• surgery?

    Asked by livezey on Tuesday, October 22, 2013

    surgery?

    I was wondering if a hysterectomy is an option after finishing chemo and radiation and the pet scan shows that the cancer is gone. This is for stage 4 cervical cancer. Any information would be helpful. Also I was told at the radiation place that I needed to have the hysterectomy within the next 3 months since I just finished my radiation due to scar tissue and adhesions. Thanks KIm

    4 Answers from the Community

    4 answers
    • CAS1's Avatar
      CAS1

      What does your oncologist say? Have you had a meeting with a surgeon? A Radiologist is not a surgeon so I am concerned why they are giving you this information.

      about 4 years ago
    • SunnyD's Avatar
      SunnyD

      Hi livezey,
      I finished radiation/chemo/brachytherapy for stage 2b cervical cancer in June 2012. The first few followups I had clear paps, but in January 2013 my pap came back questionable again. I had a PET that was clear, but biopsies still showed abnormal cells. My GYN oncologist said the next step was a hysterectomy, which he did the following week. The pathology did show a small area of residual cancer.The hysterectomy was nine months after I finished radiation. All went well and I am currently cancer free. Hope this answers some of your questions.

      about 4 years ago
    • Rthompson's Avatar
      Rthompson

      For stage iv cervical cancer following chemo and radiation, a hysterectomy is not generally seen as possible. The reasoning for this results from the extensive radiation we must undergo to shrink the tumor. When the pelvic is radiated to the extent ours is the tissue becomes very fragile and quite often the pelvic organs become fused together. It is for this reason, if surgery is required to remove recurring or remaining cancer cells, a surgery called a Total Pelvic Exenteration is required. This surgery involves the removal of not only reproductive organs, but also the bladder, colon, rectum, and most often the vaginal wall. This is due to the fusing and the delicate tissue, which my oncologist described as being like peeled sunburned skin. That is how fragile it is and why these organs can not be separated as prior to radiation. Yes, as you can probably tell, I speak from personal experience from both stage iv cervical cancer as well as the TPE surgery. I am very happy to read that chemo/radiation killed all of your cells. I was not as fortunate.

      about 4 years ago
    • DaveWaz's Avatar
      DaveWaz

      livezey,

      Thank you for sharing your question. I want to point you to a place on our site that specifically shows WhatNexters who have had experience with a hysterectomy. Perhaps it will give you insight.

      http://www.whatnext.com/experiences/procedure/hysterectomy

      Best of luck!
      David

      about 4 years ago

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