Post-treatment follow up for clear cell endometrial cancer
Just wondering how your oncologists are monitoring you for recurrence of an aggressive cancer . I am two+ years post treatment with surgery, chemo, radiation & brachytherapy. I had metastasis to local & distant lymph nodes during chemo so I’m deemed chemo resistant.
-How often do you see your oncologist?
-Do you get CT scans & if so how often?
Is there concern for radiation overload?
-Is anybody using liquid biopsies? A blood test seems like a great way to monitor for cancer cells but my oncologist is not a fan.
I’m always worried about recurrence, so your experiences might be helpful.
Interested in more discussions like this? Go to the Gynecologic Cancers Support Group.
Hi Corinne,
Thank you for sharing your experience. I applaud you for turning your body into a temple and for working out daily!! Your experience as a young woman certainly makes this disease & treatment more challenging for you than for me, but we share the fear of recurrence and all of the unknowns (even to our oncologists) about this aggressive cancer. And I don’t know if having or not having Lynch syndrome makes a difference in any way.
I wish you well and will continue to read posts for updates. It is good to have “sisters” who understand and support each other.
Hi corinne1985. I'm 15 years your senior and I was diagnosed with mixed uterine clear cell and serous cancer 3A diagnosed 6/2024. I have exactly the same thoughts you have and I'm doing all the life style things you are doing. In addition to that I'm working with a holistic doctor. I also have Crohn's disease and it went undiagnosed for probably 15 years. Once it's was identified I want on an immune suppressing drugs to control the inflammation and gut damage. I think that created a perfect storm. My goal is to get my immune system to work properly without immune suppressing drugs. I can't figure that out on my own. That why I'm working with the holistic doctor. So I'm mixing both medical and complementary therapies hoping my body will be able clear cancer cells as it should.
I write to help with anxiety. If you go to my profile you will see my writing and how I've been processing my situation.
@corinne1985 I agree with @beebe. It's good that you are doing both radiation therapy and chemotherapy.
Are you located in the U.S. or Canada? I am asking you this because scans seem to be the standard in North America. You wrote: " i asked my oncologist "when will i have a scan again" she said "Corinne there is nothing to scan, Mr Kumar removed it" we will keep a close eye on you now as we dont know how this type acts 🙁 " I find this comment puzzling. From what I have experienced myself and read from others we have periodic CT scans to detect signs of cancer at the original place and in other places in the body. For instance, I had CT scans with contrast for pelvis, abdomen and lungs because this is where it is most likely other cancers or metastasis would be seen.
I completely understand your anxiety and fear too. All that you went through is traumatic. Of course you feel anxious and frightened. I still feel that at times although I have been NED (no evidence of disease) since 2022. Every new pain I have I wonder if it's cancer. I cannot seem to get away from that.
What is your next step? Are you still in chemotherapy?
I totally identify with “Every new pain I have I wonder if it's cancer. I cannot seem to get away from that.” I work hard to manage this, and sometimes wonder: Are there NED women out there who don’t?
@ffr I wonder about that too. Anyone else worry about whether or not new aches or pains could be cancer?
Absolutely! It is really hard living with it , like i have really great fab days where it doesnt even enter my thoughts however then this dark doomy cloud hovers over and i ask myself " i wonder how long i have and will it hurt and what will my family do without me" its horrible! But i'm here and i am ok well no i am great and i am hopeful thats a really good positive!
What i tend to feel now is that from after my radical surgery , i beleive its nerve damage amongst other things (ie: from the radio it has blasted my bowel and bladder and that now is sensitive , now with all the gym each day and working on my abdomen i would before think - yes thats muscle pain which is normal , now im "oh no what if" i want to avoid it taking over my life so i am making my body as acidic as i can , i have every possible antioxygen i can find and put into me each day. I am praying daily its all going well and that they really did do a number on me , i opted in for the Radio and Chemo , they had removed the cancer which is great and said i do not have to have it but its in my best interests so of cores i went in for it. It will have factors in my later years that will upset my bladder/bowel but i will cross that path then AS I WILL SURVIVE to get to that!
I will put you and the fellow sisters in my prayers to this evening for us to continue beating this and having a happy life once again.
As for the Lynch , it was expected and thats where my Drs have gone wrong. I should have had a routine hysterectomy two years ago! They let me slip and now im here 🙁
Not all lost , they got it out and hopfully fried the rest of anything! It helps to stay positive , it was very hard those 5 further weeks on top of the 12 recovery from the surgery. No into Surgical Menopause is a killer too! My bones and aches are horrid but its not stopping me! I will fight though as i always have with anything! Life is a challange but also very precious!
I send all my love to you and yours for getting though and i too applaud the determination! Lets beat it together x
Thats amazing how you have channelled this god awful situation/position into something positive! Good for you!
