18cm Grade 1 tumor removed w/ ovary, what next?

I am a married 37-year-old woman without children.  Three weeks ago, I underwent a laparotomy to remove an 18cm tumor from my left ovary.  The surgeon also removed my appendix, left ovary, and left fallopian tube.  My post-surgical pathology report revealed a well-differentiated mixed endometrioid and mullerian mucinous carcinoma.  My gynecologic oncologist described the tumor as Grade 1.  Pelvic washings, left gutter, left pelvic tissue, posterior cul-de-sac, anterior cul-de-sac, left round ligament, right pelvic tissue, omentum, and appendix all tested negative for malignancy.  

My oncologist believes I can wait a few years to have a hysterectomy (until we've had a chance to have a child).  She has recommended a follow-up laproscopy (in one month) to remove my left abodmonal lymph nodes for biopsy.  

I am struggling with two questions:  (1) Is the follow-up surgery necessary now or can I wait until the eventual hysterectomy (within about three years) to have my lymph nodes removed?  (2) How much of a risk am I taking in delaying the hysterectomy?  

Thank you in advance for your thoughts.  

HFC  

[Annekathryn Goodman, M.D.]

Hi There
Your risk of recurrence will depend on the stage of your cancer. Staging information comes form surgery which include a careful evaluation of the abdomen, lymph node biopsies, the removal of your omentum. I strongly encourage you to consider your doctor's recommendation of the follow up laparoscopy
best wishes to you

[ezabella]

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