KATHMANDU, Aug 21: For many, a cancer diagnosis still carries an overwhelming sense of fear and uncertainty. Yet the stories of survivors like Basudev Lamichhane and Hira Thapa Magar offer a different message: with early detection, timely treatment and strong support, cancer does not have to define—or end—a person’s life.
Ten years ago, 44-year-old Basudev Lamichhane of Tarkeshwor, Kathmandu, was a young migrant worker in Dubai when he began experiencing rectal bleeding and difficulty passing stool. Believing he had piles, he returned to Nepal and sought treatment at Tribhuvan University Teaching Hospital.
Tests, however, revealed a tumor in his rectum. He was referred to Bhaktapur Cancer Hospital, where a surgical team led by oncological surgeon Dr Punya Kharbuja operated on him within a week. Months of chemotherapy and radiotherapy followed, eventually eliminating the cancer.
The diagnosis of stage-three cancer at the age of 33 left Lamichhane devastated.
"The whole world seemed dark," he recalled.
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What helped him through those difficult months was not only medical treatment but also hope. Dr Kharbuja repeatedly reassured him that recovery was possible, while family members stood firmly by his side.
"My doctor kept telling me not to worry and that I would recover," Lamichhane said.
Today, a decade later, he is cancer-free, leading a normal life and working in the tourism business.
According to Dr Kharbuja, emotional support can be as important as medicine during cancer treatment.
"Treatment alone is not enough. Confidence from doctors and support from family can motivate patients to keep fighting," he said.
Lamichhane's story is echoed by many other survivors, including 42-year-old Hira Thapa Magar of Birgunj.
Eighteen years ago, Magar sought treatment after noticing rectal bleeding. Doctors discovered a tumor in her rectum and referred her for surgery. After undergoing six cycles of chemotherapy, she required removal of the rectum and was fitted with a colostomy.
While the procedure permanently changed her way of life, it did not stop her from living fully.
Today, Magar leads an active life and changes her colostomy bag twice a week as part of her routine. Having adapted successfully, she now counsels other cancer patients, helping them understand that life after a colostomy can remain comfortable, independent and fulfilling.
Doctors say such stories are more common than many people realize.
At Bhaktapur Cancer Hospital alone, around 80 rectal cancer patients seek treatment every year. Most are diagnosed in the second or third stage of the disease. According to Dr Kharbuja, about 60 percent of treated patients go on to achieve long-term survival and continue leading active lives.
Medical experts warn, however, that delayed diagnosis remains a major challenge in Nepal. Many people mistake rectal bleeding for piles and postpone seeking specialist care, allowing the disease to progress.
Doctors advise anyone experiencing blood in the stool to seek medical evaluation promptly. Early detection significantly improves treatment outcomes and survival rates.
They also note that the risk of rectal cancer is higher among people who consume excessive amounts of red meat, live sedentary lifestyles and do not eat enough fiber-rich foods. Some cases are linked to hereditary factors.
Common symptoms include rectal bleeding, narrow stools, difficulty passing stool, fatigue and loss of appetite.
For survivors like Lamichhane and Magar, however, the most important lesson is simple: cancer is no longer the end of the story. With timely treatment, determination and support, many patients are reclaiming their lives and thriving long after diagnosis.
