My mom has Serous endometrial carcinoma

My mom just got her biopsy results back for serous endometrial carcinoma. I'm looking for advice on where to take her for treatment and what I should look for in the treating facility. What should I ask during the consult? I'm on the East Coast. Does anyone have any good recommendations for gyno oncologists?

I'm only in my 30s and my mom is my best friend. Life feels pretty bleak right now.

Comments

  • NoTimeForCancer
    NoTimeForCancer Member Posts: 3,539 Member

    starryeyes22, try to take a breath. It is overwhelming, but let see what we can help you with.

    First let me saw she certainly has an AWESOME daughter to go out and start the work now. While this board can be quiet, we are out here and they chime in all the time.

    First, you want to make sure you are working with a GYNECOLOGIC ONCOLOGIST. I suspect they will say she needs a hysterectomy, and again, the GYN ONC is who you want doing that. (Hopefully they are referring her to someone)

    Only after the hysterectomy when they can get a better sense of it all they would make a plan on treatment she might need and complete stage what she is dealing with.

    There is lots of good posts on what to do to be ready for pre/post surgery here and there will be tests in advance of surgery that is normal.

    Again, try to take a breath. We are here.

  • Forherself
    Forherself Member Posts: 1,032 Member

    Welcome starryeyes22. Sorry to hear about your mother. I had serous carcinoma diagnosis 6 1/2 years ago. There are a lot of survivors here. Good for you for looking for a good cancer center. I am on the West coast so cannot recommend to you. But there are many. Don't read any studies that are older than about 5 years. Treatment has improved greatly. Feel free to ask questions. Read about hysterectomies here. Waiting will be really hard. Keep your Mother busy. We are here for you.

  • starryeyes22
    starryeyes22 Member Posts: 2 Member

    Wow that's amazing that you beat it for that long! How long did it take you to get the right diagnosis and what symptoms were you having that led to them checking you?

  • kansasgal
    kansasgal Member Posts: 123 Member

    In 2009 I was 65 yrs old, lived in the Midwest, and was post-menopausal with a slight vaginal discharge that looked a bit like cafe au lait. I requested my PCP to perform a very thorough PAP test. That showed evidence of cancer cells. I asked to be referred to a gyecologic oncologist for a D&C. That procedure found Type I endometrial cancer cells. I had a complete abdominal hysterectomy with removal of uterus, fallopian tubes, 9 lymph nodes, and my ovaries but not the omentum. When I was discharged from the hospital, the surgeon told me that the pelvic wash looked clean and that I would not need further treatment. At my post-surgery check-up a few weeks later, I was told that an additional cancer - UPSC, a Type II cancer - had been found in a polyp in the lower region of my uterus when the slides from my surgery were reviewed. I was told that I would need to begin chemotherapy very soon because UPSC was considered "very aggressive and highly recurrent".

    I quickly did my own research on further Tx (treatment) and asked my PCP for her thoughts. I also contacted a gyn/oncologist I knew in Germany - a breast cancer specialist. He got a second opinion for me from a top gyn/onc at Mayo Clinic in Minnesota who specialized in endometrial cancers. I traveled to Oklahoma City for another second opinion from a UPSC specialist there who was conducting clinical trials. Both second opinion doctors recommended that I add brachytherapy to the chemotherapy. Please do not hesitate to contact doctors on your own, but try to enlist help from your mother's doctors and from friends and acquaintances.

    I returned to the surgeon (bringing the two second opinion reports) and asked to add brachytherapy. He sent me to a radiologist who scheduled my brachytherapy. I had a port (a Groshong catheter) placed in my upper chest in anticipation of chemotherapy infusions. I was able to have 6 rounds of Carboplatin/Taxol chemo with 3 rounds of brachytherapy "sandwiched in" between the 3rd and 4th rounds of chemotherapy. My chemo infusions took place every 3 weeks without any breaks needed, but my counts steadily dropped. I would have needed a break or some "additional help" if any additional chemo rounds had been needed. I was followed for about 6 years once my treatment concluded. More frequently at first and then annually.

    I have had no further need for endometrial cancer treatment.

