Endometrial Cancer Stage IIIC1

Posted by mtstack @mtstack, Sep 6, 2025

Spotting in late April.
Referred to gynecologist after abnormal pap showing atypical glandular cells in June
Ultrasound showed endometrial lining thickened to 19.55mm
Collposcopy, scrape of cervix, and endometrial biopsy resulted in endometrial adenocarcinoma FIGO grade 3
Gynecologic consult Aug 4
Complete hysterectomy bilateral salpingo oopherectomy Aug 8
Pathology report: tumor in uterus, 97% invasion of myometrial lining, cancer cells in right sentinel pelvic lymphnode Stage IIIC1
Consult Sep 2: oncologist recommended platinum systemic therapy of six cycles of carboplatin and paclitaxel. Oncologist doesn’t recommend EBRT even though tumor board recommended a referral.

Anyone familiar with this stage and chemo treatment who might be able to share information on side effects. The more I read about chemo, the more I’m afraid to weaken my immune system. Seems like recurrence is likely and wondering about no further treatment?

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

Icing seems to work for many/most people. I have virtually no neuropathy and I had 10 cycles of Abraxane and Carboplatin. They make special gloves for your hands and booties for your feet. The brand I used were made by Sussi, which you can get on Amazon. I had two or three pairs for each since the ice inserts melt. I froze them overnight and brought them in a small(er) cooler to chemo. Some infusion centers have the gloves and will let you bring the inserts (which they might keep cold during chemo), but I found that too difficult to put them in the gloves and booties while there. Get some very thin cotton gloves off of Amazon, along with thin white socks (I got mine at Publix) to wear at first, because sometimes the cold is hard to tolerate. Some cold is better than none. Start early and ice late, but certainly during the infusion if you can. Also, for particular aches and pains after chemo, try Claritin. I had acute pain once or twice during chemo and a dose of that knocked back/got rid of the inflammation. It’s worth a try.

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Profile picture for mtstack @mtstack

@bocabird
I will clarify today. I read the range was 0-30 but thought she said 0-38 when I spoke with her.

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@mtstack yes I think anything under 40 is good-but as I previously mentioned the head of the department at Moffett told me that sometimes there are false positives -if there is a cold or other illness.

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Profile picture for mtstack @mtstack

How good is an indicator of CA125. I finally got my first one.

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I always thought that changes in my CA125 numbers were a good indication of what my cancer was doing, even though the actual numbers were low and in the normal range. Mine has been as low as 14 even though I had visible tumors. (I wish I knew what it would be if I had no tumors, but it's never been measured under those circumstances.). When my CA125 went up from 14 to 20, that was a bad sign.

However recently I had a horrible episode of ascites and my CA125 went up to 200. I started some new drugs that made the ascites go away, but are having little, if any, effect on the cancer. My CA125 dropped to 39. So it seems like things other than the amount of cancer can have pretty big effects on CA125.

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Profile picture for greatgrandma2025 @greatgrandma2025

@mtstack Can some one explain POLE, Thankyou!!

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@greatgrandma2025
POLE is a gene that is mutated in about 10 % of endometrial cancers. This is a mutation that is only in the cancer, not one that you inherit from your parents and that predisposes you to getting cancer (very, very, very few people have an inherited POLE mutation.). In other countries, endometrial cancers are routinely tested for mutations in POLE, but not in the US. Getting your tumor tested for POLE usually requires pulling some teeth. You hope your tumor has a POLE mutation because it confers a much better prognosis, even without treatment.

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Profile picture for mtstack @mtstack

@carol1024
Thanks for replying so quickly.
I was surprised that mine was 50 and wondered if it's really necessary to have chemo.
I was told because cancer cells were present in one sentinel lymph node, I should have chemo to kill any cancer cells remaining and lessen chance of recurrence.

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@mtstack I think of cancer cells like this. They’re like the ant hill you see on the sidewalk in the summertime. You stomp them out or throw a bucket of water on them. You *think* you got them all……. Until you see an ant 2 doors down that got away…….
Chemo will take care of that ant.

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Profile picture for mtstack @mtstack

@juliea55
I will have post first cycle lab work today and meet with the NP and ask her about abraxane.
Spoke with the nurse yesterday and she said although the allergic reaction scared me, it really wasn't a "bad" reaction which kindly put it in perspective, relative to other people who end up in ER.

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Now that I am thinking about it I think I had the choice to opt for weekly treatment or treatment once every three weeks. I heard the outcomes were the same, but the weekly was tolerated better and so opted for that. But I don’t think that the difference was due to differences in the taxol versus abraxane. In any event I will be interested to hear what you come up with.

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Profile picture for juliea55 @juliea55

Now that I am thinking about it I think I had the choice to opt for weekly treatment or treatment once every three weeks. I heard the outcomes were the same, but the weekly was tolerated better and so opted for that. But I don’t think that the difference was due to differences in the taxol versus abraxane. In any event I will be interested to hear what you come up with.

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@juliea55
I decided to wait to ask the medical oncologist on the 31st instead of her NP today. So I will let you know after that consult.

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Profile picture for bocabird @bocabird

@juliea55 I also had a bucket of ice I kept my feet in while getting the infusion and I never got neuropathy. And also iced my hands same thing.

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@bocabird
They make mitts and booties with freezeable inserts. I used them but still got neuropathy

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Profile picture for juliea55 @juliea55

You don’t say how old you are and whether you have other health issues that may impact your decision. Even if it’s not a cure, the chemo can buy you valuable time. I had a total of ten rounds of the chemo you described and had virtually no side effects. I did ice religiously to avoid neuropathy (I took a cooler to chemo), but I was able to drive home afterwards (2 hours). I am still enjoying life every day.

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@juliea55
You are truly an inspiration.
I feel petty complaining about everything. Spoke with a good friend who is ovarian cancer free after 21 years and her advice was to treat chemo as my friend. So hoping to be more positive in future.

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