What is it like to be in remission from cancer?

Almost two years after announcing that he had a lung cancer, Florent Pagny indicated to be officially in remission, in November 2023. If he goes from now on “Alright“, he remains vigilant: “It is no longer me who is in charge, but the illness […] Every three months, everything is called into question. Every two months, even, since I have to go for a new check on January 15th. Even though I got used to feeling better, a simple check can suddenly reshuffle the cards“he told the Journal du Dimanche, on January 7, 2024. What does “being in remission” actually mean?

What is the definition of “remission” or “complete remission”?

“A patient is said to be in “remission” when his condition is stabilized or he presents fewer symptoms of the disease. And it is said in “complete remission” When all signs of the disease have disappeared and more no examination shows any trace of any cancer residue” explains the National Cancer Institute (Inca).

What is the difference between “remission” and “cure”?

“Remission” does not mean “cure”

“Complete remission” does not mean “cure” because a recurrence, even distant, is possible. To determine whether complete remission is – or is not – synonymous with cure, it is necessary wait and watch. The longer a remission lasts, the more likely it is to be permanently cured.

Can we stop treatments in the event of complete remission?

No. Even at the stage of complete remission, it is not possible to interrupt treatments. A “normal” examination result can mean two things:

• Or all the cancer cells have been eliminated. No recurrence will appear subsequently and the patient is definitely cured.
• Either they have not all been eliminated, some have survived but are too small to be detected in exams. The disease may recur.

When in doubt, the patient must continue treatment.

How long does it take to talk about healing?

In cancerology, we must distinguish between “remission” and “cure”. A patient suffering from cancer is said to be “cured” if after a certain period of time, no recurrence of the disease has occurred. Arbitrarily, this deadline is set at 5 years. For certain cancers, particularly those that grow quickly (acute leukemia, aggressive lymphoma…), relapses generally appear in the short term and it is not necessary to wait 5 years without relapse to speak of recovery. Conversely, for slow-growing cancers (like some breast cancers), you have to wait more than 5 years to speak of recovery because relapses can sometimes occur after 20 years.

What is the cure rate depending on the type of cancer?

Currently in France, all cancers combinedalmost 70% of patients are still alive 5 years after the discovery of their illness (Inca figures, updated in 2023).

So-called “good prognosis” cancers:

► Survival rate after 5 years for cancer of the prostate : 93%

► Survival rate after 5 years of melanoma cutaneous: 93%

► Survival rate after 5 years for cancer of the breast : 88%

► Survival rate after 5 years of cancer colorectal : 63%

► Survival rate after 5 years for cancer of the cervix : 63%

So-called “poor prognosis” cancers:

► Survival rate after 5 years for cancer of the central nervous system: 26%

► Survival rate after 5 years for cancer of the lung : 20%

► Survival rate after 5 years for cancer of the liver : 18%

► Survival rate after 5 years for cancer the esophagus : 17%

► Survival rate after 5 years for cancer of the pancreas : 11%