Jul 17, 2006 - 1:34 pm
I had my follow-up appointment with the gyn-oncologist who performed my surgery (done on 7/3- total hysterectomy, omentumectomy, lots of tumors throughout abdomen removed). He said that the pathology results are not done yet because the histology was sent to Brigham-Young for futher consideration.
He said the good news is that the cancer is thought to be of low malignant potential (LMP). He explained that such cancer is often non-invasive and such carcinomas are not treated but watched over time. Intervention would only be required if tumors are causing problems (blockages, etc). In my case, there is a question of the degree of invasiveness of the tumors to surrounding tissues. If the cancer is deemed "invasive" it is thought to be a cancer that is well differentiated which is "good" news.
The tricky part is that if this is non-invasive LMP it is contra-indicated to receive treatment as chemo therapy often turns this cancer into an aggressive type. However, if it is invasive and well-differentiated, then chemo therapy is the treatment of choice (and this form is known to respond well to chemo).
He said that this explains my relatively low CA 125 result (144). Because the cancer is of low malignancy and perhaps minimally/no invasiveness that my body does not recognize it through a typical response that is sensitive to CA125. He said that it also explains why I had no symptoms of pain because there was no response via inflammatory process from my body.
Geez, I guess this is good news??!!??? Meanwhile, I have to wait 2 more weeks for results. He expressed surprise by this "good" finding/s. I came away from the appointment with a sense of relief, but feel anxiety rising as I ask myself questions about why I had to have a total hysterectomy (at age 37) and concern over being properly diagnosed and treated correctly to avoid an aggressive cancer.
Any insight? Hope you are all well today,