Dear All Goodman Doctors, my wife 39 is diagnosed with only left mucinious cystadecarcinoma ovarian cancer upstaged to 1C due to rupture during the initial surgery. She had just completed another round of surgery with a total removal (Uterus, right ovary, appendix and omemtum) as advised by our surgeon.
Good news is all post-operative biopsies / fluids / specimens shown negative without any malignant cells detected except the only left ovarian which removed and diagnosed in the earlier surgery. CA125 testing and all form blood test and CTscan and MRI shows very good / normal levels and theres no any sign of spread or cancer cells. Bad news is our surgeon chosen to perform a total removal without prior consulting us for any chance of fertility preservation. Our question is ,base on all the positive results, does my wife still need to go for the adjuvant chemotherapy treatment?. A protocol stated that any ruptured tumour despite all the negative results must undergo 6 cycles of chemotherapy treatment.
Our surgeon insisted but we are not keen after the first bad / sad incident. Can we choose not to go for the treatment but cautiously monitoring her condition and symptoms? After all my wife is healthy and did not experience any symptoms before and after the operations. Her ovarian cancer was found during her c-section ( first and now only child ) as initially confirmed as 10 cm cysts attached to her left ovary but turned out to be ovarian cancer so unfortunate. Any proven statistic that 1C ovarian cancer without any chemo treatment recurrence. Can she hold longer (years ) and back to her best health before performing the chemo treatment. Many saying, since she is now in good condition, is it worthwhile that she go for the treatment? And we understand that chances of chemo treatment may deteriorate her health and may lead to other illnesses if she is the unfortunate one again. We really hope that you would share your valuable sincere and professional advices.