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72 yr old mumdx ovca stage 3

Hi Dr Goodman. My mum been dx with stage 3 ovca. She has a swollen left lower leg same side as omental tumor or pelvic mass which is 6cm. the ovary mass on right side is 8cm. She has lots of belching and diarrhea and has had 2 chemo cycles. Her CA gone dowm from approx 4150 to 3800 approx. after one cycle by IV carbo/taxol. She has lymph node involv. in groin and periaorta. She is fit and healty. How does this disease give her belching and diarr etc. Her oncologist says her outlook is good which i fiind hard to believe considering everything I read says stage 3 ovca is advanced and poor outlook. She has nt had it graded as no surgery yet.Has lost hair and got neuropathy. If regional lymph nodes are affected does this mean it has spread or is it just regional. Also the omentum CAKE. cOULD THAT BE CAUSING HER BELCHING AND FLATULENCE and will they stop once omentectomy done. She did lose weight but is actually putting it on again. Any help or advise is greatly appreciated. according to report it says she has serosal thickening on sigmoid colon? What does thta mean and also whats importance of periaortic nodes? So many questions and never ending! Her oncologist does not say very much. Many thanks again
3 Responses
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242604 tn?1328121225
MEDICAL PROFESSIONAL
Hi There,

Stage 3 ovarian cancer means the following:
cancer that starts on the lining of the ovary has spread off the ovary and has traveled around the abdomen.

The abdomen is the cavity of the body that contains the stomach,  the small and large intestine or bowel , the liver, gallbladder, spleen, and pelvic organs (uterus, fallopian tubes, ovaries, and bladder.

The kidneys and pancreas lie behind the abdomen on the inside of the back but are affected by diseases and processes occurring within the abdominal cavity.

The lymph nodes line all the blood vessels in the body. They are small fatty nodules that are connected to each other by a fine lattice of channels called lymphatic channels. The clear fluid of the body courses through the lymphatic channels and carry the immune cells of the body. Cancers can spread through the lymph system or through the blood stream or directly through the cavity of the abdomen.

Ovarian cancer commonly spreads both in the abdomen to cover the surface of other structures such as bowel, stomach, liver and also through the lymph system.

It sounds like your mother has experienced the spread of her cancer in this way. The irritation of the stomach and intestines by the cancer casues the bloating ,gas, and so on.

The prognosis of ovarian cancer will depend very directly on how much of the cancer can be removed surgically and whether it is sensitive to being killed by platinum containing chemotherapy.

You should ask your mother's doctor why she has not had surgery yet.
best wishes
Helpful - 1
242604 tn?1328121225
MEDICAL PROFESSIONAL
Hi There,

The best way to sort out how her cancer is responding is to follow her CA 125 values. It is reassuring that the values are dropping.
It sounds like she has a good plan in place for her therapy. Please keep us posted as to how she is doing
best wishes
Helpful - 1
Avatar universal
Many thanks. She has not had surgery yet as trying to shrink omental cake apparently. She has had 2 cycles of chemo. carbo/taxol. Apparently its not in her liver or lungs. She has lymphadenopathy in para-aortic aortacaval and left iliac nodes. What is part solid part cyctic right adnexal mass consistent with primary ov. cancer. Also what does it mean to have thickening of wall of sigmoid colon with serosal metastases. What in your professional opinion is her prognosis or can that only be confirmed with surgery. She is due on Oct 22nd after 3rd chemo.  Then after surgery 3 more cycles by IV. So grateful for your help
Helpful - 0

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