May 14, 2009 - 3:06 pm
Wow, what a difference in doctors! He was calm, cool, collected, informative, and took the time to actually educate me. He allowed me time for questions, and best of all he made me laugh!! Great bedside manner.
In a nutshell, he explained my pathology. Yes, endometrial tissue was taken from my uterus, but there is no way to be certain where in the uterus it came from. It is dysplastic, as well as in the endocervix with glandular involvement. He said it was squamous not glandular dysplasia, which is common and common is good. Anyway, he gave me treatment CHOICES. I was astonished. He said I could do nothing (not recommended), do the cone, or have a total abdominal hysterectomy. His recommendation was the TAH. His reasoning was it would alleviate the prolapse, abolish the bleeding issues I am still having post ablation, and diagnostically & therapeutically treat the dysplasia, and I'm a candidate because I am done having children (he said I dont HAVE to have the cone like the other doc because of my case circumstances). I didnt feel he was trying to talk me into it, he was straightforward. He said this kind of cancer invades down into the tissue, and we'll only know if its invasive when we get the pathology back. He made no attempts to hypothesize whether my prognosis was good or bad, which I admired. He said if the cancer was invasive, there would most likely be chemo/radition following surgery. He wants to do the surgery Tuesday. I may have to put it off 3 weeks, being I'm a single Mom of 3 with only my working mother to help me out. I have to see what she says.
All I can say is WHEW! I am still standing with one foot on each side of having cancer vs. not having it....but at least now I feel I'm in tune with my doctor and in good hands!