CAT Scans and CA125 testing for follow-ups for advanced cancer

Tikvah
Tikvah Member Posts: 24

Hi,

I just elected not to have a CAT scan.

I'm 1-1/2 years from my radical hysterectomy (stage 3 -- spread to nodes, 93% through uterine wall, positive washings)

and 1 year since I finished treatment.  Often, my oncologist forgets to order CA-125 and he said that CAT scans do not really change overall prognosis, that often they will pick up something else that requires follow-up, fear, and turns out to be nothing.

I elected not to have a follow-up CAT scan.  Got no results of my blood work (outside of CBC, which is practically on the spot), so I think he forgot, again, to order CA-125.

Do you have follow-up CAT scans?

I'm unsure I made the right choice, sort of feel like I'm giving up or just letting fate take its course.  Don't know.

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Comments

  • NoTimeForCancer
    NoTimeForCancer Member Posts: 3,358 Member
    CAT scans and CA125

    CAT scans and CA125 monitoring are TOOLS.  I think from what I have read from the other ladies, even when their CA125s rise they aren't automatically whisked off for a CAT scan.  A cold or slight infection can make the CA125 pop up a little little, but again, it is just a tool in the toolbox. 

    I see women on here getting CAT scans quite a bit.  I think that is all over the board.  Some get them and others don't.

    I asked my doctors, "What am I looking for?"  I was told nausea, bloating, diarrhea.  Obviously bleeding is also an immediate concern, but I still get some on my dialator after almost 3 years, and I know it is because of that damg internal radiation. 

    I would be concerned with a doctor who "forgets" to order part of a test.  I hate getting poked so they better be sticking me for a good reason. I would recommend verifying with the onc's office before I got a blood draw again.  For some women the CA125 is a good indicator.

  • Kaleena
    Kaleena Member Posts: 2,088 Member
    I do not get a CA-125.  I

    I do not get a CA-125.  I haven't had one for several years.  Mine was never an indicator.   With regard to Scans, only recently I have been getting a lot of them, mainly PET scans.   It also depends on insurance companies.   I was denied a PEt but had to have a repeat Ct first then get a PEt.   Makes no sense.

    I went several years without get scanned.   I became nervous about it because really why the need to see my oncologist.  He asks a few questions gives you and internal and sends you off.   My blood work always was within normal limits and even when it wasn't no one was concerned.   It is really confusing.

    I am only getting scanned now because I have a 6 cm mass which is mild to moderately PET active.   If you are not having any problems like that then I probably wouldn't get them either.   Prior to that, I was only getting them once a year after my initial treatment.

    Kathy

    (Diagnosed Stage 3a, Grade 2 endometrial adenocarcinoma)

  • TeddyandBears_Mom
    TeddyandBears_Mom Member Posts: 1,811 Member
    Tikvah - Please don't give up!

    I have zero experience with this at this time. But, it sure seems like a second opinion on your care is needed. Is it your GYN-Oncologist that is forgetting? Or, a local Oncologist? My local oncologist has ordered a CA125 for me two times already and I haven't even had my surgery yet. He is comparing it before and will do so after as well. I had a D&C and polyps removed which got me on this cancer path. And, my introduction to the local Oncologist. You answered one of my post and I feel like we are all in this together! Sooo, I wanted to reach out to you even though I don't have information to offer up.  :-( 

     

    No Time for Cancer - You said something that enlightened me.... After 3 years you STILL have to use the dialator? Does that mean that once we have that internal radiation we will always be scarred and have to do that?

  • TeddyandBears_Mom
    TeddyandBears_Mom Member Posts: 1,811 Member
    Kaleena said:

    I do not get a CA-125.  I

    I do not get a CA-125.  I haven't had one for several years.  Mine was never an indicator.   With regard to Scans, only recently I have been getting a lot of them, mainly PET scans.   It also depends on insurance companies.   I was denied a PEt but had to have a repeat Ct first then get a PEt.   Makes no sense.

    I went several years without get scanned.   I became nervous about it because really why the need to see my oncologist.  He asks a few questions gives you and internal and sends you off.   My blood work always was within normal limits and even when it wasn't no one was concerned.   It is really confusing.

    I am only getting scanned now because I have a 6 cm mass which is mild to moderately PET active.   If you are not having any problems like that then I probably wouldn't get them either.   Prior to that, I was only getting them once a year after my initial treatment.

