Letrozole, recent stage 1 diagnosis and menopause stuff.

amieek
amieek Member Posts: 1 Member
edited March 2022 in Ovarian Cancer #1

Good afternoon,

I am here to ask a few questions and try to connect with community.

I am on letrozole for treatment of stage 1 ovarian cancer. I was grade 1 (endometroid type) but there was a surgical spill involved so the Letrozole is helping keep things from growing back (hopefully). :) I also had a full and radical hysterectomy in December.

I am in the Austin area and I would love to know a couple of thoughts from the group if possible and if you want to share. Thank you so, so much in advance:

  1. would anyone in this area like to meet up and are there any local support groups for this situation ?
  2. Is anyone experiencing lower back/side pain from Letrozole?
  3. Any suggestions on skin care products that are safe for someone with estrogen driven cancer?
  4. how long did it take you to not feel weird on the insides after hysterectomy? I'm 12 weeks out and can still feel things internally. I have IBS as well and it kind of complicates things at times.

Comments

  • SpringerSpanielMom
    SpringerSpanielMom Member Posts: 137 Member

    I am in the Austin area. Not so much of the rest of your post applies, but I'd like to meet up after early May. (I'm still in isolation and hope to travel soon, so I can't get sick.) I'm MMMT-E carcinosarcoma of the uterus, Stage 1A. I felt fine inside after the hysterectomy almost immediately. I have to stay on top of IBS type issues.

    Barbara

  • redmeptive_belle
    redmeptive_belle Member Posts: 3 Member

    I feel pretty normal (from the complete abdominal hysterectomy) and I’m almost 2 months out. I’m still sore at and around incision line but otherwise ok. So about your treatment plan... I had stage Ic grade 2 endometriod. Diagnosed during a “routine” surgery to remove endometriosis for about the fourth time. Because of the spill, I am doing the recommended protocol (two chemo, 6 rounds). Is it because you are a grade I you are taking Letrozole?

  • pbrewwheeler3
    pbrewwheeler3 Member Posts: 6 Member

    Hello everyone! I’m new here and was diagnosed with ovarian cancer. A huge growth was on my right ovary and was removed February 2. Once the growth was found - I was experiencing pain in my right pelvic area- I went back to my gynecologist and they did a CA-125 and my numbers were about 16. The growth was removed with a full abdominal cut and a full hysterectomy was done along with removal of some lymph nodes. Cancer was only found in the growth not in any lymph nodes. My gynecologist oncologist recommends chemo - 6 cycles every 21 days. I’m not sure yet what chemo medications they will be recommending. Has anyone else experienced a low CA-125? My ovarian cancer is stage 1.

  • redmeptive_belle
    redmeptive_belle Member Posts: 3 Member

    hi. Mine was 18. I had stage 1c grade 2. My gyn/onc said you can’t really rely on ca125 but is the only diagnostics they have for ovarian outside of surgery I guess. He seemed to suggest it can be used later after treatment is complete to monitor. After my first round ( about to have my third) CA125 was 6. You will most likely be on taxol and carboplatin. Taxol is given first after a bunch of pre meds. Starts at 3 hour infusion. Then carboplatin is given. It’s I think about 30 minutes. If you would like to know more I’m happy to discuss the meds but people can react so differently i wouldn’t want you to base my experience on what to expect.

  • pbrewwheeler3
    pbrewwheeler3 Member Posts: 6 Member

    Thank you so much for your input. I will let you know after I see my oncologist. Blessings to you🙏

  • thatblondegirl
    thatblondegirl Member Posts: 388 Member

    Hi, Ladies

    I usually hang out on the Uterine board where we are very active! But I check here occasionally!

    I was diagnosed August 2920: Stage II, Fallopian tube cancer, secondary peritoneal ( in my pelvis), both endometriod adenocarcinoma. CA125 before diagnosis: 20.

    There are many threads on the UB related to 1) chemotherapy…many of us had a paclitaxel & Carboplatin combination. …Many have experience with 2) radiation & there are several threads about 3) CA125. I personally hate that test and that number because it is “not a good indicator” for me and yet causes great angst!

    I wish y’all well with your treatments. ❤️

    Hugs, A

  • pbrewwheeler3
    pbrewwheeler3 Member Posts: 6 Member

    Thank you for the information. Are you through with chemo?❤️

  • thatblondegirl
    thatblondegirl Member Posts: 388 Member

    Hi! Yes, I finished chemo in March 2021.

    I’m taking Zejula (100 mg ) per day to prevent a recurrence. My chances of recurring are only about 20% anyway, and by taking the immunotherapy the chance is probably reduced to almost nothing. Fingers crossed! The recommended dose is 200mg, but my bloodwork wouldn’t hold up to it and I had to have blood infusions twice because my hemoglobin was dangerously low.

    Since it seems like there are several of you on this thread that are somewhat new, I’ll answer several questions! SSM is also active on the UB!

