Has your doctor been straightforward about your survival?

Posted by lathomasmd @lathomasmd, Jun 2, 2025

Hi all. I’m so glad this forum is here. I was diagnosed with papillary serous ovarian cancer, stage IIIc, three-and-a-half years ago. I just finished my third course of chemo. My doctors will not be very frank when I ask “What are my chances of long-term survival?” They say things like, “Every patient is different” “I don’t like to put a number on it” and, believe it or not, “You could be hit by a bus tomorrow!”
I’d very much like to know what other patients’ doctors have told them regarding their chances. Have they been straightforward with you? Or are they vague and uncomfortable discussing odds of survival?
Thank you.

Interested in more discussions like this? Go to the Gynecologic Cancers Support Group.

Profile picture for ffr @ffr

There is definitely not enough research on gyn cancers. As a Grade 2 endometrial cancer patient who has learned that EC is so vastly different from woman to woman, as well as the disappointing OS outcomes of clinical trials for the most aggressive cancers, I often feel left behind. We need a Komen-like group just for us, one that spurs not just support (shout out to all of you!) but research and data. Maybe the world just doesn’t want to picture where our cancers lie. 😉

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I agree on all counts!
I am IICm p53abn grade 2 endometrioid cancer. I have found a lot of research on my mutation type. My problem is that my doctor gave me an over-the-top positive prognosis of 98% 5-year OS. Doing my own research, it's more like 36%-70% depending on other risk factors and treatment choices. My doctor (not at Mayo) has a treatment plan based on the assumption that my cancer is low risk. I have an appointment for a second opinion at the U of MN Masonic Cancer Center (I live in the Twin Cities). My husband went to Mayo for his prostate cancer and got cutting-edge care. If Masonic doesn't work out, I'm Rochester-bound.

BTW, I used to work for the VA to push for the implementation of evidence-based care for colorectal cancer. I never thought the skill set I developed there would be so personally useful. If I can help anyone else in any way, I'd be honored to do so.

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So nice of you to offer your skills!
Three different oncologists (yes, I got 3 opinions) never gave me a survival opinion beyond a serious tone and puppy dog eyes. So it was what they didn’t say that made me realize how serious my situation was. Also chilling was the phone call from my gynecologist who saw the pathology report and told me how sorry she was, then suggested that I speak with my priest or rabbi. (!!!)
My oncologist would not give me his survival prediction and when I asked what the plan is for recurrence he said that we will follow the science at the time. I have tried to keep up with the results of clinical trials but it does get too scientific for me. On the plus side, there are indeed new treatments since my diagnosis & treatments three years ago. But sadly, nothing has been proven to work with my lack of significant markers. So I can only hope that I’m on the winning side of bad statistics (yes, I googled) or that a miracle drug is available when the enemy returns.

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Profile picture for koche005 @koche005

I agree on all counts!
I am IICm p53abn grade 2 endometrioid cancer. I have found a lot of research on my mutation type. My problem is that my doctor gave me an over-the-top positive prognosis of 98% 5-year OS. Doing my own research, it's more like 36%-70% depending on other risk factors and treatment choices. My doctor (not at Mayo) has a treatment plan based on the assumption that my cancer is low risk. I have an appointment for a second opinion at the U of MN Masonic Cancer Center (I live in the Twin Cities). My husband went to Mayo for his prostate cancer and got cutting-edge care. If Masonic doesn't work out, I'm Rochester-bound.

BTW, I used to work for the VA to push for the implementation of evidence-based care for colorectal cancer. I never thought the skill set I developed there would be so personally useful. If I can help anyone else in any way, I'd be honored to do so.

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@koche005 Welcome to Mayo Clinic Connect. Thank you for sharing your diagnosis and your mutation type. You skill set is so helpful and thank you for offering to help others.

When is your appointment scheduled at U of MN Masonic?

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Profile picture for koche005 @koche005

I agree on all counts!
I am IICm p53abn grade 2 endometrioid cancer. I have found a lot of research on my mutation type. My problem is that my doctor gave me an over-the-top positive prognosis of 98% 5-year OS. Doing my own research, it's more like 36%-70% depending on other risk factors and treatment choices. My doctor (not at Mayo) has a treatment plan based on the assumption that my cancer is low risk. I have an appointment for a second opinion at the U of MN Masonic Cancer Center (I live in the Twin Cities). My husband went to Mayo for his prostate cancer and got cutting-edge care. If Masonic doesn't work out, I'm Rochester-bound.

BTW, I used to work for the VA to push for the implementation of evidence-based care for colorectal cancer. I never thought the skill set I developed there would be so personally useful. If I can help anyone else in any way, I'd be honored to do so.