    Kathy

    (Diagnosed Stage 3a, Grade 2 endometrial adenocarcinoma)

    Doctor's Roles

    Kaleena, I'm confused on the roles. I'll be asking my GYN-ONC when I see him but thought I would throw this at you now....

    I thought the role of the GYN-ONC is to do the exams, surgery and determine the course(s) of treatment. Then, the local Oncologist administers the chemo, etc.  So, based on what you are saying, the local Oncolgist does internal exams too? Good grief.  I probably sound really dumb but I just don't get it.  Appreciate any insight you can provide. Cindi

  • Kaleena
    Kaleena Member Posts: 2,088 Member

    Doctor's Roles

    Kaleena, I'm confused on the roles. I'll be asking my GYN-ONC when I see him but thought I would throw this at you now....

    I thought the role of the GYN-ONC is to do the exams, surgery and determine the course(s) of treatment. Then, the local Oncologist administers the chemo, etc.  So, based on what you are saying, the local Oncolgist does internal exams too? Good grief.  I probably sound really dumb but I just don't get it.  Appreciate any insight you can provide. Cindi

    TeddyandBears:
    My gyn-onc

    TeddyandBears:

    My gyn-onc does everything.  I didn't have a separate oncologist for chemo.   I have a gyne/oncologist (who does the work as a gynecologist and oncologist)(I had my chemo through him also), and my radiation/oncologist (he performed the radiation and follow-ups)

    Also, my gyne/onc is also a surgeon.

    Hope I wasn't too confusing!  lol

    Kathy

  • Kaleena
    Kaleena Member Posts: 2,088 Member

    Tikvah - Please don't give up!

    I have zero experience with this at this time. But, it sure seems like a second opinion on your care is needed. Is it your GYN-Oncologist that is forgetting? Or, a local Oncologist? My local oncologist has ordered a CA125 for me two times already and I haven't even had my surgery yet. He is comparing it before and will do so after as well. I had a D&C and polyps removed which got me on this cancer path. And, my introduction to the local Oncologist. You answered one of my post and I feel like we are all in this together! Sooo, I wanted to reach out to you even though I don't have information to offer up.  :-( 

     

    No Time for Cancer - You said something that enlightened me.... After 3 years you STILL have to use the dialator? Does that mean that once we have that internal radiation we will always be scarred and have to do that?

    teddyandBears:
    It was my

    teddyandBears:

    It was my understanding that you either had to use the dilator or if you were sexually active (at least 3 times a week) then you didn't need to use the dilator.

  • NoTimeForCancer
    NoTimeForCancer Member Posts: 3,358 Member

    Tikvah - Please don't give up!

    I have zero experience with this at this time. But, it sure seems like a second opinion on your care is needed. Is it your GYN-Oncologist that is forgetting? Or, a local Oncologist? My local oncologist has ordered a CA125 for me two times already and I haven't even had my surgery yet. He is comparing it before and will do so after as well. I had a D&C and polyps removed which got me on this cancer path. And, my introduction to the local Oncologist. You answered one of my post and I feel like we are all in this together! Sooo, I wanted to reach out to you even though I don't have information to offer up.  :-( 

     

    No Time for Cancer - You said something that enlightened me.... After 3 years you STILL have to use the dialator? Does that mean that once we have that internal radiation we will always be scarred and have to do that?

    Well, I am not married and

    Well, I am not married and telling a guy you had uterine cancer is a real downer :)  Internal radiation causes your vagina to shrink.  I asked the doctor HOW LONG do I have to use the dialator and was told, "for the rest of your life".  Ok then. 

    It breaks my heart to hear women say that internal exams leave them having to be practically peeled off the ceiling because of the pain.  The dialator isn't so bad.  It makes for HYSTERICAL experiences at the TSA screening at the airport.  :)  Yes, I have had them stop and look.  Fortunately, I am NOT embarrassed having battle this beast and any chance I get to talk about it, even to the TSA screeners - I will!

    To all the newbies - it took me awhile to get here in my mind.  Please don't get too far ahead of yourself on things.  Take things a step at a time and ask all the questions you want.  A dear, sweet, lovely lady, Jan, posted the need to use the dialator everyday.  She was a blessing to all of us who met her through this site, and I would agree with her. 

