Biopsy

Hi
This is the biopsy report of the tumor removed from my sisters overies. The Doctor says not to do a chemo since he had removed the whole tumor.

But what we should do?? look for another doctor?? or just wait and see??

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Speciemen : A - TAH / BSO.B - Omentum.

Macroscopy : A - Uters and Cervix 5 x 4.5 x 3 cmwith right overy 3cm diameter. Also present a separate ovarian tumer partially opened15x15x6cm.

: B - Omentum 30x5x2cm.

Microscopy A - Cervix – Squamous metaplasia seen in the cervical transformation zone. There is no dysplasia.


Uterus – The endometrium is non reactive.
The myometrium appears normal.
Right Overy – normal

Left Ovarian Tumer - The tumer is composed of malignant epithelial cells forming glands.
Cells containing intracytoplasmic mucin present.
Some areas show featurers of a benign Brenner tumour.  

B – No metastatic deposits seen in omentum.

Conclusion : Ovarian tumour moderatelydifferentiated mucinous cyst adenocarcinoma of ovaryand benign Brenner tumour. Normal Uterus , Cervix and Right Ovary.

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Thank you
Duminda

[Casey06]

It appears to be a Stage 1a Grade 2 ovarian cancer tumor.
This means it is contained in the left ovary.

Chemo is not administered for this Stage and grade of ovarian cancer.
Here is a nice link for the explanations:
http://health.yahoo.com/cancer-resources/stage-and-grade-of-ovarian-cancer/healthwise--tw9761.html

Was the surgery performed by a gynecological oncologist (Gyn-Onc?
Were any lymph nodes samples and was a peritoniel wash performed?
Was her appendix removed? This is often indicated when the tumor contains mucins or mucus.

These are very important.
A second opinion is probably a good idea, to have the pathology done by a cancer center with experience with ovarian cancer and reviewed by their Gyn-Onc.

[freshair]

Casey answered you question well. Also post to Dr. Goodman on this site.

Also I want to say its sad to find out your sister has this but sooooo good that it is in a stage that is highly curable.

But please get a second and third opionion. Good luck.