Adenocarinoma-basketball cyst, 3 options to consider?

[carolyn663]

Surgery Nov 3, 2010 -told it was a pelvic mass, an adenocarcinoma that came from mucinous cystadencarcinoma and that the mass was MY ovary and when cut open it was honeycombed inside-cysts within cysts and that the cancer was contained inside the mass, not on the outside wall.  They did a peritoneal wash, removed the omentum, both ovaries, falopian tubes & appendix and found no other signs of cancer.  I have been given 3 choices 1) Do Managment - regular gyn/onc visits for testing-bloodwork/ultrasounds; 2) Do 6 rounds of monthly Chemo-to start January and 3)  Exploratory pelvic surgery to see if there is any other cancer, or see if the cancera actually started somewhere else OR did it start & stay contained in the ovary-I was told this was more invasive than the surgery I just went through and comes with many added risks. I am 54 & a breast cancer survivor from the age of 31.
Anyone else given these 3 choices, and were you happy with your pick?  

[carolyn663]

Thanks for your reply.  The more I research the more I find out I don't know.  I was not told what stage, grade or cell type.  I was told the pelvic mass was my ovary, the cancer seemed to be contained in the ovary & was honeycombed. Because they removed both ovaries, falopian tubes, appendix and omentum-there was no evidence of cancer.  They don't know IF the ovary was the primary cancer or if it came from somewhere else-that is why 1 of my 3 followup choices is for a 2nd surgery to go in and take lymphnodes and multiple biopsies-Dr. said this is a much more invasive surgery than I just went through in Nov and this was not something she would recommend as there are alot of compliations that can occur with the 2nd look surgery.  I forgot to mention that I had a hystarectomy in 1994 due to heavy bleeding & was very anemic.

I have a medical team of 4 Dr who are gyn/onc + 2 med students & a clinic RN who are taking care of me, apparently 1 of the best in our city.  Although I asked the Dr. which option she would suggest, she said she can only explain the options but not recomend.  It did seem by her explanations that her lst choice was-Management, which she called do nothing-with clinical followups for bloodwork & ultrasound-as the cancer SEEMED to be contained-BUT because there may be cancer cells elsewhere OR the primary cancer is somewhere else SHE said my 2nd option is to followup with 6 monthly rounds of Chemo.

My husband & I (he was with me when I received the diagnosis) decided that the Dr. was leaning to lst option-do nothing; 2nd do chemo and that the 3rd option of 2nd look surgery/staging surgery should NOT be a choice.

I will call my clinic RN on Monday-Dec 20th and ask IF my file has the stage, grade & cell type and let you know what the answer is.

Did you do the 6 months of chemo, and if so how were the side effects?  We meet with my Dr. on Jan 10th to discuss my chemo recipe & what to expect-they have booked me to start the chemo the following week, IF I pick the Managment Option I can cancel my chemo BUT this was I was told I am already scheduled.

My boss is thinking I could go back to work during my chemo, even a couple hours here and there.  My thought is IF I only have the 2/4 good days before the next chemo round I would rather spend my GOOD energy on my family and myself vs work.  I told him this time I am taking care on myself first and not my work clients who seemed to be lst in my life from Monday to Friday.