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Ovarian Cancer Reoccurrence

Hi,
My mother most recent CT scan report stated " There are multiple retrocaval and left para-aortic lymp nodes, largest in left para-aortic measuring 1.5cm in short axis" and her CA-125 readings increased from 7, 14, 27, to 38 in the past 6 months. From the tests and scan, is it very sure that she has reoccurrence? Should her confirm with PET SCAN?
She had 6 cycles of chemo Paclitaxel and carboplatin about 18 months ago. Will the same chemo be effective to her? Any other possible alternative treatment?

Appreciate very much for any suggestion of treatment and sharing on experience.
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Avatar universal
Hi Clara,
I also have OVCA which metastasized to my lymph nodes by the time I was diagnosed 3 years ago. Thankfully it has not spread to any other organ, although it does always relapse in the lymph nodes.
I'm now on Gemaar alone for cancer in the pelvic lymph nodes, which have caused lymphedema in my right leg.

I had debulking  surgery staged 4B , carbo/taxol and after a  4 month remission,  Topotecan which worked for 10 months.

I wish your Mom good health and successful treatments.
Jane
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Avatar universal
Hi clara,
These numbers are only just over the normal range. Having a remission period of 18 months is a great result. It is quite feasable for the Dr's to use the same chemo agents again, if there were not too many problems. However there are lots of choices of agents to use. My second round of chemo was Carboplatin & Gemcitabine. This seems quite common for ovarian cancer. No doubt you are being observed by the onocologist. My experience is that the chemo deals with regrowth and the infiltration of the lymph nodes really well. CT's are very good at seeing all that is important when a reoccurence happens. Her Dr will do the right thing. Good luck.
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