Roll Call For UPSC only

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  • ConnieSW
    ConnieSW Member Posts: 1,678 Member

    Welcome to the Group of Peach Sisters

    I was diagnosed with UPSC June, 2013, complete hysterectomy July, 2013 and path report said it was Stage IIIa.  My reg. gyn only saw endometrial cancer  on the original path report (and thought only hyst. and maybe radiation), so it was a complete shock to find out it was an aggressive cancer and I'd probably have chemo. based on path reports.  So, they found a little tumor in the uterus, found some on the left ovary, a pea sized tumor on the back of my pelvis and some on the paracolic gutter and positive pelvic wash.  My gyn. onc didn't feel radiation would benefit me.   I ended up having 6 rounds of carbo./taxel beginning August, 2013 and ended Jan. 2, 2014.  

    I just had my 1 year post treatment check-up and I am No Evidence of Disease (NED).    I'm surprised that your doctor is not at least doing radiation or chemo. even at Stage I with this aggressive of cancer, but I also know that different doctors have different protocols.  I'm glad you are going for a second opinion.

    This is a great group of women to bounce things off of, to gather information, to laugh with and cry with and everything in between. 

    Keep us posted.  We are here for you.

    Jeanette

    Welcome

    I'm so glad you are going for a second opinion since  the current protocol for UPSC in even an early stage is chemo and brachytherapy.  Who knows what it will be a year from now but all we can do is be aware of the latest science and make our decisions accordingly.  I'm a retired nurse who abhors the notion that our society is big on a pill for everything so it wasn't easy to sit there and watch poison dripping into my body but it seemed my best option.  I want to stick around as long as I can to share my grandchildren's lives.

    take care and keep coming back.  This site is my anchor.

  • NoTimeForCancer
    NoTimeForCancer Member Posts: 3,358 Member
    Delia1969 said:

    Brand newbie UPSC age 45

    Hi,

    this is my first post.

    I learned I had UPSC 2 weeks ago, & am 5 days into recovery from my hysterectomy. will get pathology report in 2 days.

    based on what he knows pre-report, my GYN oncologist, who performed the surgery, believes it's Stage1. But he says stages don't make a big difference, he called UPSC a "nasty" cancer, & said he won't recommend radiation OR chemo because he considers them worthless against future growth. He wants to do obvs only, every 3 months.

    i will be getting at least one second opinion on post-surgery path options. Any doctor recommendations in LA? 

    I look forward to reading stories of all your struggles & little victories, & sharing mine.

    Details about me: I'm 45, never been pregnant, extremely athletic. I believe my cancer is a result of polypectomy 10 years ago (but of course that's just speculation).

    xDelia

    Delia, I am sorry you have

    Delia, I am sorry you have joined our club, but welcome.  A lot of here who have been Stage 1 have received the chemo/radiation treatment.  I know we say be careful what you read on the internet but I have seen some reports where there is a question if radiation is necessary but chemo is always given.  I believed because it was caught (miraculously) at 1A I would not need treatment but it could be a possibility after review.  Well, of course I was devastated to hear I had to have the full monty of treatment but I realized that it was more preventative in nature to kill any random cancer cells floating around. 

    PLEASE get a second opinion on treatment.  UPSC is incredibly agressive and observation is not a treatment I have seen or heard from the leading members of the medical field.  The Foundation for Women's Cancer, which ONLY is in support of "Below the belt" cancers, provides a list to search for a gynecological oncologist in your area.  Here is the link to their site:

    http://www.foundationforwomenscancer.org/find-a-gynecologic-oncologist/

     

  • NoTimeForCancer
    NoTimeForCancer Member Posts: 3,358 Member
    Delia1969 said:

    Brand newbie UPSC age 45

    Hi,

    this is my first post.

    I learned I had UPSC 2 weeks ago, & am 5 days into recovery from my hysterectomy. will get pathology report in 2 days.

    based on what he knows pre-report, my GYN oncologist, who performed the surgery, believes it's Stage1. But he says stages don't make a big difference, he called UPSC a "nasty" cancer, & said he won't recommend radiation OR chemo because he considers them worthless against future growth. He wants to do obvs only, every 3 months.

    i will be getting at least one second opinion on post-surgery path options. Any doctor recommendations in LA? 

    I look forward to reading stories of all your struggles & little victories, & sharing mine.

