Endometrioid Adneocarcinoma Grade I

[Platty]

I am a 35 year old diagnosed with endometrioid adenocarcinoma of the L ovary. This after secondary infertility workup and finding of a 3 cm cyst. Cyst opened during surgery/removal and laparascopy. Found stage 3 endometrioisis also near the ovary. Nothing removed yet, no CT done, no CA 125 yet. Saw two gynecological oncologists. We realize the standard treatment is a radical hysterectomy. We are not sure a second baby is a huge priority, and would like to have the best treatment. I realize I will need six rounds of chemo. What does a hysterectomy guarantee? I am not looking forward to menapause this young. Why is it that if we want to have a child, they are willing to go with removal of one ovary, lymph nodes, and chemo? Why do things change dramatically if having a child is not a priority. There is very little data out there regarding women in my situation. I would apprectiate any suggestions, comments, or links to women in my situation. I am also an RN, and am lucky enough to have had some good support. Thank you.

[Platty]

Actually, yes, I am talking about a radical hysterectomy and lymph nodes as stated by both doctors. This is the "gold standard of treatment" for ovarian cancer. By not having this procedure, I am apparently taking risks, some of which are not known as their is very little data regarding fertility sparing surgery after ovarian cancer diagnosis.

[Platty]

Thank you for your response. In regard to the hysterectomy question, does it seem reasonable for a Grade I Stage I C (so far) ovarian CA result in a hysterectomy? This would involve, as you know, early menaupause and result in hormone replacement therapy. We're not sure on the recurrence rate in the uterus and why this is considered a risk not to have the radical hysterectomy. I would appreciate your comment regarding the hysterectomy question (not just bilateral oophorectomy).