &#098;&#101;&#105;&#110;&#103; invented,&#8221; he says. &#8220;Actually, &#116;&#104;&#097;&#116; prediction was almost 100 per cent wrong; some &#111;&#102; &#116;&#104;&#101; most dramatic improvements in cancer over &#116;&#104;&#101; &#112;&#097;&#115;&#116; decade have come from this field.</p>
<p>&#8220;Our teams &#097;&#114;&#101; &#104;&#101;&#114;&#101; and we &#097;&#114;&#101; ready &#116;&#111; go &#116;&#111; work, &#098;&#117;&#116; we &#097;&#114;&#101; totally dependent on &#116;&#104;&#101; generosity &#111;&#102; &#116;&#104;&#101; public &#116;&#111; make &#116;&#104;&#101; breakthroughs we need.&#8221;</p>
<p>&#57357; &#116;&#111; find out about trials &#102;&#111;&#114; advanced pancreatic cancer: rob.ox.ac.uk </p></p>
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