    Details about me: I'm 45, never been pregnant, extremely athletic. I believe my cancer is a result of polypectomy 10 years ago (but of course that's just speculation).

    xDelia

    From "Management of women

    From "Management of women with uterine papillary serous cancer: A Society of Gynecologic Oncology (SGO)"  yes, it is from 2009 (old to us). 

    Abstract

    Objective

    Uterine papillary serous carcinoma (UPSC) is a clinically and pathologically distinct subtype of endometrial cancer. Although less common than its endometrioid carcinoma (EEC) counterpart, UPSC accounts for a disproportionate number of endometrial cancer related deaths. To date, limited prospective trials exist from which evidence-based management can be developed. This review summarizes the available literature concerning UPSC in an effort to provide the clinician with information pertinent to its management.

    Methods

    MEDLINE was searched for all research articles published in English between January 1, 1966 and May 1, 2009 in which the studied population included women diagnosed with UPSC. Although preference was given to prospective studies, studies were not limited by design or by numbers of subjects given the paucity of available reports.

    Results

    UPSC is morphologically and genetically different from EEC. Women often present with postmenopausal vaginal bleeding, but may also present with abnormal cervical cytology, ascites, or a pelvic mass. In some cases, the diagnosis may be made with endometrial biopsy, while in other cases it is not made until the time of definitive surgery. Metastatic disease is common and best identified via comprehensive surgical staging. Local and distant recurrences occur frequently, with extra-pelvic relapses reported most commonly. Optimal cytoreduction and adjuvant platinum/taxane-based chemotherapy appear to improve survival, while adjuvant radiotherapy may contribute to loco-regional disease control.

    Conclusions

    Women diagnosed with UPSC should undergo comprehensive surgical staging and an attempt at optimal cytoreduction. Platinum/taxane-based adjuvant chemotherapy should be considered in the treatment of both early- and advanced-stage patients. Careful long-term surveillance is indicated as many of these women will recur. Prospective clinical trials of women with UPSC are necessary in order to delineate the optimal therapy for women with newly diagnosed and recurrent disease.

     

  • NoTimeForCancer
    NoTimeForCancer Member Posts: 3,358 Member
    Delia1969 said:

    Brand newbie UPSC age 45

    Hi,

    this is my first post.

    I learned I had UPSC 2 weeks ago, & am 5 days into recovery from my hysterectomy. will get pathology report in 2 days.

    based on what he knows pre-report, my GYN oncologist, who performed the surgery, believes it's Stage1. But he says stages don't make a big difference, he called UPSC a "nasty" cancer, & said he won't recommend radiation OR chemo because he considers them worthless against future growth. He wants to do obvs only, every 3 months.

    i will be getting at least one second opinion on post-surgery path options. Any doctor recommendations in LA? 

    I look forward to reading stories of all your struggles & little victories, & sharing mine.

    Details about me: I'm 45, never been pregnant, extremely athletic. I believe my cancer is a result of polypectomy 10 years ago (but of course that's just speculation).

    xDelia

    Sorry for all the posts,

    Sorry for all the posts, I just want you to have the information I think you might find helpful.

    http://www.montefiore.org/body.cfm?id=1738&action=detail&ref=842

    http://informahealthcare.com/doi/abs/10.1517/21678707.2013.847365

  • Fayard
    Fayard Member Posts: 438 Member
    Delia1969 said:

    Brand newbie UPSC age 45

    Hi,

    this is my first post.

    I learned I had UPSC 2 weeks ago, & am 5 days into recovery from my hysterectomy. will get pathology report in 2 days.

    based on what he knows pre-report, my GYN oncologist, who performed the surgery, believes it's Stage1. But he says stages don't make a big difference, he called UPSC a "nasty" cancer, & said he won't recommend radiation OR chemo because he considers them worthless against future growth. He wants to do obvs only, every 3 months.

    i will be getting at least one second opinion on post-surgery path options. Any doctor recommendations in LA? 

    I look forward to reading stories of all your struggles & little victories, & sharing mine.

    Details about me: I'm 45, never been pregnant, extremely athletic. I believe my cancer is a result of polypectomy 10 years ago (but of course that's just speculation).

    xDelia

    Hola Delia,
    I am sorry you

    Hola Delia,

    I am sorry you had to join this group, but happy you looked for support.

    I live in San Diego. My Gyn/Onco is Afshin Bahador. I was diagnosed at the end of 2010 with Adenocarcinoma, Grade 3 (Clear Cells), Stage 2 because of invasion of the cervix wall of more than 50%.