    I felt like for several months post-hysterectomy that my pelvis was what I called “all higgily-juggily!” Like, there was open space there now, and stuff was moving around! I did some research and found that the uterus kind of serves as a buffer organ for your other organs…other organs can bump up against it, instead of into each other. So, that feeling was not just my imagination! Wearing an abdominal binder helped immensely!

    You can click on anyone’s screen name and go to their profile page to read their stories. It can be very helpful to read how things went for them.

    The thing is….with ovarian and Fallopian tube cancers, they are kind of what I refer to as “out and about” cancers (this is totally a term I made-up and is not scientific!)….free-wheeling in the pelvis, rather than contained within an organ. My analogy is that it’s the difference between a horse grazing in a pasture, versus one housed in a barn. So, my hysterectomy report included a positive peritoneal wash and not just a tumor in the tube, but also embedded in old endometriosis tissue in three spots. In second surgery for staging, 4 other tiny tumors were removed from the lower part of my pelvis…also embedded in ancient endometriosis tissue.

    I wanted to go through chemo less than the next girl, but it was the best way to save me and prevent recurrence. The bottom line is…and all the ladies on the UB would tell you the same thing….you want to do everything you can to rid yourself of cancer during first-line treatment. That offers your best chance to avoid recurrence and enjoy long-term survival.

    Hugs, A ❤️

  • pbrewwheeler3
    pbrewwheeler3 Member Posts: 6 Member

    Thank you for the information❤️

  • pbrewwheeler3
    pbrewwheeler3 Member Posts: 6 Member

    Hugs back to you❤️

  • SpringerSpanielMom
    SpringerSpanielMom Member Posts: 137 Member

    I was uterine and had positive washings too, but I attribute that to my barbershop surgeon gyn (not my gyn onc) chopping up my tumor with a morcellator and flushing that back up into my system with liquid. She decided by looking at it, LOL, that it was a "benign fibroid, 100% not cancer" even though I had a boatload of risk factors including my age. She decided she didn't need to do a biopsy; didn't need to come back later when she had informed consent from me, or call a pathologist or oncologist on call for a test or even another look--nope, she was all-knowing and it turns out, 100% wrong. Not only cancer but a terrible kind of cancer. Pretty big too. I have to come to terms that her ineptitude (at best) may kill me. In retrospect, she's an avid vocal proponent of minimally invasive procedure; saving the uterus (why on earth for a post menopausal woman?); hates hysterectomies ("that's major surgery!"); and insisted to me repeatedly, "It's never cancer. I've never found cancer." Hindsight is 20/20. I did schedule 3 pre-ops and I asked so many times, "What if it is cancer?" Interestingly, re my positive washings, I learned the fallopian tubes are open to the abdomen. If I'd had my tubes tied at some point, as my MDA doc so hoped, the damage would have been contained. Also interesting, my gyn said "I got it all". She did not. Yet another thing about a morcellator is it can never be used on any growth within the uterine wall. So that part, my sarcoma, was still all there, plus a little more carcinoma. Thank goodness for the requirement that they send everything, even "benign", to pathology, for the very reason of cases like mine. Otherwise I'd be walking around with cancer continuing to grow, based on her reassurances.

  • SpringerSpanielMom
    SpringerSpanielMom Member Posts: 137 Member

    Re other tests beyond CA 125, I was able to get a personalized blood test made for my tumor by Signatera that checks for traces in my bloodstream. CA 15 is useless for me, but yes, as thatblondegirl says, somehow still yet another source of anxiety, when we don't need more! My CA 125 has never been higher than 15; ranges 8-15.

  • dogwalk
    dogwalk Member Posts: 2 *

    I don't believe in the CA 125 either. I was diagnosed with Stage3 ovarian cancer few months ago. A week before the biopsy it was within healthy region & just after the biopsy was done and the cancer was confirmed it shot up to 300. May be the white blood cell count might be useful to see whether there is any distress in the body. I am still learning. Bless you!

  • SpringerSpanielMom
    SpringerSpanielMom Member Posts: 137 Member

    I know! And I've read it can shoot up right after your first chemo. supposedly it's better for ovarian than for uterine, though, and some well regarded oncs say it's zero help for my cancer. It's really just an inflammation marker, as I understand it. Maybe mine is low because I take a baby aspirin every day. (Note: always run your meds by your gyn onc; I know baby aspirin might be a yellow or red light choice if you have clotting issues.) I hope so much that my personalized test pans out & then everyone can get that made for their tumor. Early days yet...Oh, one useful thing an out of state onc told me (all of us), "Do not obsess about small changes, like 8 rises to 10; that is absolutely meaningless & is well within the range of lab draw to lab draw inconsistency". Good advice, I thought.

  • pbrewwheeler3
    pbrewwheeler3 Member Posts: 6 Member

    I take baby aspirin too. Thank you for the information❤️