Doctor insights on:
Bowel Obstruction Surgery For Ovarian Cancer Patients
Had chemo & debulk surgery for 4th stage ovarian cancer had 2 surgery for bowel obstruct now have hernia & bowel obstruction what's my life expectancy?
Variable: While the percentage of patients alive at five years from many stage 4 cancers is low, it is not zero, and you never know which group you are in as an individual. That doesn't mean to ignore the stats, but in the end, you are not a statistic, but an individual. It should be mostly about quality of life rather than quantity for most folks, so don't give up hope, and have an active say in your care. ...Read more
Cancer is a group of diseases that is characterized by uncontrolled cell growth leading to invasion of surrounding tissues that spread to other parts of the body. Cancer can begin anywhere in the body and is usually related to one or more genetic mutations that allow normal cells to become malignant by interfering with internal cellular control mechanisms, such as programmed cell death or by preventing ...Read more
Hi. Ovarian cancer, spread to bowel. Was considered for HIPEC but spread to small bowel means surgery not possible. Any alternatives to palliative chemo?
Here are my suggesti: Ovarian Cancer often involved multiple organs in the abdomen including the small bowel. In fact the bowel involvement is very common. Because of the above reasoning, surgery (often called Debulking surgery) is commonly done first treatment for optimum results. Chemotherapy is often done following surgery (with a few exceptions where Neoadjuvant chemotherapy (done first, before surgery) is preferred. ...Read more
My mom, ovarian cancer, stage iiib, had the second surgery, the abdomen is hard and heavy seems, she felt uncomfortable, what is symptomatic?
Not sure I...: ...Understand your question. If you are asking for the meaning of "symptomatic", then dr. Legha answered your question. If not, you may want to restate it. Either way make sure your mother's oncologist is aware of any new developments. Best to you both. ...Read more
I have a tumor slightly bigger than a golf ball in my abdomen, probably due to ovarian cancer. Also have a history of heart attack and 3 stents. Can I stay on plavix (clopidogrel) and still have the surgery?
Need more info.: How soon after the surgery did the bowel obstruction occur? Is it a large- or small bowel obstruction? Do the doctors believe the obstruction is due to recurrent cancer or adhesions? Is it an incomplete or complete obstruction? Please ask these questions of the treating physicians for a better understanding of this complex problem. ...Read more
I have a 6cm simple functional ovarian cyst that is possibly causing bowel obstruction, heartburn, nausea, and moderate pain. Will surgery solve it?
I had surgery for ovarian cancer & it was stage 1a & contained. No treatment required. Am I considered as survivor?
Surgery, maybe chemo: Ovarian cancer almost always requires surgery to remove the ovaries and any visible cancer. Many ovarian cancers also require treatment with chemotherapy; usually two drugs are used. Bthe treatment plan depends on the stage of the cancer and the particular subtype. ...Read more
See Dr.: With your history of cancer, and depending on if you needed radiation tx, etc. That could affect your bowel area. It could be several other bowel conditions as well. You are young at 39 and should not have to suffer with bowel pain. Get regular evals with your dr. And discuss the problem as a good exam and a few tests may help you get the proper treatment. Best wishes. ...Read more
My mother has stage 1c ovarian cancer. ..But there has been spillage by surgery. .... But we had it operated within 2 weeks. Possibility of spreading?
Ovarian ca: With the spillage- there is always a possibility of spreading however I am sure your gyne-oncologist was able to perform a very good jod to remove everything and to take sample of tissue on the pelvic and abdominal area, correct? . Following surgery, your mother is recommended to get chemotherapy with combination of Carboplatin and Paclitaxel for her stage ic. Please discuss further with her doctor. ...Read more
What does this mean I have ovarian cancer after surgery and chemo it returned in a month. Now diagnosis is cancer metastic to peritoneum and to liver?
TIME 4 NEW TREATMENT: I assume recurrence occurred 1 month after completing chemo, this is considered platinum resistant disease. Options - bevacizumab, liposomal doxorubicin or clinical trial looking at a new experimental drug for platinum resistance. Talk to your oncologist. ...Read more
Is there a gyno-oncologist in my area that will work with an obese female? My primary dr diagnosed me with ovarian cancer. He is a medical oncologist and cannot do surgery. He sent me to gyno-oncologist in hawthorne and he said he could not do anything w
I: I agree with dr doherty's response and encourage you to seek another opinion. Many gynecologic oncologists are quite comfortable operating on obese women. That being said, it may be possible that Megace (megestrol) treatment is the best option for you at this point. ...Read more
We can not answer th:
In all sicerity we can not answer that as we do not have enough information
this question better be answered by the oncologist who is treating you
ask him/her at your next appointment. ...Read more
It's more than 12 weeks post-surgery for stage 3 ovarian cancer. Is it too late to benefit from chemotherapy?
