Confused by Pathology Report

[PF_PVD]

After 3 rounds of chemo and then surgery 3 weeks ago, I just got my hands on the pathology report and it is quite puzzling.  I was dx ovca iv but there was some discussion of the primary (between uterus or ovary) by the gync/onc who quickly said it didn't matter as the treatment is the same.  But, here are a few excerpts from the path report:

Comments:
Type of surgery:  uterus cervix/bilateral adnexa/omentum
Tumor site:  Right tube
Tumor location:  distal fallopian tube
Extent of invasion:  invading into ovary and adjacent tissues

Final Diagnosis:
Omentum, uterus, cervix, left ovary--high grade serous carcinoma (condensed version)
Left fallopian tube: No tumor identified
Right fallopian tube and ovary:  Fallopian tube showing extensive involvement by high grade serous carcinoma involving the fimbriae, appearing to be primary in the distal fallopian tube involving mainly the fimbriated end and the adjacent ovary.

The confusing part--do I have ovca or do I have tubal cancer?  To me this points to the right tube.  Maybe the treatment is the same, but I still believe I would want to know the primary site.  I don't have my surgical follow-up until next week.  What do you think and have you seen this before?

[pmac46]

You proboably have fallopian tube cancer but it will be treated like ovarian. My pathogy report from 2003 was leaning towards fallopian but since both the right ovary and right  tube were engulfed it  was never for certain. In all the treatments I have had in the past 41/2 years there has been no considerarion that the primary could have been fallopian - it all gets treated as OVCA. I read recently that there probably are more fallopian primaries than originatly thought, when it spreads the cells are so similar to Ovca it gets diagnosed as Ovca. I assume yours is epithelial ( sp?) that is the most common. Mine was ( is) epithelial serous high grade.

[Casey06]

Although the doctors on this site are wonderful, you may also want to consider a second opinion with another gyn onc in or near you. I read that it is best to go to a comprehensive cancer center, so if one is nearby, try to get to them ASAP. There is no time for fooling around and hoping you are getting the best treatment. I am a little suspicious of a doctor who says cell type doesn't matter.
You need to have total confidence in your doctor and recommended treatment.

Good luck.

[PF_PVD]

Thanks, I'll give that a try.  I got a good response when I asked an earlier question about staging.  I didn't mention the confusing fact that I was told and my initial CT scan report (which I have) said that the tumor was in my left ovary which the path report says only had "surface and parenchymal involvement by high grade serous carcinoma".  This clearly says the main problem is with my left tube and ovary, so I'm really confused.  I still feel like such a novice after 3 months from dx.  

[YvonneS]

It may not matter to the Gyn-Ono, but it does to you!  Try the doctors on this forum and maye they can help.  My GP explained my CT a lot better then the Ono.  Best wishes to you.  Yvonne