    I had chemo for 6 months, no radiation. I never had a second opinion; since I thought my doctor’s recommended treatment was logical (I researched treatments online). In fact, his recommended treatment was aggressive because of the type of cancer cells. I do think it is smart to get a second opinion, so you are on the right track!

    I am 46, 42 at the time of diagnosis, never had kids, and weight 117 pounds. One thing my doctor told me was that having children is one of the risk factors to develop this type of cancer, along with overweight, menopause, after 60 and genetics. I was none of the above, except for never being pregnant.

    I have a question, what is obvs? I hope you do not min me asking.

    Hang in there, you came to the right place!

     

  • Delia1969
    Delia1969 Member Posts: 13
    Fayard said:

    Hola Delia,
    I am sorry you

    Hola Delia,

    I am sorry you had to join this group, but happy you looked for support.

    I live in San Diego. My Gyn/Onco is Afshin Bahador. I was diagnosed at the end of 2010 with Adenocarcinoma, Grade 3 (Clear Cells), Stage 2 because of invasion of the cervix wall of more than 50%.

    I had chemo for 6 months, no radiation. I never had a second opinion; since I thought my doctor’s recommended treatment was logical (I researched treatments online). In fact, his recommended treatment was aggressive because of the type of cancer cells. I do think it is smart to get a second opinion, so you are on the right track!

    I am 46, 42 at the time of diagnosis, never had kids, and weight 117 pounds. One thing my doctor told me was that having children is one of the risk factors to develop this type of cancer, along with overweight, menopause, after 60 and genetics. I was none of the above, except for never being pregnant.

    I have a question, what is obvs? I hope you do not min me asking.

    Hang in there, you came to the right place!

     

    Obvs

    Hi Fayard,

    thank you for the note! Are you currently disease free?!

    obvs is just short for observation (sorry, I should have written that out!)

    xDelia

  • AWK
    AWK Member Posts: 364 Member
    AWK said:

    Hi!

    So sorry you joined the club but happy that you found this group.  These women give me so much enouragement!  I live in the San Fernando Valley and am treated at the Leavey Cancer Center in Northridge.  My lead doctor there is Dr. Juan Alcantarr or any of his partners.  Their practice is ranked in the top 100 nationally. The team is affiliated with UCLA.  You definitely want a second opinion.  You will find that almost all of us have been treated aggressively with chemo and radiation (in many cases).  I got a second opinion at the City of Hope in Pasadena Dr. Christina Yeon, my initial diagnosis was from Dr. W. Michael Lin (gyno onc surgeon) who joined City of Hope in the last year.  Dr.  Robert  Morgan  at the Duarte campus  is one of the top gyno oncologists in the field nationally.  UCLA or Cedars are highly recommended too.  i will dig out the name of the doctor at UCLA who is consulting on my case too.  

    In April 2013 I was diagnosed Stage IIIC, second opinion said Stage IVa because of the para aortic involvement and distance from the tumors.  Either way the treatment regime didn't change.  I had a softball sized tumor in my uterus, 81 percent uterine involvement, a walnut sized tumor on my right ovary, cancer in my cervix and three lymph nodes.  All pelvic lymph nodes were removed along with TAH and omentum.  

    Hang tough and fight hard.  Stay strong.

    My treatment regime

    6 carbo / taxol treatments, once every three weeks.  28 topical radiation treatments daily and three brachytherapy treatments, once a week.  

  • AWK
    AWK Member Posts: 364 Member
    Delia1969 said:

    Obvs

    Hi Fayard,

    thank you for the note! Are you currently disease free?!

    obvs is just short for observation (sorry, I should have written that out!)

    xDelia

    Dr. Beth Karlan at UCLA / Cedars

    She is consulting on my case and has treated a couple of other women I have met.  Highly recommended.

  • Delia1969
    Delia1969 Member Posts: 13

    Delia, I am sorry you have

    Delia, I am sorry you have joined our club, but welcome.  A lot of here who have been Stage 1 have received the chemo/radiation treatment.  I know we say be careful what you read on the internet but I have seen some reports where there is a question if radiation is necessary but chemo is always given.  I believed because it was caught (miraculously) at 1A I would not need treatment but it could be a possibility after review.  Well, of course I was devastated to hear I had to have the full monty of treatment but I realized that it was more preventative in nature to kill any random cancer cells floating around. 