  • TeddyandBears_Mom
    TeddyandBears_Mom Member Posts: 1,811 Member
    Kaleena said:

    teddyandBears:
    It was my

    teddyandBears:

    It was my understanding that you either had to use the dilator or if you were sexually active (at least 3 times a week) then you didn't need to use the dilator.

    Can't Resist....

    I'm sure my husband will be HAPPY to help out!  Laughing  Let's not share that information though.  lol lol lol

  • TeddyandBears_Mom
    TeddyandBears_Mom Member Posts: 1,811 Member

    Well, I am not married and

    Well, I am not married and telling a guy you had uterine cancer is a real downer :)  Internal radiation causes your vagina to shrink.  I asked the doctor HOW LONG do I have to use the dialator and was told, "for the rest of your life".  Ok then. 

    It breaks my heart to hear women say that internal exams leave them having to be practically peeled off the ceiling because of the pain.  The dialator isn't so bad.  It makes for HYSTERICAL experiences at the TSA screening at the airport.  :)  Yes, I have had them stop and look.  Fortunately, I am NOT embarrassed having battle this beast and any chance I get to talk about it, even to the TSA screeners - I will!

    To all the newbies - it took me awhile to get here in my mind.  Please don't get too far ahead of yourself on things.  Take things a step at a time and ask all the questions you want.  A dear, sweet, lovely lady, Jan, posted the need to use the dialator everyday.  She was a blessing to all of us who met her through this site, and I would agree with her. 

    you are an inspiration...

    I asked my OBG/ONC's nurse why the heck GYNs don't use some kind of numbing cream for women that have pain. She said that it is too high up to help. I think I will continue to ask that question because pain management in this day and age is available. We should not have to hurt. When I had my bladder camera, the doc used the cream in my urethra. I just don't see the difference. Seems like the DISTANCE to the goal would be similar!  Sorry for the tangent!

    Anyway... I appreciate your candor and input and always look forward to your responses. As I'm sure you know... it is hard not to skip ahead to the next steps. What I find very helpful is the advance on information so that I have a better starting place on what to ask the doctor.

    OK, so my goal is to reach my 85th birthday. Using a dialator every day is a small price to pay in the overall scheme of things.

    Thanks again for your continuous support.

    Cindi

  • TeddyandBears_Mom
    TeddyandBears_Mom Member Posts: 1,811 Member
    Kaleena said:

    TeddyandBears:
    My gyn-onc

    TeddyandBears:

    My gyn-onc does everything.  I didn't have a separate oncologist for chemo.   I have a gyne/oncologist (who does the work as a gynecologist and oncologist)(I had my chemo through him also), and my radiation/oncologist (he performed the radiation and follow-ups)

    Also, my gyne/onc is also a surgeon.

    Hope I wasn't too confusing!  lol

    Kathy

    Thanks!

    You are not confusing at all!  Thanks for the response. I suspect it is my situation that is different. Since I am 80 miles from Moffitt - where my surgery will be done; there is a local Oncologist  that will partner with my surgeon to do the chemo. It is much more convenient for me. I just will make sure we all have an understanding of who will do what to me. I'm a bit particular when it comes to who I will put my feet in the stirrups for!  ha!  Thanks again Kaleena.  Cindi

  • Kaleena
    Kaleena Member Posts: 2,088 Member

    you are an inspiration...

    I asked my OBG/ONC's nurse why the heck GYNs don't use some kind of numbing cream for women that have pain. She said that it is too high up to help. I think I will continue to ask that question because pain management in this day and age is available. We should not have to hurt. When I had my bladder camera, the doc used the cream in my urethra. I just don't see the difference. Seems like the DISTANCE to the goal would be similar!  Sorry for the tangent!

    Anyway... I appreciate your candor and input and always look forward to your responses. As I'm sure you know... it is hard not to skip ahead to the next steps. What I find very helpful is the advance on information so that I have a better starting place on what to ask the doctor.

    OK, so my goal is to reach my 85th birthday. Using a dialator every day is a small price to pay in the overall scheme of things.

    Thanks again for your continuous support.

    Cindi

    Cindi:
    Here's another thing -

    Cindi:

    Here's another thing - if you use any types of creams, KY jellies, etc., and you still get PAP smears (I got them each time until last year with my new doctor), sometimes you can get an abnormal reading on PAPs if you use jellies a day or two before being tested.

