I had a TAH, BSO, and omentectomy 4 weeks ago. I had APST on both ovaries, both fallopian tubes, the uterus, omentum and bladder. I also had positive pelvic washings. The APST arose from a cystadenofibroma from the right ovary. There were numerous omental implants. The tumor on my bladder is still there. The pathology was sent to John Hopkins and it came back noninvasive. What are the changes of this recurring, esp since the bladder tumor is still present.
This is what the pathology report states, "Portion of omentum - numerous noninvasic implants of atypical proliferative (borderline) serous tumor. Right ovary and fallopian tube - APST arising within a serous cystadnofibroma, 8.5 cm in maximal dimension comlex mass involving right ovary, with extensive surface involvement. Noninvasive implants involve the bilateral adnexal/paratubal soft tissue, surface of left ovary and uterine serosa.
The reason this was even found was because my doctor stated something was going on with my urine. I had RBC's and WBC's, negative nitrates, slight bacteria. I was on antibiotics for 11 days with little change. I was sent to a urologist who did a CT scan, and the abnormalities started to show up.
The APST is still on my bladder. How can we be sure this is noninvasive? I am concerned because of the abnormal urinalysis. Can this continue to spread? How in the world did I end up with so much of it? I am 50 years old and really didn't have any symptoms other than developing severe left flank pain about 5 months ago. Do I need to followup with a gyne oncologist?
I also have been slightly queazy in my stomach for about 5 months. I have not mentioned this as I'm not sure it's related. It comes and goes, but I usually have this a few times a week.
My brother was dx'd with stage 4 colon cancer at the age of 43. I had a colonoscopy 2 years ago which was fine. I am 50 yrs old.
Thanks for your help. I greatly appreciate it.
DC