10 years after proton therapy, an esophageal cancer patient is thriving

How monitoring his health due to a family history of cancer led a patient to proton therapy and a ‘fantastic’ care team

Proton therapy patient Keith Abbott recently sent a note to the care team at Fred Hutch – Proton Therapy. “In 2015 [10 years ago], I was diagnosed with stage 3 esophageal cancer,” he wrote. “After consultation, I was scheduled for 28 visits to the proton center... I can honestly say that you guys saved my life. I remain eternally grateful to everyone at Fred Hutch that cared for me back then, and those who continue to do the great work that you do.”

A family of five people stand in front of a Christmas tree.
Abbott poses with his son-in-law, daughter, wife and granddaughter at Christmastime. Photo courtesy of Keith Abbott

Know your family history, know your cancer risk

According to Fred Hutch’s genetic counselors, knowing your family health history is important — and could ultimately be life-saving for you or a family member. Some cancers and diseases are inherited; genetic testing can help you make informed choices to limit your risk. 

Even if you don’t choose to get a genetic test — not everyone is comfortable with that level of information — it’s a good idea to get more frequent preventive tests (such as mammograms for a family history of breast cancer or colonoscopies for a family history of colon cancer).  

Curious about your risk? Reach out to the Fred Hutch Clinical Genetics and Genetic Counseling Service at 206.606.6990. 

Both Abbott’s mother and his uncle had esophageal cancer; his mother died of the disease in 2004. Because of this family history, he had routine preventive scans of his throat and chest every three years. Unfortunately, he missed one of the scheduled scans and later noticed that his breathing felt different. He scheduled an endoscopy, which confirmed the presence of a tumor in the esophagus: stage 3 esophageal cancer

“I was surprised but not shocked, due to my family history,” said Abbott, 60, who worked in Everett, Washington, for a company supplying aircraft parts to Boeing when he was diagnosed. “I immediately went on the offensive. I thought, ‘Let’s do what we have to do.’”

Abbott’s friend, a retired thoracic surgeon, accompanied him to all appointments. 

Together, they consulted with a radiation oncologist who recommended radiation, chemotherapy and surgery as a course of treatment. Abbott recalls that the oncologist told him he might not be eligible for proton therapy because the tumor would move with every breath he took. However, Abbott’s friend wanted to consult with former connections at UW Medicine before Abbott committed to a treatment plan.

To Abbott’s surprise, the team at UW Medicine quickly devised a plan that included proton therapy.

“I consulted with Dr. Jing Zeng,” Abbott said. “She explained everything brilliantly. I had complete faith in her. In fact, the entire team at the center was fantastic, they couldn’t have done more for me.”

Zeng said proton radiation was chosen to minimize the radiation dose to organs in the area, including his heart and lung

“It’s good to hear that he is living well and enjoying great quality of life a decade after his diagnosis and treatment,” she said.

Abbott had proton therapy five days a week for five weeks while also going through a weekly chemotherapy infusion. He would leave work in the afternoon, come in for treatment, then go back to work afterwards. He said he had no side effects to speak of, except for redness at the center of his back where the proton beam entered his body. Even the chemotherapy only made him feel tired for a day, he said, with no other side effects.

“I really didn’t suffer at all,” he said.

Following radiation and chemo, he had surgery to remove an eight-inch section of his esophagus, the very top of his stomach and 28 lymph nodes.

“It turned out that I probably could have avoided surgery, but there was no way to know that ahead of time,” he said. “The proton therapy and chemotherapy really did their jobs.”

Now, Abbott has to sleep somewhat upright, with his head raised on three pillows to prevent acid reflux because there is no lower esophageal sphincter to stop stomach acid from entering his remaining esophagus. He can’t eat as much as he would like because he gets full quite quickly, but he says he can eat pretty much anything he likes at this point.

Even after ten years, Abbott still gets endoscopies, scans and blood draws on a regular basis. To date, he’s experienced no further recurrence of his esophageal cancer, although he was diagnosed with a second primary cancer, prostate cancer, in 2022.

He had surgery for that last year and is continuing to adjust to its aftereffects, but he says his life is “90% back to normal.”

“You just have to deal with what life throws at you,” he said.

Advice for others?

Get checked out regularly,” Abbott said. “If anything is found, act immediately, don’t be afraid. And keep a positive attitude. My oncologist called me Superman, because of how quickly and well I recovered. I attribute it to my positive attitude, my wife’s care and the great team at Fred Hutch.”

These days, he plays golf and spends time with his 4-year-old granddaughter, who keeps him very busy. He has since retired, and he and his wife are now back in North Wales, where he is from.

“I am also looking forward to an upcoming family trip to Australia to see my other two grandchildren,” he said. “I may never have known them but for the wonderful care I received.”

 

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Are you interested in reprinting or republishing this story? Be our guest! We want to help connect people with the information they need. We just ask that you link back to the original article, preserve the author’s byline and refrain from making edits that alter the original context. Questions? Email us at communications@fredhutch.org

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