awaiting support since 2 weeks - Malignant Mucinous Cystadenocarcinoma of Ovary Grade 2

[shiv_1969]

Dear doctor,

making a copy paste of my previous post...the current position is that 1st cycle of chemo was completed with lot of side effects and twice infection attack...scheduled for for second chemo in twn days time...

my earlier post which went unanswered,

My sis-in-law aged 31 with 8yrs old daughter recently diagnosed with Ovarian mass of huge size (15cms) on left ovary which was undetected so far but after she went to consult doctor for her delayed periods and during ultrasound this was found. and after oncologyst's advice CT had taken which showed this cyst and doctor immedately advised for CA125 and were found value of 18 and then he advised for surgical removal of cyst/ovary...surgery was performed 15 days ago and the mass was removed along with left ovary and nothing else was removed. the mass was so huge and i personally carried it to pathology division. meantime she was discharged from hospital as the doctor said this seems to be of a ovarian cyst only. after a week the pathology results showed  "Malignant ovarian Mucinous cystadenocarcinoma of Grade 2". on consultation Doctor informed us that no need to panic as he never saw any cancer roots during surgery and to make sure he informed us to have one round of chemo ( ie, six cycles with each every month) he also advise to contact a chemotherapy doctor for administering this thro' vein as out patient...now the lady doctor has prescribed us to buy chemo shots (1st cycle) using the combination of Carboplatin & Taxol (Paclitaxel).

My question is, whether my sis-in-law id in a safe side or she still in a danger of cancer and the grade seems to be cautioning...we're confused both about the cancer and also about the side effects...as she is very week and afraid, can you let me know about the stage she is in and also on the side effects of chemo...sorry for bothering you with huge write-up...we're from india and would appreciate your immediate advice on this plzzz?
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best regards,

SIVA

[shiv_1969]

she has three more days to go for second round of chemo....but two days ago all her hairs just come out in total like a wig...her side effectes seems to have subsided now...is there any more side effects awaited after the 2nd, 3rd, 4th, 5th & 6th round of chemo?  as you gone thro' this, it would be good if you share your experience on this...so that we can be slightly prepared for the worst...

[shiv_1969]

Thanx a lot for your response Dian...

best regards,

SIVA

[dian07]

There is no reasonable explanation for your surgeon not taking multiple biopsies during the surgical procedure and sending them to pathology.  Evidently your surgeon was not a gynecological oncologist and wasn't trained to debulk properly.
In 2005 I was diagnosed IC mucinous adenocarcinoma......I had the usual 6 rounds of carboplatin and taxol.  The side effects were very difficult but I am still here and so far, cancer free.
My suggestion to you and your friend is to seek the advice of a gynecological  oncologist as soon as possible.  My guess, however, is that they will continue her chemo treatments and then decide what to do when the results of the treatments are known.
Good luck to you both.
Peace.
dian

[shiv_1969]

Hi,

as the huge cyst was removed along with the ovary...the doc said it was just a ovarian cyst and only came to know after the pathology report confirmed it as Grade 2 ovary cancer...then he informed us that as a precautionary measure he is suggesting us 6 cycles of chemo and out of which 1st cycle was over and awaiting for second one...since he has just removed the left ovary along with the cyst and not taken or prescribed any test for other ovary or any other part spreads...thus making us worry hat whether this cancer could have spread to other ovary or uterus or lymp nodes as the pathology suggests us it is grade 2 cancer...infact the earlier reports also suggest that the lab results (CT Scan)confirmed the presence of Ascites we were worried about the malignacy...

all we want to know is, why the doctor has not ordered for confirmation of cancer by taking samples from otherv ovary, uterus, kymp nodes etc., while removing the left ovary along with huge cyst by way of open surgery...

now the 1st chemo (2 dosage of carbo platin plus one dose of taxol) has evenful side effects and scheduled to start the second cycle out of 6 cycles...iss there a chance of recurring cancer (as the grade 2 suggests) is possible? if so how soon the recurrence is possible...or is it possble that the whole cancer could get cured due to this chemo shots...as she is just 31 yrs we would like to kknow the possibilities, so that we can plan accordingly...

thanx a lot for your patient hearing...also a ton thanx to Dr.Goodman for answering very diplmotically but convincingly yet pacifyingly...  

[nyc lady]

What stage was your sister in law diagnosed?  Not grade but stage.

I have never heard of someone just recieving one round of Chemo....at the very least it is 6 treatments.

[Jane39]

You need to post this in the expert forum, doctors forum so Dr. Goodman will answer you.

http://www.medhelp.org/forums/Ovarian-Cancer/show/131