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The Swallows Australian Edition Magazine

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CUP<br />

- Robyn Wagner<br />

In January 2012, I found a lump under my jaw,<br />

like a pea under my skin. I was immediately<br />

sent for a scan and biopsy. <strong>The</strong> results came<br />

back as a SCC (Squamous Cell Carcinoma).<br />

<strong>The</strong> tests showed this was my secondary<br />

cancer. After all available tests, there wasn't<br />

any sign of where my primary cancer was.<br />

Finding out I had cancer was devastating, but<br />

not knowing where it was raised even more<br />

emotions – all I could think was ‘how can they<br />

treat me correctly if they don’t know where all<br />

my cancer is?’<br />

I was diagnosed with Cancer of Unknown<br />

Primary, or CUP. It’s one of the forgotten<br />

cancers that is drastically under-researched<br />

here in Australia. Statistically I was told I had<br />

65% chance of surviving three years, and 85%<br />

chance of surviving five years. Weeks and<br />

weeks of tests followed but my primary site<br />

was never found. I eventually had a full neck<br />

dissection, followed by six weeks of daily<br />

radiation on my neck. I suffered many after<br />

effects from the radiation, especially tingling in<br />

my jaw and constant dry mouth.<br />

People diagnosed with CUP tend to feel pretty<br />

alone and confused. CUP is not as well known<br />

by members of the public as other cancers<br />

such as breast, lung or prostate. It made telling<br />

my family and friends even more confusing – “I<br />

have cancer but I don’t know where”.<br />

I am a very strong minded and positive person.<br />

I have had health challenges in the past,<br />

having had emergency surgery for ruptured<br />

appendicitis at 18, and my gall bladder out at<br />

age 35, but a CUP diagnosis was a real shock.<br />

I lost my beautiful mother 21 years ago to<br />

bowel cancer. I often thought that if I was ever<br />

going to get a cancer, it would be bowel. But<br />

my determination and strong will got me<br />

through. I always choose the high road and<br />

focus on the positives in my life. My cancer<br />

battle was the same. Another mountain to<br />

conquer.<br />

<strong>The</strong>re isn’t much information available on CUP<br />

and it was difficult trying to find someone going<br />

through the same experience. This added to<br />

the emotional rollercoaster of dealing with a<br />

cancer you can’t even picture in your body.<br />

At times, it would make me angry. How can<br />

something so life threatening come into my<br />

body, do damage and disappear without<br />

leaving any trace of where it had been?<br />

My friends ask me when I’ll be in remission and<br />

the honest answer is probably never, because<br />

they haven’t found all the cancer. <strong>The</strong>re’s a<br />

great need for more awareness, support and<br />

funding for CUP, and I want to help others get<br />

through their journey.<br />

I met some really inspiring people following my<br />

diagnosis. I was invited to speak at Cancer<br />

Council NSW in Sydney as they were<br />

conducting a research study on CUP. <strong>The</strong>y<br />

released a short video and I was able to share<br />

my story. <strong>The</strong> videos are available on the<br />

Cancer Council website. Going public was a<br />

scary process. However, I am determined to<br />

continue to advocate for Cancer of Unknown<br />

Primary and offer as much hope and support<br />

as I can.<br />

I have just passed my five-year anniversary. I<br />

am still being checked every 12 months.<br />

When my treatment finished I made a bucket<br />

list of all the places I wanted to see in the world<br />

and have been in awe at what my husband and<br />

I have achieved.<br />

Embrace life every day. Life is a precious,<br />

priceless gift that should never be taken for<br />

granted.<br />

To find out more about Robyn’s story visit<br />

www.cupofhope.net.au<br />

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