Dec 24, 2012 - 12:37 am
Hi there girls,
What I'd like to do however is to get a second opinion on the extent of the surgery I had as he removed 18 pelvic nodes, no aortic and only part of the omentum. The surgery was done laparoscopically. The surgeon agreed to be more aggressive if it turned out to be a higher stage but because he thought it was contained to the uterus during the op, and didn't believe it was UPSC despite histology from the D&C he didn't go further. Staging came back high grade serous with positive washings, ovary and possible lymphovascular infiltration.
I'm trying to find out the gold standard for surgery for late stage UPSC and to find out whether it would be of benefit to my survival rates to go back in and get more nodes, particularly the aortic nodes and the rest of the omentum.
The gyn/onc swears he's done enough and emailed me a study from 2005 on lymph removal numbers in early stage endometrial carcinoma. This worried me even more as I am not early stage, nor is this normal endometrial cancer and 2005 is a long time ago I would think.
I've search high and low to find a specialist in Australia who knows about UPSC.
Thanks in advance :)