Unknown: Most oncologists prefer to treat patients with a malignancy like ovarian cancer within 12 weeks from their diagnosis. At 12 weeks post surgery you are right on the edge. However, I think most oncologists would want to treat you because of the nature of ovarian cancer. You should have restaging studies with a ct scan as well. Definitely ask your oncologist, as there are many variable here. ...Read more
Can you start chemo with open inscion from debulking surgery. Diagnosed with stage 3 c ovarian cancer and am diabetic?
Not a good idea: I would not. I would wait until it heals up. ...Read more
Age 76, stg IV ovarian cancer, debulking surgery, 3 chemos. Ca 125 normal. Is lymphnode dissection advisable? Comment on quality vs quantity of life?
Quality of life: In end stage cancer quality of life is essential but patient 's decision is equally important. 76 yr old could be very healthy 76, in stage IV some do respond well to chemo, will have quality & comfortable, remaining part of life, so choice should be left to the person. Also to follow the advice of doctors, if unsure to take a second opinion, treating md will be glad to refer. ...Read more
Why is stage 3 ovarian cancer often considered incurable (though treated with intent to cure)? In this case, with secondary tumour in bowel
Cure still possible: Stage 3 ovarian cancer has a high risk of mortality but cure is still a possibility in about 30% of the patients treated be a competent onciologist. Did she have surgical removal of her tumors in the belly and those in the intestine? Surgical debulking is an important component of treatment and is complementary to chemotherapy killing off small tumors. ...Read more
Ciii ovarian cancer in 06, 1212, surgery and chemo paxitaxtel/carboplatin. In remission. Recurrence treated with tamoxifen, carboplatin alone, abraxan, then topotacan to no avail. Which chemo next?
Many options: Choosing chemo depends on many factors, so only your doctor can decide what might work for you. Drugs you haven't mentioned include altretamine, capecitabine, cytoxan, (cyclophosphamide) vinorelbine, ifosfamide, etoposide, and irinotecan. There are also several hormonal agents. And a clinical trial might be an option. Check out www.Cancer.Gov for more info. And good luck. ...Read more
Don't know if you know the dr I picked but I am convinced myself I have ovarian cancer I want an oopherectomy I am petrified of surgery is a laparoscopy a big deal?
Find trusted doctor: Before any surgery, I recommend finding a physician you can talk with and be sure to get a good history and exam first. It is critical to share your fear you have cancer, and say why you are convinced you do. The doctor should ask your perspective, and be open to your real emotions, and the two of you should decide how best to evaluate your problem. Short answer, laparoscopy less invasive than surgery. ...Read more
Ovarian cancer: In europe they do not treat with chemo, in the us we have higher survival and lower recurrence and we treat with carboplatin/paclitaxel. ...Read more
I have ovarian cancer, I had surgery and chemo. It was only clear for a month and came back. What happens now, doctors say the can't cure it?
Assemble your team: Getting such bad news has to be overwhelming. There is always hope. You should get your team (family, doctors, friends, clergy, etc) and set goals that are realistic and achievable. Work toward these goals, changing them when necessary as you travel on your journey. ...Read more
I completed chemotherapy for ovarian cancer. No cancer was detected in followup tests. Am I still at risk for cancer? #nqlu my chemotherapy started last sept. And ended in early jan. Last nov., I had surgery (hysterectomy). I have since had clean reading
Yes, you are.: You are always at a risk of your cancer returning. The higher your stage, the higher the risk. The goal of chemotherapy is to kill any cells that were not removed by surgery. Hopefully that worked and got every last cancer cell, but ovarian cancer has a nasty tendency to come back. Go here for the statistics: http://seer. Cancer. Gov/statfacts/html/ovary. Html ...Read more
My mother in law had debulikng surgery 4 weeks ago for ovarian cancer. She was diagnosed 3c. Her inscion is not healing. What about chemo?
Having bowel issues w/cramping and feeling urge to go more than usual. Backache as well. Had a normal pelvic u/s 2 months ago. Can this be ovarian cancer?
Tenesmus and Urgency: 47 year old lady with rectal tenesmus, cramping, urgency and backache. You definitely have gastrointestinal symptoms. You should see your MD for a full examination and evaluation for inflammatory bowel disease. Do you have weight loss? What is your family history? Describe when exactly this began and how many times a day you have a BM. Blood? Mucous? Pus? Fever? Medications/Medconditions? Good luck ...Read more
The gastrointestinal tract starts at the mouth, travel down the tunnel (esophagus), which connects to the stomach, which then empties into the duodenum, jejunum, and ileum---the three parts of the small intestine (@25 feet). This empties into the colon or large intestine (about 5 feet), which then becomes the sigmoid colon, rectum and out the anus. So, every morsel eaten ...Read more
Anything that creates a blockage of the intestinal tract. You may think of the intestinal tract (stomach, small bowel, large bowel) as somewhat akin to a garden hose. If you kink the garden hose, or twist it, or block it inside, you have created an "obstruction". Most obstructions are a results of previous surgery and most of these ...Read more