    Also, just to let you know, I decided not to use the dilator after about a year.   The big thing about that is that scarring or thickening can occur by the vaginal cuff sometimes making it difficult to see if anything is developing there.   I just took my chances so I haven't used one since 2007. 

    Kathy

  • Editgrl
    Editgrl Member Posts: 903 Member

    Thanks!

    You are not confusing at all!  Thanks for the response. I suspect it is my situation that is different. Since I am 80 miles from Moffitt - where my surgery will be done; there is a local Oncologist  that will partner with my surgeon to do the chemo. It is much more convenient for me. I just will make sure we all have an understanding of who will do what to me. I'm a bit particular when it comes to who I will put my feet in the stirrups for!  ha!  Thanks again Kaleena.  Cindi

    Very interesting

    I'm finding the different approaches as far as which doctor does what very interesting.  My gyn/oncologist, who did the surgery, told me that I would have a team of doctors coordinating my treatment.  He for surgical, a medical oncologist, and a radiation oncologist.  I am also investigating whether my HMO has an integrative oncologist on staff.  I know there is one within another health care system locally who I would be willing to pay for out of pocket if my HMO does not have that option.

  • molimoli
    molimoli Member Posts: 514
    A bunch of ladies sounding like a bunch of ladies.lol

    Ladies, today you are all informants,consolants, advisers and a raunchy bunch to boot. I feel like I am in a room full of buddies.Love it ,love the thought of you all out there, love the comradeship.

    Nuff nuff love my sisters with pained bodies, we'll be each other's  tylenol , (raunchy ole bunch)

    Renewed health -my wish for all.

                                                Moli

  • AWK
    AWK Member Posts: 364 Member

    Can't Resist....

    I'm sure my husband will be HAPPY to help out!  Laughing  Let's not share that information though.  lol lol lol

    So funny!

    When the radiation nurse went through the whole talk with me about scarring etc due to the brachytherapy and talked about the dilutator she ended it with - there is an easier way to go - sex with your husband at least three times per week.  I was beet red but managed to tell her that I was pretty sure she just became his favorite person on my medical team.  We still laugh about it.

  • TeddyandBears_Mom
    TeddyandBears_Mom Member Posts: 1,811 Member
    Editgrl said:

    Very interesting

    I'm finding the different approaches as far as which doctor does what very interesting.  My gyn/oncologist, who did the surgery, told me that I would have a team of doctors coordinating my treatment.  He for surgical, a medical oncologist, and a radiation oncologist.  I am also investigating whether my HMO has an integrative oncologist on staff.  I know there is one within another health care system locally who I would be willing to pay for out of pocket if my HMO does not have that option.

    9 days post surgery. How are you feeling Chris?!

    Thinking of you! Glad to see your post.

  • TeddyandBears_Mom
    TeddyandBears_Mom Member Posts: 1,811 Member
    AWK said:

    So funny!

    When the radiation nurse went through the whole talk with me about scarring etc due to the brachytherapy and talked about the dilutator she ended it with - there is an easier way to go - sex with your husband at least three times per week.  I was beet red but managed to tell her that I was pretty sure she just became his favorite person on my medical team.  We still laugh about it.

    Agree!

    Anne, great story. I think we have to try and find humor whenever we can. Life is just too precious to be sad.

    While I know it is unrealistic to expect all good days, I want to do whatever I can to maintain my "normal".

    Thanks for sharing.

  • TeddyandBears_Mom
    TeddyandBears_Mom Member Posts: 1,811 Member
    molimoli said:

    A bunch of ladies sounding like a bunch of ladies.lol

    Ladies, today you are all informants,consolants, advisers and a raunchy bunch to boot. I feel like I am in a room full of buddies.Love it ,love the thought of you all out there, love the comradeship.

    Nuff nuff love my sisters with pained bodies, we'll be each other's  tylenol , (raunchy ole bunch)

    Renewed health -my wish for all.

                                                Moli

    Humor

    Moli, So glad you replied! Being new to this board, I wasn't sure how well my humor would be received.

    What I know for myself.... I want to maintain my positive approach to life. I think that is what scares me the most... Possibly losing my even keeled personality and appreciation for all living things. I do much better when I smile and push forward than when I give into the fears of the unknown.

