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.

Related Questions

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?

We can not answer. I am really sorry but we can not answer your question as to your life expectancy on this site.You have to ask this question to your oncologist who have more information about your condition and response or lack of response to the treatment you may be receiving. Read more...
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...

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?

It is aggressive. This sounds like a late stage or aggressive cancer that has spread to your liver and the tissue lining the inside of your abdomen. Please discuss this with your gyn oncologist. Read more...
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...

Can you start chemo with open inscion from debulking surgery. Diagnosed with stage 3 c ovarian cancer and am diabetic?

Depends time. Most of the surgeons andoncologists will agree, to start chemo when the fascia wound is healed, 2 to 3 wks, as collagen has to formed, other wise wound will disrupt, how ever for a minor procedures could be given little early. If it is only skin disruption after 3 wks could be given. 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?

Need wound care. Most likely subcutaneous tissue had some collection of fluid and opened , more often it happens in slightly obese person, ask your doctor to refer to wound care specialist, with vac drainage will hasten healing, with open wounds, oncologist will not give chemotherapy. Read more...
Chemo and wounds. Chemotherapy will affect the ability of the wound to heal. Seek help from the surgical oncologist. Working with a wound expert, along with concentration on nutrition will be an important step. 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...

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...
No. Depending on the extent of the surgical outcome and your health status, chemotherapy will be recommended. Discuss this with your gyn oncologist or medical oncologist. http://www.cancer.gov/cancertopics/pdq/treatment/ovarianepithelial/healthprofessional/page5. Read more...
Ovarian cancer. Unfortunately, yes. By this time the disease that was removed has recurred. In general with ovarian cancer, we try and treat within 4 weeks of surgery. Read more...