Low malignant potential tumor treatment

[lsindelar]

I am 5 weeks post radical hysterectomy, appendectomy. omenectomy, and intraperitoneal port placement for enlarged bilateral ovaries with multiple hemorrhagic complex cysts. Pathology confirmed papillary serous borderline tumors (low malignant potential) - stage 2c (I think) for non-invasive implants in pelvis plus positive abdominal and pelvic washings.

Has anyone had intraperitoneal administration of P32 (chromic phosphate) who can share experience?

Also, is it common for pathology to show chronic mild inflammation in biopsy sites (pelvic wall and bladder peritoneum)? Should this resolve post-surgery on its own or would additional treatment be recommended for that)?

Thank you.

[gls2824]

Actually, the treatment you are having shows your doc knows what he/she is doing.  Micropapillary Serous Borderline is a more pervasive form of LMP/borderline and most good medical centers, including Johns Hopkins, prescribe more aggressive treatment.  There are several forms of borderline OVCA, and only MPSC has been shown to be this aggressive.  Good luck!

[lsindelar]

Also forgot to mention - I am just guessing at the stage so could have that wrong. It was not on my pathology report so I need to ask during my follow up visit this week.

[lsindelar]

Hi, it is not a chemo but a radiopharmaceutical (phosphocol - you can search it). The recommendation was because there was a small implant with a few areas of diffuse inflammation, hyperplasia (cell overgrowth I think), plus pelvic washings and both abdominal washings. The phosphocol is supposed to kill any remaining cells, and is only a one time treatment (for actual ovarian cancer it would be several treatments along with with chemo). This is not a treatment frequently done but I am being followed by a gyn-oncologist at a research/teaching hospital with well known gyn-oncology department. I believe they were simply concerned about recurrence in my case and they had inserted an abdominal port anyway just in case implants were invasive and chemo indicated.

Thanks for the wishes - I'm sure you understand how this can all be pretty overwhelming!

[chelan3]

It's unusual for anyone with LMP borderline ovca to have chemo treatment - did your doctor say why they are recommending chemo in your case if you had non-invasive implants?  Have you had a second opinion?  I had LMP borderline serous pappillary borderline stage 1a had no chemo - was told even if I had been diag at stage 3 chemo would not be necessary.  I'm just curious.  It's been 8 years since my diagnosis and I've had no problems.

Good Luck with your treatment.