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Hi, In April 2025, I was diagnosed with Uterine Serous Cancer stage 2c m (p53abn) myometrial invasion < 50% with no lymph or spread outside of that. I had surgery May 29. 6 rounds of chemo is the standard of care, so I am told. I had 1 session of chemo in July and had extreme painful neuropathy in my feet and hands. They are still numb. Treatment was put on hold to allow my body to recover. I had Signatera test in August and result was positive (although low mil) so I am considering doing another chemo session and retaking Signatera test 4 weeks out as my Oncologist recommends. Hopefully, the next test will be negative. Like you, I was surprised at her high 5y OS and recurrence rate numbers. I do not want a reduced quality of life from 6 rounds of chemo that may land me in a wheelchair due to the neuropathy.

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Profile picture for sosophia245 @sosophia245

Hi, In April 2025, I was diagnosed with Uterine Serous Cancer stage 2c m (p53abn) myometrial invasion < 50% with no lymph or spread outside of that. I had surgery May 29. 6 rounds of chemo is the standard of care, so I am told. I had 1 session of chemo in July and had extreme painful neuropathy in my feet and hands. They are still numb. Treatment was put on hold to allow my body to recover. I had Signatera test in August and result was positive (although low mil) so I am considering doing another chemo session and retaking Signatera test 4 weeks out as my Oncologist recommends. Hopefully, the next test will be negative. Like you, I was surprised at her high 5y OS and recurrence rate numbers. I do not want a reduced quality of life from 6 rounds of chemo that may land me in a wheelchair due to the neuropathy.

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I'm so sorry that you experienced this. There isn't really any way to predict who will suffer most with this. Your doctor can and probably will reduce the amount of drug you receive. They stab us with the most possible for our size then turn it down to deal with the reactions we the have. I had reductions both Toxal and carboplatin twice. I'm currently cancer free.

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Profile picture for Denise @denisestlouie

I'm so sorry that you experienced this. There isn't really any way to predict who will suffer most with this. Your doctor can and probably will reduce the amount of drug you receive. They stab us with the most possible for our size then turn it down to deal with the reactions we the have. I had reductions both Toxal and carboplatin twice. I'm currently cancer free.

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Congratulations on your cancer free status! That is wonderful news! 🤗🤗

What you stated is so true. It’s like a “cookie cutter” approach when everyone responds differently to these powerful drugs. They are only willing to do a 20% reduction for me for the next round. How much did they reduce your meds?, (if you don’t mind sharing.)

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Profile picture for ffr @ffr

Based upon this thread it seems that no oncologist will take a guess, educated as it might be, about recurrence. Mine included. I have told my doctor that I am aware of the reality of my aggressive disease (clear cell endometrial) and we have briefly discussed the limited treatment options currently available, especially with my “bad” biomarkers. (I follow the onc-Gyn conference research). My brain says that if the cancer returns I’m dead, so I fight that fear every day, which is not always easy.

As an aside, my father had cancer and when I went with him to an appointment he asked the oncologist how long he would have to live if he did not get a recommended treatment. His oncologist said that he could not answer that, because he was not god. My father became insistent and forced the doctor to answer. He was told two years. My father survived 17 years without a recurrence and died of other causes. So maybe I - and all of us - will be this lucky. 🤞

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No such thing as luck. When I first found out I had an aggressive cancer I was given something by a friend that said something like “we are immortal until we have fulfilled our purpose here on earth”. I firmly believe I’m still here because God still has a purpose for me. I have had chemotherapy 8 times since 2010. I have a PET CT scan this week to see if it’s back. I find out the results next week. If it hasn’t returned, that will be the miracle I’m praying for.

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Hoping that you get those good results that you pray for.

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Profile picture for sosophia245 @sosophia245

Hi, In April 2025, I was diagnosed with Uterine Serous Cancer stage 2c m (p53abn) myometrial invasion < 50% with no lymph or spread outside of that. I had surgery May 29. 6 rounds of chemo is the standard of care, so I am told. I had 1 session of chemo in July and had extreme painful neuropathy in my feet and hands. They are still numb. Treatment was put on hold to allow my body to recover. I had Signatera test in August and result was positive (although low mil) so I am considering doing another chemo session and retaking Signatera test 4 weeks out as my Oncologist recommends. Hopefully, the next test will be negative. Like you, I was surprised at her high 5y OS and recurrence rate numbers. I do not want a reduced quality of life from 6 rounds of chemo that may land me in a wheelchair due to the neuropathy.

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I have been using the cold gloves and socks during chemo. So far my hands are fine and only very slight neuropathy in a few toes.

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I have never asked, nor do I ever plan to ask, my survival odds. -
- The odds/statistics are based on old data.
- *somebody* needs to be on the ‘survival’ end of those stats. I plan on being one of those *somebodies*.
- I think it was Bernie Siegel who said ‘In the face of adversity, there’s nothing wrong with hope’.

There’s so many stories of folks who have beat the odds. As for me, I plan on being prepared, but keep my focus on the present.
Keep the faith !

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