HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Have Had A Total Hysterectomy. Had Omentum And Appendix Removed, Ovarian Cancer Diagnosed. Chemo Therapy?

Hi Doctor, I have had a total hysterectomy 7 weeks ago, my omentum and appendix were also removed as were several lymph nodes - para aortic etc, I had 2 masses on both ovaries and pathology came back as diagnoses borderline ovarian cancer stage IIIc, however all results from surgery came back as non invasive implants but my surgeon and oncologist (both had a conference) are recommending chemo t taxol and carbo 6 cycles, my understanding is that you do not need chemo for borderline and this is extremely confusing. Mu oncologist says they may be over treating me and want me to have this chemo as there was extensive desease outside the ovary - however nothing invasive showed up from the labs ??????? help
Tue, 25 Dec 2012
Report Abuse
General Surgeon,  's  Response
Dear madam. I understand you and your concern, but it is not possible to evaluate agressivity of tumor by lab parameters. It can be evaluated only by surgeon during the procedure and PHD analysis. Stage IIIc means serious involvement of ovary and structures around it or lymph nodes. It needs to be treated more agresively than stage II and i recommend you to do chemotherapy despite its complications. Ovarian cancers unfortunately are almost the worst ones and you shouldnt do any compromise. Even if it seems to be borderline without detected invasive implants there can be some micro-metastasis which wont be seen during the surgical procedure. Chemoth can be very preventive and therapeutic and you will feel safer.

Wish you good health
I find this answer helpful
Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Recent questions on Ovarian cancer


Loading Online Doctors....
Have Had A Total Hysterectomy. Had Omentum And Appendix Removed, Ovarian Cancer Diagnosed. Chemo Therapy?

Dear madam. I understand you and your concern, but it is not possible to evaluate agressivity of tumor by lab parameters. It can be evaluated only by surgeon during the procedure and PHD analysis. Stage IIIc means serious involvement of ovary and structures around it or lymph nodes. It needs to be treated more agresively than stage II and i recommend you to do chemotherapy despite its complications. Ovarian cancers unfortunately are almost the worst ones and you shouldnt do any compromise. Even if it seems to be borderline without detected invasive implants there can be some micro-metastasis which wont be seen during the surgical procedure. Chemoth can be very preventive and therapeutic and you will feel safer. Wish you good health