    Remember, this was a number of years ago, and new treatments and drugs have been developed. I wish you and your mother every success. I was very grateful to have my daughter with me at all my appointments and to discuss my questions and concerns all along my journey with endometrial cancer.

  • Forherself
    Forherself Member Posts: 1,032 Member

    It took quite awhile from my post menopausal bleeding in Dec, US in January, and biopsy in May! I did not have a gynecologist because I was never pregnant so had to wait that long to get in as a new patient. Then I had hysterectomy in July. Only symptom was one incident of bright red blood. But I had risk factors. Premarin use, diabetic, aunt had endometrial cancer, and overweight.

  • MDaleMaryland
    MDaleMaryland Member Posts: 7 Member

    Hi starryeyes22 - I have the very same diagnosis as your Mom, and a daughter in her 30s, too. I was staged at 3B after a 'radical' hysterectomy. I had six rounds of chemo (not too bad, although I didn't like being bald) and then 25 rounds of radiation (pretty awful by the end!). Since then, Herceptin every 3 weeks because my cancer is receptive to estrogen, as I understand it.

    After more than a year of no symptoms, gaining weight back and feeling good, the cancer seems to have metastasized into my lungs. However, it's growing very, very slowly so far, and I'm holding off on resuming chemo for as long as I can.

    I love that you said your Mom is your best friend! I know you will be there for each other through this. There is a lot of support available. People (even strangers) gave me caps and scarves, cards and love, and your love for each other has healing strength, I believe! I only just discovered this message board, but there is a lot of wisdom here! 😊

    I wish you and your Mom the best, and hope you'll let us know how you both are doing.

  • LanaRogers
    LanaRogers Member Posts: 3 *

    Aloha, I was 63 when I was diagnosed as having Endometrial Serous Cell Carcinoma Stage IIIC. Serous cells grow aggressively and fast. My Oncologist stated I could have been a Stage III in 3 months so that's how fast but definitely NOT there for a year.

    TX. Gyn/Oncologist have to follow you so find a well-known experienced one. Total Hysterectomy with removal of Fallopian tubes and probably some lymph nodes too. Ovaries are all going to be on the safe side.

    Total Hysterectomy with Bilateral Salpingo-Oophorectomy (TH-BSO) – Removal of the uterus, cervix, both fallopian tubes, and both ovaries. Sometimes they will take the Sentinel lymph nodes to test for Cancer too.

    Radical Hysterectomy – Removal of the uterus, cervix, surrounding tissues, upper vagina, and sometimes lymph nodes (often done for cancer). After I had a radical TAH, I went to Chemo with Taxol/Carboplatin are the common chemo drugs for this type of cancer. Six Cycles with infusions every 3 wks is common. After the chemo, I started Radiation 28 days however, a new study showed to infuse Cisplatin (chemo drug) on the first day of external radiation and the last day another dose of Cisplatin. If it doesn't hurt to be treated and will not hurt the healing process than I will try anything to live longer with intent. After external radiation, I had internal, Brachytherapy x3. This will hit the vaginal cuff area just in case the cancer cells floated there and the micro cells were not seen. AFTER all this, I am still on Immunotherapy infusions with Key Truda which is one of the main drug for this type of cancer. I believe the latest studies showed this drug x24 cycles every 3 wks infusion but sometimes people will push it out to every 6 wks bc of side effects. Up to the individual. I chose to follow the NCCN guidelines and + everything possible so I will live longer. I have great grands to play with. I am 65, had 3 PET scans which all showed NO EVIDENCE OF RECURRENT MALIGNANCY. I will scan every 3 months x2 years then every 6 months x3 years. It's all good for now and I do know individuals with the exact same stage and grade who has lived past the 5 year mark and on their 8th or 9th year…It's possible with aggressive treatment, push thru, and survive…God Bless you and your lovely mom. This has been MY journey with cancer.

  • LanaRogers
    LanaRogers Member Posts: 3 *

    oops, I forgot to mention I'm 65 today so it's been 2 years of treatments. I'm in surveillance now.

  • Mercorby
    Mercorby Member Posts: 128 Member
  • NoTimeForCancer
    NoTimeForCancer Member Posts: 3,539 Member

    Happy birthday! I hope you did something special just for you!