For some people with small intestine cancer, treatment can remove or destroy the cancer. Completing treatment can be both stressful and exciting. You may be relieved to finish treatment, but find it hard not to worry about cancer coming back. When cancer comes back after treatment, it is called a recurrence. This is a very common concern if you've had cancer.
For some people, the cancer may never go away completely. They may get regular treatments, such as chemotherapy, radiation therapy, or other therapies to try to help keep the cancer in check and to help relieve symptoms. Learning to live with cancer that doesn't go away can be difficult and very stressful. It has its own type of uncertainty.
Whether you have completed treatment or are still being treated, your doctors will still want to watch you closely. It’s very important to go to all follow-up appointments, as small intestine cancers can sometimes come back after treatment.
Some treatment side effects might last a long time or might not even show up until years after you have finished treatment. Your doctor visits are a good time to ask questions and talk about any changes or problems you notice or concerns you have.
During your follow-up visits, your doctor will ask about symptoms, examine you, and may order blood tests or imaging tests like CT scans. Your visits will likely be at least once every few months at first. The time between visits might then be extended over time if there are no signs that the cancer has returned.
Talk with your doctor about developing a survivorship care plan for you. This plan might include:
Even after treatment, it’s very important to keep health insurance. Tests and doctor visits cost a lot, and even though no one wants to think of their cancer coming back, this could happen.
At some point after your treatment, you might find yourself seeing a new doctor who doesn’t know about your medical history. It’s important to keep copies of your medical records to give your new doctor the details of your diagnosis and treatment. Learn more in Keeping Copies of Important Medical Records.
If you have (or have had) a small intestine cancer, you probably want to know if there are things you can do that might lower your risk of the cancer growing or coming back, such as exercising, eating a certain type of diet, or taking nutritional supplements. Unfortunately, it’s not yet clear if there are things you can do that will help.
Adopting healthy behaviors such as not smoking, eating well, getting regular physical activity, and staying at a healthy weight might help, but no one knows for sure. However, we do know that these types of changes can have positive effects on your health that can extend beyond your risk of small intestine cancer or other cancers.
So far, no dietary supplements (including vitamins, minerals, and herbal products) have been shown to clearly help lower the risk of small intestine cancer progressing or coming back. This doesn’t mean that no supplements will help, but it’s important to know that none have been proven to do so.
Dietary supplements are not regulated like medicines in the United States – they do not have to be proven effective (or even safe) before being sold, although there are limits on what they’re allowed to claim they can do. If you’re thinking about taking any type of nutritional supplement, talk to your health care team. They can help you decide which ones you can use safely while avoiding those that might be harmful.
If cancer does recur, your treatment options will depend on the location of the cancer, what treatments you’ve had before, and your current health and preferences. For more information on how small intestine cancer is treated, see Treatment Choices for Small Intestine Cancer (Adenocarcinoma), Based on Tumor Spread.
For more general information on dealing with a recurrence, see Understanding Recurrence.
Unfortunately, being treated for cancer doesn’t mean you can’t get another cancer. People who have had small intestine cancer can still get the same types of cancers that other people get. In fact, they are at higher risk for certain types of cancer. For example, they have an increased risk of other digestive tract cancers, especially colon cancer.
Because of this, it’s important to do what you can to lower your cancer risk, such as not smoking, staying at a healthy weight, staying active, and eating a healthy diet. And be sure to talk to your doctor about which cancer screening tests are right for you.
Some amount of feeling depressed, anxious, or worried is normal when cancer is a part of your life. Some people are affected more than others. But everyone can benefit from help and support from other people, whether friends and family, religious groups, support groups, professional counselors, or others. To learn more about this, see Coping With Cancer.
Our team is made up of doctors and oncology certified nurses with deep knowledge of cancer care as well as journalists, editors, and translators with extensive experience in medical writing.
Chamberlain RS, Krishnaraj M, Shah SA. Chapter 54: Cancer of the Small Bowel. In: DeVita VT, Lawrence TS, Rosenberg SA, eds. DeVita, Hellman, and Rosenberg’s Cancer: Principles and Practice of Oncology. 10th ed. Philadelphia, Pa: Lippincott Williams & Wilkins; 2015.
Cusack JC, Overman MJ. Treatment of small bowel neoplasms. UpToDate. Accessed at www.uptodate.com/contents/treatment-of-small-bowel-neoplasms on January 18, 2018.
Doyon L, Greenstein A, Greenstein A. Chapter 76: Cancer of the Small Bowel. In: Niederhuber JE, Armitage JO, Doroshow JH, Kastan MB, Tepper JE, eds. Abeloff’s Clinical Oncology. 5th ed. Philadelphia, Pa: Elsevier; 2014.
National Cancer Institute. Physician Data Query (PDQ). Gastrointestinal Stromal Tumors Treatment. 2017. Accessed at www.cancer.gov/types/small-intestine/patient/small-intestine-treatment-pdq on January 18, 2018.
Stolzenberg-Solomon RZ, Fraumeni JF, Wideroff L, Albanes D, Curtis, RE. New Malignancies Following Cancer of the Digestive Tract, Excluding Colorectal Cancer. In: Curtis RE, Freedman DM, Ron E, Ries LAG, Hacker DG, Edwards BK, Tucker MA, Fraumeni JF Jr. (eds). New Malignancies Among Cancer Survivors: SEER Cancer Registries, 1973-2000. National Cancer Institute. NIH Publ. No. 05-5302. Bethesda, MD, 2006. Accessed at http://seer.cancer.gov/archive/publications/mpmono/MPMonograph_complete.pdf on January 25, 2018.
Last Revised: February 8, 2018