    PLEASE get a second opinion on treatment.  UPSC is incredibly agressive and observation is not a treatment I have seen or heard from the leading members of the medical field.  The Foundation for Women's Cancer, which ONLY is in support of "Below the belt" cancers, provides a list to search for a gynecological oncologist in your area.  Here is the link to their site:

    http://www.foundationforwomenscancer.org/find-a-gynecologic-oncologist/

     

    Thank you

    Thank you for this link!! And your strong encouragement about getting further opinions.

    my current gyn onco comes highly recommended as "the best" from 5 independent referrals, but yes, I def will get 2nd & 3rd opinions. Thank you!!!

  • AWK
    AWK Member Posts: 364 Member
    Delia1969 said:

    Brand newbie UPSC age 45

    Hi,

    this is my first post.

    I learned I had UPSC 2 weeks ago, & am 5 days into recovery from my hysterectomy. will get pathology report in 2 days.

    based on what he knows pre-report, my GYN oncologist, who performed the surgery, believes it's Stage1. But he says stages don't make a big difference, he called UPSC a "nasty" cancer, & said he won't recommend radiation OR chemo because he considers them worthless against future growth. He wants to do obvs only, every 3 months.

    i will be getting at least one second opinion on post-surgery path options. Any doctor recommendations in LA? 

    I look forward to reading stories of all your struggles & little victories, & sharing mine.

    Details about me: I'm 45, never been pregnant, extremely athletic. I believe my cancer is a result of polypectomy 10 years ago (but of course that's just speculation).

    xDelia

    Another doctor in L.A.

    Dr. Beth Karlan.  She is consulting with my team.

  • Delia1969
    Delia1969 Member Posts: 13

    Sorry for all the posts,

    Sorry for all the posts, I just want you to have the information I think you might find helpful.

    http://www.montefiore.org/body.cfm?id=1738&action=detail&ref=842

    http://informahealthcare.com/doi/abs/10.1517/21678707.2013.847365

    Thank you, this is great xx

    Thank you, this is great xx

  • Delia1969
    Delia1969 Member Posts: 13
    AWK said:

    Another doctor in L.A.

    Dr. Beth Karlan.  She is consulting with my team.

    Beth karlan

    Thanks AWK,

    I will try to see her for a consult. UCLA doesn't accept my lame insurance :( but I'll pay out of pocket for some things if necessary.

  • AWK
    AWK Member Posts: 364 Member
    Delia1969 said:

    Beth karlan

    Thanks AWK,

    I will try to see her for a consult. UCLA doesn't accept my lame insurance :( but I'll pay out of pocket for some things if necessary.

    Try City of Hope

    They are really flexible on insurance.  And if she can't ask for recommendations to other doctors.  They all seem to really be cooperative with this stuff.  Good luck.  Hugs.  Anne

  • Fayard
    Fayard Member Posts: 438 Member
    Delia1969 said:

    Obvs

    Hi Fayard,

    thank you for the note! Are you currently disease free?!

    obvs is just short for observation (sorry, I should have written that out!)

    xDelia

    Hola,
    Yes, I am, thank GOD!

    Hola,

    Yes, I am, thank GOD! Thank you for clarifying. Let's stay in touch. Here is my personal email address, in case you want to chat: luisafayard@yahoo.com. I may come to visit you or you can come to visit San Diego!

  • california_artist
    california_artist Member Posts: 816 Member
    Fayard said:

    Hola,
    Yes, I am, thank GOD!

    Hola,

    Yes, I am, thank GOD! Thank you for clarifying. Let's stay in touch. Here is my personal email address, in case you want to chat: luisafayard@yahoo.com. I may come to visit you or you can come to visit San Diego!

    So wonderful to see your smiling face again.

    You always have made me just feel great. Lovely you're doing well. I'm in Santa Rosa, just north of San Francisco. Going to the JC here in town with my 19 year old grand-daughter. Michigan was just tooooooooooooooooooooooo cold for us.

    Your friend,

     

    Claudia

  • Delia1969
    Delia1969 Member Posts: 13
    artist49 said:

    UPSC

    I am  65 now and live in NJ.

