Parents raise awareness of a rare tumour by Natalie McCulloch
Having a relative who is unwell is never easy, even more so possibly when that loved one is a child. Two amazing parents have been kind enough to share their journey with their beautiful daughter’s illness, in the hope that they can raise awareness of their daughter’s condition, encourage other parents affected to seek support early, and raise vital funds for the incredible hospital which provided their care. Emmeline’s parents, Clare and Mike, first realised something wasn’t right with their daughter in July last year. They noticed a small dip in her lower back and though they didn’t think anything of it at first, the area began to swell, and they decided to get it checked. At the local hospital, Clare and Mike were told that their daughter probably had a cyst but were given a referral to the surgical department at the Noah’s Ark Children’s Hospital just in case. While they waited for the appointment, both the lump and the swelling increased and by the August Bank Holiday, Emmeline was in so much pain that she couldn’t sit down and had taken to eating whilst lying on her stomach. Clare says: “We called Noah’s Ark and explained the situation and were told to come straight down. It was a struggle to get Emmeline into her car seat because she was in so much pain. Over the next few days, the doctors did scans and took bloods, and we took it in turns to be with Emmeline as the one parent only policy meant that we couldn’t both be with her at the same time. But when they called us in for the diagnosis, they asked for us both. I thought at the time it was because I was pregnant and they didn’t want me to wait in the car but looking back now, I know why. I honestly don’t think cancer had crossed my mind but somehow when they told us, it didn’t come as a surprise. Emmeline had something called a germ cell tumour on the base of her spine which had already started to move into her coccyx and lungs. The first thing we both wanted to know was “what next” and it was a relief to know they already had it all planned out. Emmeline would have a portacath (a small chamber or reservoir that sits under your skin to administer fluids and treatments for as long as needed via a needle) fitted the next day ready to start six cycles of chemotherapy that would last four months, followed by surgery to remove the tumour.” Germ cell tumour (GCT) is a type of tumour that usually develops within the ovaries or testes. There are many types of germ cell tumours and only some of them are cancer. Germ cell tumours are rare and account for 5% of
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all childhood cancers. Germ cells are the cells that develop into sperm and eggs. Thankfully Emmeline responded well to the treatment, but it took a while for her to adapt to her new situation and surroundings. Usually, a very active and independent toddler, Emmeline was now attached to tubes and drips, and the familiarity of her home and family were suddenly replaced by an unfamiliar hospital and strangers doing things to her that she didn’t understand. For Clare, seeing her usually happy and easy-going toddler both in pain and distress was by far the hardest part. Clare says: “For Mike and I, juggling Emmeline’s treatment routine became our new normal. It was incredibly hard not to be together while Emmeline was in hospital, but we just got through it because we had to. Mike was fitting hospital visits around work, and I could only care for Emmeline during her time at home because I was heavily pregnant. There was a risk to the baby being in hospital for her radioactive scans and it was uncomfortable to sit for hours while she had treatment. This was heart breaking because it meant I wasn’t able to be with her and we couldn’t be there together during her chemo. And of course, there was the added difficulty of having to keep our distance from friends and family who would usually have been there to help.” Emmeline had her last course of chemotherapy on New Year’s Day and a successful operation to remove the remainder of the tumour at the end of January. She recovered well and only had to return to the hospital for check-ups. By April, with a date to have Emmeline’s portacath removed in the diary, Clare and Mike were allowing themselves to plan for a family life after cancer treatment. Unfortunately, this was short lived. A routine blood test showed a slight increase in infection markers and a follow up check revealed further elevation. Though smaller and flatter this time, Emmeline’s tumour had returned and the family, now with the new addition of baby Edward, were back on the rollercoaster. Clare says: “That news was like a kick in the stomach, but we comforted ourselves with the knowledge that the treatment worked last time and that this time the tumour was smaller and more contained. Because Emmeline’s body may have built up an immunity to the previous type of chemotherapy, she was now on a different type of protocol which meant she had to stay in hospital for five nights and six days every three weeks. The good thing being that even