    To all ladies on the board - Once again... thanks for being here (and sorry!) ... And for letting all of us be who we are and for being able to ask the questions. I think we have to leave embarrasement out of this and get on with things. Easier said than done for me but I'm trying hard to do that. The discussions on the most personal levels is very helpful! No Time for Cancer-I hope I get to the level you are on that front!

    Love to all!  Cindi

  • Editgrl
    Editgrl Member Posts: 903 Member

    9 days post surgery. How are you feeling Chris?!

    Thinking of you! Glad to see your post.

    I'm doing well

    I think.  I am walking 20+ minutes at least twice a day and could do more, but I am trying to be good and not push it.  I have been out of the house to lunch, grocery shopping, a trip out to the barn. I was taking Norco only at night occasionally for pain once I got out of the hospital and haven't taken it for the last few nights at all.  Finally, that gas has completely dissipated and I am almost back to my normal sleeping pattern, except for having to get up at night to pee.  

    I had my BF bring my bike in and set it up on the trainer and will try to get on it sometime this week.  I do have a swollen tummy which I guess takes quite a while to go down, but no pain in the incisions.  However, bike shorts are out of the question for the time being lol. The worst thing has been a water blister the size of Chicago which is now diminishing.  

    I am trying to keep myself hydrated and to gain back the weight I lost pre/post surgery with the clear iquid diet.  The morning of the surgery I was below 90 pounds!  My fighting weight is 95-96. I think I have the metabolism of a hummingbird, so today I am planning on having something in my piehole almost every waking moment.  I don't own a scale, but I can tell by the way my body looks that I still have several pounds I need to gain.  Not the usual problem, I know, but there it is.

    You will sail through your surgery, Cindi.  Make sure you take some sort of lipbalm.  The hospital was very dry.

  • molimoli
    molimoli Member Posts: 514

    Humor

    Moli, So glad you replied! Being new to this board, I wasn't sure how well my humor would be received.

    What I know for myself.... I want to maintain my positive approach to life. I think that is what scares me the most... Possibly losing my even keeled personality and appreciation for all living things. I do much better when I smile and push forward than when I give into the fears of the unknown.

    To all ladies on the board - Once again... thanks for being here (and sorry!) ... And for letting all of us be who we are and for being able to ask the questions. I think we have to leave embarrasement out of this and get on with things. Easier said than done for me but I'm trying hard to do that. The discussions on the most personal levels is very helpful! No Time for Cancer-I hope I get to the level you are on that front!

    Love to all!  Cindi

    Being on P's and Q's all the time is tantamount to imprisonment

    Cindy my humourous sister, my posts are usually about living today as if tomorrow is a pipe dream ,be yourself always  bring the laughter forward  all the time,everytime, we all can do with it. It's not written any where that cancer 'must' take fun and laughter out of our lives,Then Cancer will have won even before it fulfills it's nasty plan for us, plans we are fighting daily ,we will fight with determination and humor,raunchy or not we are big girls , and if a few guys are on ,then God help them, if they read the postings here they already know much more than we would have disclosed ,willingly. It's a good thing. Any shame and inhibitions I had was left on the operating room table, with all the other parts they took from me , leaving me with this room with all the furnitures missing, and I am going to worry about a joke, Naah!!

    Keep it coming,Nuff love.

  • molimoli
    molimoli Member Posts: 514

    Humor

    Moli, So glad you replied! Being new to this board, I wasn't sure how well my humor would be received.

    What I know for myself.... I want to maintain my positive approach to life. I think that is what scares me the most... Possibly losing my even keeled personality and appreciation for all living things. I do much better when I smile and push forward than when I give into the fears of the unknown.

    To all ladies on the board - Once again... thanks for being here (and sorry!) ... And for letting all of us be who we are and for being able to ask the questions. I think we have to leave embarrasement out of this and get on with things. Easier said than done for me but I'm trying hard to do that. The discussions on the most personal levels is very helpful! No Time for Cancer-I hope I get to the level you are on that front!

    Love to all!  Cindi

    Fears

    We must never succumb to fears of the unknown .It's a waste of preious time that we can hardly afford. I  'got' it ,hope all of you will get it in a hurry,Fear kills off fighting spirit.

    I've been there ,done that, never again, life's happenings can't frighten me again.I lost too much letting it. I have fast tracked my catching up and there is no stopping me. I am pumped.

                                                                                    From me to you all with your best interest in mind.. Moli.