Hi, My mom (65 years + 4 children - Disease free background) is diagnosed with Ovarian cancer, It was confirmed by clinical as well cytopathology analysis of ascitic fluid (Metastatic adenocarinoma and stain for intracytoplasm is +ve). Her tumor markers are elevated ( CA 125 = 157.2 units, CA 19.9= 6,255 units (six thousand plus), CA 72.4 = 26.49 units). CEA is in normal limits.
Her gastric fundal and rectal biopsy does not show any malignant cells. We have done repeat upper GI endoscopy biopsy and FNAC, as well. Yet no sign of malignancy of gut. Gastroentrologist though have seen unusaul deposits but benign.
Her mammography, lung CT also does not show any malignant growth. Liver, pancreas are also clean on CT.
She has porcelain gall bladder.
Her symptons include (lack of appetite, weakness, bloating of abdomen, loss of weight, occasional constipation, she saw some blood laced stool one and half month ago - (Todate - 26th Jul, 2008)
Does these test results mean that she is having primary ovarian cancer. If not, then what we should do to find out the primary cancer type/site/organ causing this secondary ovarian cancer.
Onco Gynae surgeon/ Medical oncologist has suggested neo-adjuvant chemotherapy (3/4 sessions) using carbo-platin + taxol. Followed by surgery + 3/4 cycles of chemotherapy.
Please advice if we are on right track if primary cancer type is not ovarian.
Its been very hectic 3 weeks. I'm worried that she might not receive treatment in time if we are hell bent on finding the primary cause of ovarian cancer.