Alternatively - wow 15 years undiagnosed, thats terrible i am truly sorry to ready this. I cannot imagine how you have had to cope with that and run a normal and functioning life.
I am with you all the way with the herbal and natural side (however at the moment i am having two a day of the Naproxen) I am fed up of the aches , but i am making smoothies with Turmeric in them ... i dont know , sometimes its just not enough.
What have you found to use to clear cancer cells? That sounds very interesting!
I send all my love and support to you in all areas and we have to stay strong , never give up! x
Hi Helen! Thanks for your reply.
I live in the UK - I too am puzzled from it however cant say i wouldnt be a bag of nerve's having one for the fear of them saying those god awful words 🙁
I think i will ask Dr Sangha to check as if this is something that is routine else where , why cant i? After all My GP should have done this when i flagged it back in 2023 , thats made me so cross to let me get to where i was with it. Completly irresponsible and its my life!
Yes all the aches and pains are horrid and i was told that the Chemo ages you by 15 years so when i turned 40 i turned 55 .... thats not great but i was happy to go for it to give me the best chance. I started this treatment in November and finished in the December. I completed it all by 29th of December to walk into the New year "2025" Cancer free!
All i can do is listen to my body and i have my Oncologist and team on stand by for anything i want , so thats a comfort to a degree! The Radio therapy battered me i was so tired from that but they zapped me from my pelvis up to below my ribs , i had 38 lymph nodes took out too , only two shown the disease so i take that too as a positive.
I sit at my work desk and then i have some research which is where i found the Mayo Forum and i am so glad there is one , i hate speaking to my family about it as i ask things nobody knows and like im wanting reassurance ... such as "am i going to die" its horrid! And they are like , Its gone etc but i know the type is a very shitty one and thats the part that plays on me all the/most of the time!
Its great though to speak with all of you that are still going and have similar experiences and or situation to me, i felt very alone but now i feel releif , not that there is other but i mean in the sense , we can connect and share and not be judged or looked at like a crazy person. x
Sadly i think those thoughts are with us for life! I didnt have any pain before now i do and thats what rattles me as Dr Sangah said any Pain let us know .... but how do i work out what is "pain" from "pain" i have had a huge surgery and i am very active again with parts missing sent into Menopause without any warning , how do i differentiate what "is" what from the "other" .... then i get myself into a tizz-woz thinking i am done for! Just a horrible thought and why us?
Its the mental damage too not just the Cancer or the Operations , i feel like i have had my brain removed too! I have a very demanding career i am back at work and currently working now but dropped on as i seen an email saying i had a response. I now sit at my desk and completly forget what i am doing! I have a family too my daughters 16 and Son 10 , they will need to be tested for this gene too , i sit and wonder if i have gave them the "penalty" now too! This came from my Grandfather , he died at 35 but the research wasnt around then and my mum was 1 years old, so i never knew him. Then my Mum 16 years ago had Uterine Cancer , removed and Mum is still here and turns 70 in June , then it was my turn , im 40 and mine was Clear Cell .... i want to and WILL get to 70 , im going to keep at my fitness and diet and just have to embrace the pain in the process as i want to see my family grow up and retire with my Partner and have a nice life. I wish you all the best , may i ask how long you have been clear? x
@corinne1985 My surgery (radical hysterectomy) was in 2019. Whenever I felt something a little different or said aloud to my partner that I worried about another cancer or recurrence he said my "cure" rate was very high (at 95%) and not to worry. He's a pathologist (now retired) and knows very well what endometrial cancer looks like under the microscope and the statistics associated with it. I had a recurrence in 2021. It was found during a pelvic exam as a little tiny polyp on my vaginal cuff. So, I did not have any symptoms and all my worry about those pains here and there turned out to be arthritis or injuries from activities that I do. My partner was very surprised by this recurrence and since then whenever I mention a pain and worry about cancer he doesn't say anything.
I have come to this conclusion. Some people worry about new cancers or recurrences and some do not. Some of us are in the middle of that and worry on some days and not others. I know that I am an anxious individual. Anxiety has been with me all my life and while I have learned coping skills that facilitate a better quality of life for myself I figure that it's that underlying anxiety that feeds my worry about cancer.
Like you I continue to work toward fitness and diet. When new pains arise I ask myself whether this is something to bring attention to with my doctor. I do try not to worry aloud around my partner or others.
I've been NED (no evidence of disease) since 2021. I keep up with all of my cancer surveillance appointments and tell myself that if something shows up it will be detected at one of my appointments. Worry in between these appointments does not give me better health or outcomes. Some days this is easier to do than others.
You have been through so much with your diagnoses, surgery, and treatments. Keep doing what you are doing and please do ask your doctors questions and ask for what you need. I wish you Hope (optimism with a plan) every day.