• What determines how often to get CT scans after chemo for Ovarian Cancer?

    Asked by Lottiestuff on Thursday, February 7, 2013

    What determines how often to get CT scans after chemo for Ovarian Cancer?

    I finished chemo last April and have had two CT scans plus one scheduled for late March.
    A friend who finished chemo in October for same Ovarian and same stage III, has not had any CT scans and none scheduled. We both have the same gyn/onc surgeon and went to the same facility for our chemo. We both have good C125 results. My previous two CT scans results were good. My friend was told by gyn/onc surgeon that they don't like to do more scans than needed but yet I am told to get them.

    13 Answers from the Community

    13 answers
    • ticklingcancer's Avatar

      Have you asked your Oncologist this? This is probably something he will have to answer. I can tell you that with my cancer, they can rely on the tumor marker test. So as long as nothing looks suspicious, they will continue blood work and no scans. I do get a chest xray though. Still haven't figured that one out.

      over 3 years ago
    • KimmieJo's Avatar

      Since I am back to doing chemo for my first recurrance my oncologist has me do a PET scan every three months. When I was in remission we started out every three months and gradually worked our way to one overy 6 months. I agree with tickling cancer - your oncologist should be able to give you a more definate answer.

      over 3 years ago
    • nancyjac's Avatar

      Your doctor does based on your given circumstances. A CT scan is a specific diagnostic test. It is not used for routine screening for cancer or cancer recurrence. You and your friend may share the same type and stage of cancer and still have very different cancers and risk factors for recurrence.

      over 3 years ago
    • SueRae1's Avatar

      It lot depends on the protocol you oncologist is using. Each persons post chemo scan scheduled is based on their unique circumstances, Why not speak with your doctor about your post treatment scan schedule.

      over 3 years ago
    • carm's Avatar

      Lottiestuff, because the CA-125 is such a weak marker in that it throws off a lot of false positives, women with ovarian cancer tend to get more CTs than other people with malignancies. It is the only way to verify the marker, Carm RN.

      over 3 years ago
    • Clyde's Avatar

      Trust your onc. SInce he is offering two different sets of advice to you and your friend who has a similar cancer (remember, no two cancers are exactly the same in two different people regardless of outward appearance), he is seeing something in you that he feels merits the scans. Ask him why. There could be multiple reasons. Don't fret over it until you have a reason, and if you have a reason, be pleased that he is looking out for you.

      over 3 years ago
    • Peroll's Avatar

      Lottie, TC is correct that only your Oncologist can tell you why he has given you scans and not your friend. I can tell you some of the factors that go into the recomendatiion so you can ask specific questions about your situatiion. They include factrs that indicate the probability of reoccurance or matastisis such as the genitic make up of the cancer, how agressive it is and your genitic and family history with cancer. The objective is to catch anytyhing that happens as early as possible when it is easiest to cure. Hope this helpls you in your talk woth your oncologist. Good Luck

      over 3 years ago
    • SpunkyS's Avatar

      I am on a study protocol for Ovarian Ca and get a CT of the abdomen about every 3 months. So the next one in March will be my 5th one since starting treatment or 2nd one since chemo finished.

      over 3 years ago
    • Kathy's Avatar

      I had a cat scan 3 weeks after my last chemo. My doctor said she will only do a cat scan again if my CA 125 jumps up suddenly.

      over 3 years ago
    • Cindy's Avatar

      Besides what you already mentioned, another factor is the grade of the cancer. I get a CT scan every 6 months for my Ovarian Cancer since I completed treatment which was 2 years ago. Mine was stage 2 with a high grade tumor. My doctor said that if didn't have a high grade tumor, I probably wouldn't need chemo. But, since I had a high grade cancer, I did need chemo. All my CA125 results have been normal since I completed all my chemo treatments. No evidence of cancer found since my surgery.

      over 3 years ago
    • Carol-Charlie's Avatar

      First trust your oncologist. I was diagnosed as a stage IV Ovarian Cancer. I had chemo for two years. Most don't. I've had many PET CT Scans during chemo.... The first showed I was cancer free. Then over those two years I probably had four more. Then 7 years after DX I had another one last October. I'm glad to do this. I don't want it to return (ovarian cancer likes to do that) or have it get a head start!

      over 3 years ago
    • Lottiestuff's Avatar

      Thanks all for your input and comments. I will definately be asking more questions when I see my onc.
      I appreciate all of the help I get on this site.

      over 3 years ago
    • derbygirl's Avatar

      I'll tell you the same thing I've heard the doctors I worked for tell patients when asked this question and that is every patient is different. Many things are taken into consideration when a doctor determines a course of treatment and follow up care. This is a question you need to ask the doctor and I'm sure you will be told why he wants you to have a CT. Take care.

      over 3 years ago

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