Dec 05, 2010 - 11:21 am
I am a 63 year old woman who had sudden vaginal bleeding after going through menopause over 20 years ago. I had a complete hysterectomy (ovaries, fallopian tubes, cervix) earlier this month for endometrium cancer (adenocarcinoma). The doctor said the pathology report was "good", ie., stage 1, grade 1, myometrial invasion < 1/2, no lymphatic/vascular invasion, cervix and serosa free of tumor, both ovaries free of tumor, sentinel lymph mode negative for carcinoma, 9 right pelvic lymph nodes negative, 16 left pelvic nodes negative. The pelvic washings were positive. The surgeon and the pathologist have said that they think the positive washing came from contamination during the surgery because the uterus was perforated during the procedure. (I had the robotic assisted daVinci procedure.)
At my follow up visit the doctor told me that except for the positive washings I would be only monitored every 6 months for 3 years and then annually after that. However, the follow-up treatment is less clear cut because of the positive washings, even though they think it was because of contamination. The doctor decided to refer me for genetic counseling to assess my family history, etc. My mother had cancer multiple times, including uterine and breast cancer in her 20s and 30s. But I am an only child have little information about other family members since I lost contact with them MANY years ago. So I'm doubtful what the genetic counseling will do to help.
I am interested in hearing from anyone who has had a similar experience of having positive washings in an otherwise "good" report. Megace was one thing the doctor through out as a possibility, but after reading the side effects I am hesitant to take that route. I am about 10 pounds over weight, take medication for high blood pressure, and am on medication for high cholesterol. I am physically active (I walk about 200 miles a month) and generally in good health. I am very conflicted about this and will appreciate hearing from anyone who may have had or know about positive washings in an otherwise positive pathology report.