Member Comments are provided by individuals and reflect their personal opinions only. Under NO circumstances should you act on any advice or opinion posted in this forum. ALWAYS check with your personal physician before taking any action regarding your health! MedHelp International and our partners, sponsors and affiliates have no obligation to monitor any comments posted on this site, or the content and/or accuracy of such exchanges. MedHelp International does not endorse the views of any user.
Ovarian Cancer Community
This patient support community is for discussions relating to ovarian cancer, biopsy, chemotherapy, clinical trials, genetics, hysterectomy, immunotherapy, radiation therapy, screening, and staging.
Path Report showing Grade 1 Mucinous borderline tumor
by Gail8247, Apr 13, 2008 04:12AM
I had surgery in April 2, 2008 - a basket ball size tumor, with 9 liters of fluid was removed from my left ovary through a 28 inch incision. While in surgery they determined the mass was a Mucinous Borderline Grade 1 tumor. They then did a total historectomy, leaving nothing. The final Path report verified Mucinous Borderline Grade 1 tumor - with a path staging if pT1aNxMx (I have no idea what that means) The pelvic wash was done and the results show negative.
I am told that I will be meeting with an GYN/OC in the next couple weeks (as soon as they get the appointment set up) for follow up, but that this particular GYN/OC does not do chemo for boderline tumors. I have done alot of reading on the web and found many stories just like mine, who find out in another 4 to 6 months they have to go in for more surgery and chemo. Should I be concerned? Should I push for chemo to be on the "safe side?" I had every symptom for ovarian cancer prior to surgery and to be honest don't feel that anyone other than myself and my MD were that concerend.
Where do I go from here?
I am told that I will be meeting with an GYN/OC in the next couple weeks (as soon as they get the appointment set up) for follow up, but that this particular GYN/OC does not do chemo for boderline tumors. I have done alot of reading on the web and found many stories just like mine, who find out in another 4 to 6 months they have to go in for more surgery and chemo. Should I be concerned? Should I push for chemo to be on the "safe side?" I had every symptom for ovarian cancer prior to surgery and to be honest don't feel that anyone other than myself and my MD were that concerend.
Where do I go from here?
Post Comment
Borderline tumors are a funny thing and doctors don't seem to have total conensus on treatment. From the reading I have done, it is recommended that you have the pathology double checked at a cancer center. This is not very difficult to do, you just contact one nearest you and explain the situation and then they will instruct you how to hav ethe tumor and original pathology slides sent to them.Your original doctor, does not even have to give a referral, as far as I know.The reason for the 2nd pathology, is to make sure it is not a more aggressive type and grade, because apparently the borderline dx is not that clear cut. If it is truly borderline, then chemo is not recommended (as it is often not for even Stage 1 malignant OC).
Here are some links for your reference:
http://www.nccn.org/patients/patient_gls.asp
http://cancercenters.cancer.gov/cancer_centers/map-cancer-centers.html
I am sorry you ahve had to go through all this and most likely it is borderline as indicated (which has an excellant prognosis), but best to certain. Better safe then sorry. Good luck.