    I was diagnosed at Sloan Kettering with UPSC at age 61 in September. 2010. My stage was

    4B, grade 3 and cancer was found all over pelvic area  and in all 40 lymph nodes tested. I

    had a hysterectomy which was optimal and then entered a clinical trial at Sloan. 4 months

    of carbo. ixabepilone  and avastin  and then continued with avastin for maintenance till

    October 2013, I have been NED since Feb. 2011.   My ca125 was 53 at diagnosis and is

    currently 1.

    Now for the rest of the story -   In may 2012 I was tested and found to be BRCA 2 positive.

    ! was told  by  the genetics counselor at Sloan that being BRCA  positive can result in longer

    remissions - esp. BRCA 2.

    But, I'm not taking any chances with a horrific diagnosis like mine. I flew to Chicago  to learn about

    diet from Dr. Block. I flew to Durango, Colorado  to become the patient of  the famed naturopath there.

    She counsels me on the phone by monitoring my lab tests. She also OKs my diet.

    I feel great but every CT scan brings on monumental anxiety.  I have a normal life back and

    fear I will lose it again.

    If anyone is interested, I will post my super anti cancer AM smoothie.

     

    Hi Artist49,
     
    How are you

    Hi Artist49,

     

    How are you doing now?

    Would you you be willing to share the info about your naturopath in Durango & the Dr Block you mention?

    I'd like to find a naturopath or integrative oncologist to advise me.

    xxDelia

  • Delia1969
    Delia1969 Member Posts: 13
    lkchapman said:

    UPSC

    Laura. Diagnosed in 2009 at age 46 with stage IIIC2 UPSC. Treated at MD Anderson with up front extended field pelvic XRT and cisplatinum, 3 HDR treatments, then 6 rounds of carbo/taxol combo. NED since.

    How are you doing now?

    Hi Laura,

    how are you doing now? I had about the same diagnosis, age 45, & am just in beginning stages of treatment.  

    xxDelia

  • Delia1969
    Delia1969 Member Posts: 13
    AWK said:

    Try City of Hope

    They are really flexible on insurance.  And if she can't ask for recommendations to other doctors.  They all seem to really be cooperative with this stuff.  Good luck.  Hugs.  Anne

    In Treatment Now (after getting more opinions)

    Wanted to follow up. Thank you to those of you who expressed your logical shock at my surgeon's opinion that no chemo was necessary. That was CRAZY of him! Actually, the MOST current studies I've found say observation onlyI is suffiicient for Stage 1A. But have stage IIIC!! 

     

    I got got my second opinion from the excellent James Heaps at UCLA, & my radiation & medical oncologists at St John's (where I'm being treated) were in agreement, that 6 rounds of carbo-taxol followed by 8 weeks of external radiation & brachytherapy are necessary. (I'm also going to have another kind of chemo during my radiation treatments to address the existence of a separate independent carcinoma found in my cervix after surgery which is related to my having had HPV).

     

    I'm 11 days into my first treatment, feeling pretty good. 

     

    xox

  • artist49
    artist49 Member Posts: 87
    Delia1969 said:

    Hi Artist49,
     
    How are you

    Hi Artist49,

     

    How are you doing now?

    Would you you be willing to share the info about your naturopath in Durango & the Dr Block you mention?

    I'd like to find a naturopath or integrative oncologist to advise me.

    xxDelia

    naturopath - reply to Delia 1969

    Thank G-d I am still in remission, September will be 5 years

    since diagnosis and my doctors at Sloan   constantly express

    astonishment. I first went to Dr,  Block after  1 year of remission.

    Problems - too many supplements, no contact with Dr. Block

    after initial visit, diet kept me hungry all the time.

    Then I travelled to Durango , Co. to Dr. Winters at Namaste

    Health Center. Excellent!!!  Excellent diet,  easy email communication

    with Dr. Winters (she answers immediately), she's an amazing, warm,

    brilliant  person who really cares.    You will always have someone to rely on!

    She has given me excellent advice.

     

  • rdt4
    rdt4 Member Posts: 3
    chemo for UPSC

    hello

     

    my very dear friend was just diagnosed with stage 4 UPSC. they are first doing chemo to shrink the tumors, then surgery. She is going to Sloan kettering. Shs starts chemo next week(taxol/carbo? every three weeks for 18 weeks. I am planning on staying with her next weekend (her first chemo infusion is Friday. Is there anything that I ahould look for in terms of adverse events or reactions?. What is the ususal reaction to the first round of chemo for this disease?  Will she feel tired or sick

     

    thank you and i wish you all good heath